Transposition Of The Patients Rights Directive 2011 24 Eu
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Transposition Of The Patients Rights Directive 2011 24 Eu
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Author : Goscinska, Daria
language : en
Publisher: Universitätsverlag der TU Berlin
Release Date : 2014-07-21
Transposition Of The Patients Rights Directive 2011 24 Eu written by Goscinska, Daria and has been published by Universitätsverlag der TU Berlin this book supported file pdf, txt, epub, kindle and other format this book has been release on 2014-07-21 with Political Science categories.
The Directive on the application of patients´ rights in cross-border healthcare was adopted by the Council of the European Union and the European Parliament on March 9th, 2011. In the context of the adoption deadline on October 25th, 2013, as well as considering the national positioning towards the Directive and the interpretational leeway, it is interesting to see how and to what extent national legislators transpose the Directives´ implications. This paper will focus on the process of transposition, specifically domestic public consultations. The analysis is a two-level comparison: on the one hand, it presents an intrastate study of the various stakeholders involved in the discourse during the transposition process, whereby a country-specific picture of diverse proposals, opinions and challenges can be drawn. On the other hand, the paper marks an inter-country comparison, offering a sample of European adaptational patterns. The healthcare systems of the analysed countries Germany, Poland and Austria are characterised by a Statutory Health Insurance (SHI) system, nevertheless they differ concerning systemic specifics of healthcare, their voting behaviours towards the Directive and initial situations regarding transposable provisions. The study of domestic discourses from an actor-centred perspective concludes on the most critical points of the Directive, which reflect on prior authorisation, reimbursement, information provision and National Contact Points, and on transposition patterns in the member states. Hypotheses on the goodness of fit, the scope of patients´ rights and difficult interpretational areas of the Directive were tested and partly verified. The intrastate study and cross-national comparison revealed considerable differences among a small sample of EU-states, with only some analogies regarding stakeholder and governmental behaviour. The contrast is visible in the number and type of stakeholders, timing of public consultations, the emphasis set in the discourse, frequency of discussed articles and accurateness of implementation. This results not only from the difficult and debated area of health policy, but also from country-specific characteristics. Overall, the analysis indicates how important the process of transposition, as part of EU law-making, is for the correctness and success of European policies. An emphasis on the implementation phase is required to closely understand, analyse and improve the functioning of the Acquis Communautaire. Die Richtlinie über die Ausübung der Patientenrechte in der grenzüberschreitenden Gesundheitsversorgung wurde vom Rat der Europäischen Union sowie dem Europäischen Parlament am 9. März 2011 verabschiedet. Im Kontext der Umsetzungsfrist am 25. Oktober 2013 sowie unter Berücksichtigung nationaler Positionen gegenüber der Richtlinie und dem zu Verfügung stehenden Interpretationsspielraum, gilt es zu erforschen, inwieweit die nationalen Gesetzgeber die Implikationen der Richtlinie umsetzen. Diese Arbeit beschäftigt sich mit dem Transpositionsprozess der Patientenrichtlinie 2011/24/EU, insbesondere mit den nationalen Konsultationen während der Umsetzungsphase. Die Analyse besteht aus einem zwei-Ebenen Vergleich: einerseits präsentiert sie eine innerstaatliche Studie über diverse, in den Transpositionsprozess involvierte Stakeholder, wodurch eine länderspezifische Skizze bezüglich verschiedener Umsetzungsvorschläge, Meinungen sowie Herausforderungen gezeichnet wird. Andererseits stellt die Studie einen zwischenstaatlichen Vergleich dar, durch welchen Europäische Transpositions- und Implementierungsmuster verdeutlicht werden. Die drei