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EUROPEAN UNION AND HOSPITALS

EUROPEAN UNION AND HOSPITALS. THE EUROPEAN CONTEXT VARIOUS TYPES OF HC SYSTEMS: History, political choices, decentralisation… SIMILAR CHALLENGES Ageing, innovation, cost containment… SOME NATURAL CONVERGENCES Financing tools, organisational methods…. EU PRINCIPLE OF SUBSIDIARITY

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EUROPEAN UNION AND HOSPITALS

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  1. EUROPEAN UNION AND HOSPITALS

  2. THE EUROPEAN CONTEXT • VARIOUS TYPES OF HC SYSTEMS: • History, political choices, decentralisation… • SIMILAR CHALLENGES • Ageing, innovation, cost containment… • SOME NATURAL CONVERGENCES • Financing tools, organisational methods…

  3. EU PRINCIPLE OF SUBSIDIARITY • HC SYSTEMS: A RESPONSABILITY OF MEMBER STATES • Article 152 • “excluding any harmonisation of the laws and regulations of the Member States. • Community action in the field of public health shall fully respect the responsibilities of the Member States for the reorganisation and delivery of health services and medical care.” • A very limited health competence (blood, tissues and cells…)

  4. EU INTERNAL MARKET • FREE MOVEMENT: THE CORE EU PRINCIPLE • Persons • Goods • Services • Capital

  5. THE EUROPEAN COURT OF JUSTICE AND POLITICAL ANSWERS • REGULATION 1408/71 AND NEW REGULATION 883/04 • ECJ RULINGS: MEDICAL CARE IS A SERVICE, HOSPITAL CARE IS A SERVICE • HIGH LEVEL PROCESS OF REFLECTION AND HIGH LEVEL GROUP • SERVICES DIRECTIVE AND HEALTHCARE DIRECTIVE

  6. HEALTHCARE MARKET? • MOBILITY OF INFORMATION • MOBILITY OF DISEASES • LIMITED MOBILITY OF PROFESSIONALS • HC professionals are less mobile than others • LIMITED MOBILITY OF HC SERVICES • National barriers preventing foreign HC providers

  7. BUT AN INFLUENCE OF EU INTERNAL MARKET ON HC • HOSPITALS AS EMPLOYERS • HOSPITALS AS PURCHASERS • HOSPITALS AS PRODUCERS

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