Abstract
The main purpose of this practice paper is to describe and analyse the possibilities and complexities of integrated health care across borders. First, we portray an ideal scenario for this type of care with a case of patients suffering from rheumatoid arthritis and living in the Dutch-Belgian frontier area. It shows how cross border care enhances continuity of care/tailor-made care and the other way around. Secondly, based on different literature sources, we describe actual regulations on health care across borders. We show that these regulations can be a major hindrance to integrated care. This raises questions on the scope and content of policies directed at both cross border and integrated care.
Highlights
Within the European Community, we notice an increasing number of cross border health and social care arrangements
We portray an ideal scenario for this type of care with a case of patients suffering from rheumatoid arthritis and living in the Dutch-Belgian frontier area
Based on different literature sources, we describe actual regulations on health care across borders. We show that these regulations can be a major hindrance to integrated care
Summary
Within the European Community, we notice an increasing number of cross border health and social care arrangements. We follow Mrs Lieve Janssen who suffers from rheumatoid arthritis and who lives in a small Belgian town near the Dutch border. The rheumatologist is working in a nearby Dutch hospital but once a week he has an outpatient clinic in the Belgian town, which is only 27 km from his hospital He confirms the diagnosis rheumatoid arthritis and prescribes methotrexate, a disease modifying anti-rheumatic drug. A Dutch friend of Mrs Janssen, Mrs Pieters has been suffering from rheumatoid arthritis for many years and she is followed in the Dutch hospital by the same rheumatologist She needs a total hip replacement and has been waiting already for several months to be admitted for the surgery. Mrs Pieters agrees with this proposal and only two weeks later, she is admitted to a Belgian hospital where she receives successfully a total hip replacement
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