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EUROPEAN UNION AND HOSPITALS

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Presentation on theme: "EUROPEAN UNION AND HOSPITALS"— Presentation transcript:

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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