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Developments in EU Laws on Patient Mobility

  • 29-07-2010 5:35pm
    #1
    thazin
    Closed Accounts Posts: 3 ✭


    Are clinicians aware of the laws that govern patient mobility?

    There has been significant developments on patients rights as a result of case law in the European court of justice over the years. The general principles are;

    1. Any ambulatory healthcare that you are entitled to receive in your own Member State you may also seek in another Member State without prior authorisation and be reimbursed up to the level of reimbursement provided by your own system and;
    2. Any hospital care to which you are entitled in your own Member State you may also seek in any other Member State provided you first have the authorisation of your own system. This authorisation must be given if your system cannot provide your care within a medically acceptable time limit considering your condition. Again, you will be reimbursed up to at least the level of reimbursement provided by your own system.


    Given EU Regulation 883/2004 (replacing EU Reg 1408/71) came into legal affect in all legal systems in the EU from May 1, 2010, has the rights that have been introduced by this regulation and its implementation regulation 987/2009 been fully explained to clinicians who work in our public health services?

    And as a matter of interest has any clinician ever used either EU Reg 1408/71 or EU Reg 883/2004 to enable a patient who was under your care access either ambulatory or planned healthcare services? Under what circumstances did you use this mechanism for your patient? Out of interest, is this mechanism encouraged or discouraged by hospital management or the HSE?

    If you have ever had cause to use the mechanism seeking prior authorisation how cumbersome did you find the procedures for seeking the prior authorisation - where those procedures clear and out of interest was the prior authorisation granted or refused?

    Mods, this is not a research study - I just want to highlight patients rights around patient mobility. I would also like to find out the extent to which clinicians are aware of this mechanism and their experiences if they ever used the mechanism.


Comments

  • #2
    lonestargirl
    Registered Users, Registered Users 2 Posts: 1,501 ✭✭✭lonestargirl


    I've actually seen patients treated outside the EU (specifically Canada and Switzerland) paid for by the HSE when the treatment wasn't available in Ireland. If anyone heard David Hickey being interviewed by Rachel English a few weeks ago he spoke of having his radiotherapy in Canada as the technique (IMRT) wasn't available at the time (it is now).


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