ausgewählten Staaten Deutschland, Polen und Österreich sind jeweils durch das Gesundheitssystem der Gesetzlichen Krankenversicherung gekennzeichnet, nichtsdestotrotz unterscheiden sie sich im Hinblick auf die systemischen Ausprägungen, ihr Abstimmungsverhalten zur Richtlinie im Rat der Europäischen Union sowie ihre Ausgangsposition der Transposition. Die Analyse der nationalen Diskurse aus einer Akteur-zentrierten Perspektive mündet in einer Zusammenstellung der kritischsten Aspekte der Richtlinie, welche die Vorabgenehmigung, Kostenerstattung, Informationsbeschaffung und die Nationalen Kontaktstellen beinhaltet. Gleichzeitig fasst die Studie die Transpositionsmuster der Mitgliedstaaten zusammen. Die Hypothesen zu "Goodness of fit", zur Reichweite der Patientenrechte sowie zu interpretativen Problemfeldern der Richtlinie wurden getestet und teilweise verifiziert. Sowohl der inner- wie auch zwischenstaatliche Vergleich zeigt die enormen Differenzen einer relativ geringen Staatenprobe auf, mit lediglich wenigen Analogien in Bezug auf die Stakeholder und das Verhalten der staatlichen Entscheidungsträger. Der Kontrast zeigt sich insbesondere hinsichtlich der Anzahl und des Typs der Akteure, der zeitlichen Koordinierung der öffentlichen Konsultationen, des Diskursschwerpunkts, der Häufigkeit der diskutierten Umsetzungsartikel sowie der Transpositionsgenauigkeit. Die hervorstechenden Differenzen sind nicht nur Ausdruck eines sensiblen und umstrittenen Politikfelds, sondern resultieren aus den staatenspezifischen Eigenschaften. Insgesamt zeigt die Analyse auf, wie wichtig der Transpositionsprozess als Teil der EU-Gesetzgebung für die Korrektheit und den Erfolg Europäischer Politik ist. Die Fokussierung auf die Implementierungsphase ist notwendig, um die Funktionsfähigkeit des Acquis Communautaire genau zu verstehen, analysieren und zu verbessern.
Transposition Of The Patients Rights Directive 2011 24 Eu
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Author : Daria Goscinska
language : en
Publisher:
Release Date : 2014
Transposition Of The Patients Rights Directive 2011 24 Eu written by Daria Goscinska and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2014 with categories.
European Standardisation Of Services And Its Impact On Private Law
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Author : Barend Van Leeuwen
language : en
Publisher: Bloomsbury Publishing
Release Date : 2017-02-23
European Standardisation Of Services And Its Impact On Private Law written by Barend Van Leeuwen and has been published by Bloomsbury Publishing this book supported file pdf, txt, epub, kindle and other format this book has been release on 2017-02-23 with Law categories.
With the New Approach, the EU has incorporated European standardisation in its regulatory approach to improve the free movement of goods. Such a New Approach does not exist for services. Nevertheless, a significant number of European services standards have been made. This book focuses on European standardisation of services and its impact on private law. Two services sectors are analysed: the healthcare sector and the tourism sector. The core chapters of the book contain a number of case studies based on empirical research in these sectors. The first part discusses how European services standards interact with existing legal regulation at the European and national level. It is shown that, at the European level, there is no clear legal framework in which European services standards are adopted. This has an impact on their application in private law, which is the main theme of the second part of the book. Moreover, there is a real risk that European services standards create obstacles to free movement. This will prevent their successful application in private law.
Voluntary Health Insurance In Europe Role And Regulation
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Author : Sagan A.
language : en
Publisher: World Health Organization
Release Date : 2016-07-20
Voluntary Health Insurance In Europe Role And Regulation written by Sagan A. and has been published by World Health Organization this book supported file pdf, txt, epub, kindle and other format this book has been release on 2016-07-20 with Business & Economics categories.
