CUED Publications database

Facilitating safe and successful cross-border healthcare in the European Union.

Verra, SE and Kroeze, R and Ruggeri, K (2016) Facilitating safe and successful cross-border healthcare in the European Union. Health Policy, 120. pp. 718-727.

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Abstract

OBJECTIVE: Even though medical travel is expanding, limited research has identified pitfalls along the full process of medical travel. This study explores the experiences of medical travellers, with a focus on potential issues that may threaten safe and effective medical travel. METHODS: The experiences of medical travellers were assessed using a cross-sectional questionnaire in the Netherlands in 2014. The questionnaire (n=101) contained 52 items measuring the transfer of records, quality of care abroad, follow-up care, and reimbursement. Additionally, experts provided feedback on the pitfalls identified. RESULTS: 63.1% of medical records were not transferred in advance to the clinic abroad, and for 10.7% of cases these remained unknown during treatment. Although quality of care abroad was rated higher than in the home country, follow-up care was initially refused to 22.2% of patients. Additionally, patients reported problems related to reimbursement. CONCLUSION: More effort is needed to facilitate safe medical travel. Medical professionals should be informed on procedures for medical travellers, especially concerning follow-up care and record transfers. Yet, medical travellers themselves are ultimately responsible for this transfer. Clear information on the necessity of this personal transfer, and clarification on reimbursement options and the authorisation procedure, should be provided by national contact points and third-party payers. Additionally, payment structures to care providers may need adjustments to cover costs of follow-up care.

Item Type: Article
Uncontrolled Keywords: Cross-border healthcare European Union Healthcare quality Medical travel Patient mobility Patient protection Aftercare Cross-Sectional Studies Emigration and Immigration European Union Health Services Accessibility Humans Insurance, Health, Reimbursement Medical Records Medical Tourism Quality of Health Care Surveys and Questionnaires Waiting Lists
Subjects: UNSPECIFIED
Divisions: Div C > Engineering Design
Depositing User: Cron Job
Date Deposited: 17 Jul 2017 18:59
Last Modified: 21 Sep 2017 01:34
DOI: