title: Analysing arrangements for cross-border mobility of patients in the European Union: a proposal for a framework.
abstract: This paper proposes a framework for analyzing arrangements set up to facilitate cross-border mobility of patients in the European Union. Exploiting both conceptual analysis and data from a range of case studies carried out in a number of European projects, and building on Walt and Gilson's model of policy analysis, the framework consists of five major components, each with a subset of categories or issues: (1) The actors directly and indirectly involved in setting up and promoting arrangements, (2) the content of the arrangements, classified into four categories (e.g. purchaser-provider and provider-provider or joint cross-border providers), (3) the institutional framework of the arrangements (including the underlying European and national legal frameworks, health systems' characteristics and payment mechanisms), (4) the processes that have led to the initiation and continuation, or cessation, of arrangements, (5) contextual factors (e.g. political or cultural) that impact on cross-border patient mobility and thus arrangements to facilitate them. The framework responds to what is a clearly identifiable demand for a means to analyse these interrelated concepts and dimensions. We believe that it will be useful to researchers studying cross-border collaborations and policy makers engaging in them.
authors.affiliation: London School of Hygiene & Tropical Medicine, London, UK. helena.legido-quigley@lshtm.ac.uk
authors.forename: Helena
authors.initials: H
authors.lastname: Legido-Quigley
authors.forename: Irene A
authors.initials: IA
authors.lastname: Glinos
authors.forename: Rita
authors.initials: R
authors.lastname: Baeten
authors.forename: Martin
authors.initials: M
authors.lastname: McKee
authors.forename: Reinhard
authors.initials: R
authors.lastname: Busse
mesh_terms: D003695:Delivery of Health Care / Q000331:legislation & jurisprudence / Q000458:organization & administration; D004632:Emergency Medical Services / Q000331:legislation & jurisprudence / Q000458:organization & administration; D005060:Europe; D005062:European Union / Q000458:organization & administration*; D006291:Health Policy; D006297:Health Services Accessibility / Q000331:legislation & jurisprudence / Q000458:organization & administration*; D006801:Humans; D007349:Insurance, Health, Reimbursement; D007391:International Cooperation; D057193:Medical Tourism / Q000331:legislation & jurisprudence*; D012051:Reimbursement Mechanisms