If public resources were unlimited there would be no gaps in health coverage and no real need for VHI. However most health systems face fiscal constraints and VHI is often seen as a way to address these pressures. This study draws from the experiences of 34 countries to assess VHI s contribution to health spending and to understand its role in Europe and in relation to publicly financed coverage. It looks at who sells VHI who purchases it and why. It also reviews public policy towards VHI at national and EU levels and the related national policy debates. The analysis shows that while the different markets for VHI vary considerably in size operation and regulation the vast majority are small. Where there are substantial markets these tend to be the oldest ones having a tradition of non-profit insurers and to be the most heavily regulated to ensure VHI policies are accessible and affordable. The study also suggests that VHI is normally a better way of meeting population health needs than out-of-pocket payments although there are notable exceptions. VHI can contribute to financial protection especially where it plays a substitutive and complementary role covering co-payments. However it is a complex challenging and highly context-specific policy instrument that may undermine other health system goals including equitable access efficiency transparency and accountability even where markets are well regulated. Policy-makers should therefore exercise real caution before expanding VHI to fill coverage gaps. This volume and its companion set of country profiles were developed jointly by the Observatory s LSE hub and the WHO Regional Office for Europe. The study draws on contributions from national experts from the EU EFTA and other countries in Europe.
Effective And Needed But Not Used Why Do Mobile Phone Based Health Interventions In Africa Not Move Beyond The Project Status
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Author : Stephani, Victor
language : en
Publisher: Universitätsverlag der TU Berlin
Release Date : 2019-04-15
Effective And Needed But Not Used Why Do Mobile Phone Based Health Interventions In Africa Not Move Beyond The Project Status written by Stephani, Victor and has been published by Universitätsverlag der TU Berlin this book supported file pdf, txt, epub, kindle and other format this book has been release on 2019-04-15 with Medical categories.
Reviews have shown that mobile phone-based health interventions (mHealth interventions) are capable of improving health outcomes of patients in Africa, particularly for patients with chronic diseases such as non-communicable diseases (NCDs). But currently, most mHealth interventions are stopped after the pilot and the funding of the donors has ceased. The aim is to identify the reasons for the lacking integration of mHealth interventions against NCDs in sub Saharan African health systems. 10 countries from sub-Saharan Africa (SSA) were selected for the analysis. For the assessment a catalogue of indicators was developed. Data for the indicators was gathered from various sources: databases, literature reviews and expert interviews. mHealth against NCDs is still in its infancy. Inhibiting factors for the further uptake of mHealth are the lack of specific action points by the governments, the missing attention paid to the rising burden of NCDs, the non-utilization of the full potential of mHealth, the lack of financial incentives and standardized workshops/guidelines and lack of good governance. The access to mobile phones is also inhibited by the poor electricity infrastructure. Enabling factors in many countries are numerous published eHealth strategies, constantly improving legislative frameworks (such as data protection laws) and a growing technology start-up ecosystem.Reviews haben gezeigt, dass Mobiltelefon-basierte Gesundheitsinterventionen (mHealth Interventionen) in der Lage sind klinische Outcomes von Patienten in Afrika zu verbessern; insbesondere von Patienten mit chronischen Erkrankungen wie zum Beispiel nicht übertragbaren Krankheiten (NCDs). Jedoch bleiben die meisten mHealth Interventionen in der Projektphase und werden häufig, nachdem die Finanzierung der Geldgeber aufhört, gestoppt. Ziel dieser Arbeit ist es deswegen, die Ursachen für die mangelnde Integration von mHealth Interventionen gegen NCDs in die afrikanischen Gesundheitssysteme zu identifizieren. Für die Analyse wurden 10 Länder aus sub-Sahara Afrika (SSA) ausgewählt. Für die Bewertung wurde ein Katalog von Indikatoren entwickelt. Die Daten für die Indikatoren wurden aus verschiedenen Quellen gesammelt: Datenbanken, Literaturrecherchen und Experteninterviews. Hemmende Faktoren für eine flächendeckende Verbreitung sind unter anderem das Fehlen spezifischer Zielvorgaben durch die Regierungen, die fehlende Berücksichtigung von NCDs in den verschiedenen Digitalstrategien, die Nichtausschöpfung des vollen Potenzials von mHealth, das Fehlen von finanziellen Anreizen und standardisierten Workshops/Richtlinien, sowie mangelnde Good Governance. Außerdem wird der Zugang zu Mobiltelefonen durch die schlechte Elektrizitäts-Infrastruktur behindert. Fördernde Faktoren sind die zahlreichen eHealth-Strategien, die sich ständig verbessernden gesetzliche Rahmenbedingungen (z.B. Datenschutzgesetze) und die wachsenden Start-up-Ökosysteme.
