EUROPEAN UNION AND HOSPITALS

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Presentation transcript:

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 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…)

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

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

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

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

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