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Title: | The impact of the EU Directive on patients’ rights and cross border health care in Malta |
Authors: | Azzopardi Muscat, Natasha Sorensen, Kristine Pace, Roderick Brand, Helmut Aluttis, Christoph |
Keywords: | Medical care -- European Union countries Medical care -- Malta -- Case studies Health services accessibility -- European Union countries Medical policy -- European Union countries Patients -- Civil rights -- Malta |
Issue Date: | 2015 |
Publisher: | Elsevier |
Citation: | Azzopardi Muscat, N., Aluttis, C., Sorensen, K., Pace, R., & Brand, H. (2015). The impact of the EU Directive on patients’ rights and cross border health care in Malta. Health Policy, 119(10), 1285-1292. |
Abstract: | The patients’ rights and cross-border health care directive was implemented in Malta in 2013. Malta’s transposition of the directive used the discretionary elements allowable to retain national control on cross-border care to the fullest extent. This paper seeks to analyse the underlying dynamics of this directive on the Maltese health care system through the lens of key health system stakeholders. Thirty-three interviews were conducted. Qualitative content analysis of the interviews reveals six key themes: fear from the potential impact of increased patient mobility, strategies employed for damage control, opportunities exploited for health system reform, moderate enhancement of patients’ rights, negligible additional patient mobility and unforeseen health system reforms. The findings indicate that local stakeholders expected the directive to have significant negative effects and adopted measures to minimise these effects. In practice the directive has not affected patient mobility in Malta in the first months following its implementation. Government appears to have instrumentalised the implementation of the directive to implement certain reforms including legislation on patients’ rights, a health benefits package and compulsory indemnity insurance. Whilst the Maltese geo-demographic situation precludes automatic generalisation of the conclusions from this case study to other Member States, the findings serve to advance our understanding of the mechanisms through which European legislation on health services is influencing health systems, particularly in small EU Member States. |
Description: | Acknowledgements: The research work disclosed in this publication is partially funded by the Malta Government Scholarship Schemegrant.The ideas for this paper are based on a presentation which was delivered during a meeting of the Health Systems Policy Monitor network in Berlin, October 2014. The authors are grateful for the contribution of Karen Demicoli and Kenneth Grech towards that presentation and for the feedback received from participants of that meeting. The authors are grateful to the two anonymous reviewers for their helpful comments and suggestions. |
URI: | https://www.um.edu.mt/library/oar//handle/123456789/23628 |
Appears in Collections: | Scholarly Works - InsEUS |
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