Does Mhealth Contribute To Improved Care For People With Non Communicable Diseases In Developing Countries
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Author : Stephani, Victor
language : en
Publisher: Universitätsverlag der TU Berlin
Release Date : 2015-06-02
Does Mhealth Contribute To Improved Care For People With Non Communicable Diseases In Developing Countries written by Stephani, Victor and has been published by Universitätsverlag der TU Berlin this book supported file pdf, txt, epub, kindle and other format this book has been release on 2015-06-02 with Business & Economics categories.
Background: mHealth refers to the use of mobile phones for health care and public health practice. The reasons of deaths in developing countries are shifting from communicable diseases towards non-communicable diseases (NCDs). We review studies assessing the health-related impacts of mobile health (mHealth) on NCDs in low- and middle- income countries (LAMICs) with the aim of giving recommendations for their further development. Methods: A systematic literature search of three major databases was performed in order to identify randomized controlled trials (RCTs) of mHealth interventions. Identified RCTs were reviewed concerning effects of the interventions on health-related outcomes. Results: The search algorithms retrieved 733 titles. 6 RCTs were included in the review, including a total of 1850 participants. MHealth was found to have positively influenced clinical outcomes, compliance rates, as well as quality of life related aspects. Furthermore, other outcomes such as patients’ anxiety or patient-physician trust improved significantly. We also found that tailored interventions using a single service for the transmission (e.?g. only SMS) showed the most positive effect. Limiting factors of the evaluation however, were the few numbers of RCTs, the heterogeneity of outcome measures and the fact that all included studies were conducted in middle income countries and mostly in urban areas. Conclusions: Although mHealth is still in its infancy, it can emerge as an important tool for fighting NCDs in LAMICs. Therefore, further support by governmental institutions for coordinating and promoting the development of the required tools, as well as further research especially in low-income economies, with a focus on the evaluation of the long-term effects of mHealth is needed. Hintergrund: Die Todesursachen in Entwicklungsländern verschieben sich kontinuierlich von übertragbaren hin zu nicht-übertragbaren Krankheiten (NCDs). Deshalb werden in diesem systematischen Review gesundheitsbezogene Einflüsse von mobile Health (mHealth) Interventionen zur Bekämpfung von NCDs in Entwicklungs- und Schwellenländern (LAMICs) untersucht, um Einschätzungen zur bisherigen und Empfehlungen zur weiteren Entwicklung zu geben. Methode: Eine systematische Literatursuche in drei großen Datenbanken wurde durchgeführt um randomisiert-kontrollierte Studien (RCTs) von mHealth Interventionen in LAMICs zu identifizieren. Die ermittelten RCTs wurden hinsichtlich der Effekte von mHealth Interventionen auf gesundheitsbezogene Parameter ausgewertet. Resultate: Von insgesamt 733 erfassten Titeln wurden 6 RCTs mit 1850 Teilnehmern einbezogen. Es wurde festgestellt, dass mHealth einen positiven Einfluss auf klinische Resultate, Compliance-Raten, sowie Lebensqualitäts-bezogene Aspekte hat. Zudem verbesserten sich im Rahmen der Interventionen weitere Faktoren wie das Vertrauen zwischen Patient und Arzt oder Ängste der Patienten. Ferner wurde festgestellt, dass individualisierte Interventionen bessere Resultate als generalisierte Interventionen erzielen. Limitierende Faktoren bei diesem Review waren die geringe Anzahl an RCTs, die Heterogenität der evaluierten Parameter und der Umstand, dass fast alle inkludierten Studien in urbanen Gebieten von Schwellenländern durchgeführt worden sind. Schlussfolgerung: mHealth kann zu einem wichtigen Instrument bei der Bekämpfung von NCDs in LAMICs heranwachsen. Dazu ist jedoch eine stärkere Unterstützung insbesondere von staatlichen Institutionen unumgänglich. Zudem müssen zukünftige Forschungen einen Fokus auf Langzeit-Effekte insbesondere in einkommensschwachen Ländern haben.
