Health service

Advised entity: EUROBEC

Having access to the hospital located in Badajoz, Spain, is fundamental for Portuguese citizens from Elvas and Campo Maior because of the distance of such hospital. The limited possibility to make use of its services affects the provision of public services of citizens in this border area and Portuguese patients must travel further away to another Portuguese city when they look for medical assistance.

Ambulance service across the Schengen border

Advised entity: DKMT Euroregion 

Cross-border rescue and transport of patients in the DKMT Euroregion is considerably complicated by the fact that Romania and Serbia are not part of the Schengen area, which makes border controls unavoidable even in emergency situations. The existing legal and administrative differences between the ambulances services as well as language barriers make cooperation even more difficult. Thus, the conclusion of an international agreement between the three countries could possibly mitigate obstacles to cooperation. 

Cross-border health insurance in the DKMT Euroregion

Advised entity: DKMT Euroregion 

In the DKMT Euroregion, differing health insurance systems in Hungary, Romania and Serbia hinder effective cross-border health care services. Usually, patients cannot be taken to hospitals on the other side of the border for treatment, even though they are closer, because health insurances do not cover foreign services.  Solutions are needed to ensure a more efficient use of capacity and to promote deeper cooperation between hospitals.

Healthcare follow-up and hospitalisation at home

Advised entity: GECT Alzette Belval

Home hospitalisation, including palliative care, is a common way for patients in France to continue their treatment at home. In this case, either a team of hospital nurses or an independent nursing service contracted by the hospital comes to the patient’s home with all the necessary equipment and performs all the treatments routinely there, in close consultation with the attending hospital doctor. However, due to legal impediments, patients who live in France but whose treating doctor is based in Luxembourg cannot benefit from this form of home hospitalisation because the French nurses have no equipment and no contact with the treating Luxembourg doctor and the independent nursing service contracts are not designed for cross-border cases.

Establishment of a cross-border healthcare center

Advised entity: GECT Alzette Belval

Demographic change is also noticeable in the healthcare sector, where there is an increasing shortage of doctors because many are retiring. In order to benefit from existing capacities on both sides of the border, the GECT Alzette Belval plans to establish a cross-border healthcare center. To be able to offer attractive working conditions for doctors, and at the same time economically worthwhile medical services for patients, it is essential to find solutions to problems resulting from the different healthcare reimbursement systems in France and Luxembourg.

French-Luxembourg emergency management community

Advised entity: GECT Alzette Belval

In the border region of the GECT Alzette Belval, the nearest French hospital is located 30 km from the border whereas the closest hospital in Luxembourg is only 5 km from the border. France and Luxembourg signed a bilateral framework agreement on cross-border health cooperation in 2016, which allows rescue services to intervene in the respective neighbouring country. However, practical obstacles to cross-border cooperation in rescue services still exist, because when an accident occurs on the French side, the emergency number only refers to the French hospital further away, so that the nearest emergency relief cannot be called.

Cross-border social security affiliations

Advised entity: GECT Alzette Belval

The region of the EGTC Alzette Belval is characterized by its high mobility of workers, which reveals several problems regarding the coordination of social security systems. On the one hand, for example, for a family living in France, difficulties arise with regard to insurance for the child if only one of the parents works in Luxembourg and therefore pays contributions to the Luxembourg health insurance agency. On the other hand, pensioners who live in France but have worked in Luxembourg throughout their careers and continue to receive health services in Luxembourg, only receive reimbursement at the often lower, French rates, even though they have contributed to the Luxembourg social security system during their working lives.

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