Volume and diagnosis: an approach to cross-border care in eight European countries.
OBJECTIVE
Mobility of patients is a pertinent issue on the European Union's agenda. This study aimed to estimate the volume and main diagnoses of cross-border care in eight European countries, in order to provide policy makers with background information about the nature of patient mobility in Europe.


METHODS
This article reports the combined findings from three independent studies that compiled self-reported information on admissions data and main diagnoses from more than 200 hospitals in eight European countries.


RESULTS
The average volume of cross-border patients accounted for less than 1% of total admissions in the hospitals studied here. Diseases of the circulatory system (mainly acute myocardial infarction) and fractures were the most common reasons for hospitalisation of European patients abroad. Deliveries and other diagnoses related to pregnancy, pneumonia, appendicitis and other diseases of the digestive system, aftercare procedures, and disorders of the eye and adnexa were also common diagnoses for this population.


CONCLUSIONS
Hospitals should reinforce their efforts to adapt the care provided to the needs of foreign patients in treatment areas that cover the most frequent pathologies identified in this population.
Vallejo
P
P
Avedis Donabedian Institute, Autonomous University of Barcelona, and CIBER Epidemiology and Public Health (CIBERESP), Provenza 293 Pral, Barcelona 08037, Spain. marquis@fadq.org
Suñol
R
R
Van Beek
B
B
Lombarts
M J M H
MJ
Bruneau
C
C
Vlcek
F
F
D003695:Delivery of Health Care / Q000706:statistics & numerical data*; D005060:Europe; D006297:Health Services Accessibility / Q000191:economics; D006302:Health Services Research; D006760:Hospitalization / Q000706:statistics & numerical data*; D006761:Hospitals / Q000592:standards / Q000706:statistics & numerical data; D006801:Humans; D038622:Internationality; D011795:Surveys and Questionnaires; D014195:Travel