General Principles Of Law The Role Of The Judiciary
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Author : Laura Pineschi
language : en
Publisher: Springer
Release Date : 2015-06-22
General Principles Of Law The Role Of The Judiciary written by Laura Pineschi and has been published by Springer this book supported file pdf, txt, epub, kindle and other format this book has been release on 2015-06-22 with Law categories.
This book examines the role played by domestic and international judges in the “flexibilization” of legal systems through general principles. It features revised papers that were presented at the Annual Conference of the European-American Consortium for Legal Education, held at the University of Parma, Italy, May 2014. This volume is organized in four sections, where the topic is mainly explored from a comparative perspective, and includes case studies. The first section covers theoretical issues. It offers an analysis of principles in shaping Dworkin’s theories about international law, a reflection on the role of procedural principles in defining the role of the judiciary, a view on the role of general principles in transnational judicial communication, a study on the recognition of international law from formal criteria to substantive principles, and an inquiry from the viewpoint of neo-constitutionalism. The second section contains studies on the role of general principles in selected legal systems, including International Law, European Union Law as well as Common Law systems. The third section features an analysis of select legal principles in a comparative perspective, with a particular focus on the comparison between European and American experiences. The fourth and last section explores selected principles in given areas of law, including the misuse of the lex specialis principle in the relationship between international human rights law and international humanitarian law, the role of the judiciary in Poland as regards discrimination for sexual orientation, and the impact of the ECtHR case law on Italian criminal law with regard to the principle of legality. Overall, the book offers readers a thoughtful reflection on how the interpretation, application, and development of general principles of law by the judiciary contribute to the evolution of legal systems at both the domestic and international levels as well as further their reciprocal interactions.
Mason And Mccall Smith S Law And Medical Ethics
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Author : Graeme T. Laurie
language : en
Publisher: Oxford University Press
Release Date : 2016
Mason And Mccall Smith S Law And Medical Ethics written by Graeme T. Laurie and has been published by Oxford University Press this book supported file pdf, txt, epub, kindle and other format this book has been release on 2016 with Bioethics categories.
This is an analysis of medical ethical concepts based on legal principles and court decisions, describing what actually happens in practice rather than what should happen and, where there are no precedents available, what is most likely to happen.
Mason And Mccall Smith S Law And Medical Ethics
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Author : GRAEME. HARMON LAURIE (SHAWN. DOVE, EDWARD.)
language : en
Publisher:
Release Date : 2019-04-18
Mason And Mccall Smith S Law And Medical Ethics written by GRAEME. HARMON LAURIE (SHAWN. DOVE, EDWARD.) and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2019-04-18 with categories.
This classic textbook focuses on medical law and its relationship with medical practice and modern ethics. It provides thorough coverage of all of the topics found on medical law courses, and in depth analysis of recent court decisions, encouraging students to think analytically about the subject.
Eu Health Law Policy
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Author : Anniek de Ruijter
language : en
Publisher: Oxford University Press
Release Date : 2019-01-31
Eu Health Law Policy written by Anniek de Ruijter and has been published by Oxford University Press this book supported file pdf, txt, epub, kindle and other format this book has been release on 2019-01-31 with Law categories.
Whether there is a public health need for the containment and response to swine flu, or an individual need to access health care across the border for a hip operation to alleviate pain, the EU has an increasingly powerful role in the field of human health. Health law and policy is deeply tied into fundamental rights, bioethics and values, with important implications for individuals. However, it is also an expansive area of economic regulation, of social and state arrangements. The growing role of the EU in human health law and policy is contested, particularly as it has implications for the fundamental rights and values that are enshrined in national health law and policy. This book outlines, through case studies, how the expansion of EU power is taking place through law and policy, in both public health and health care. How is law and policy in the field of human health adopted, who are the institutional actors involved, and what is the impact of these developments for fundamental rights?
