FrancophonIA/Publications_Medical_Domain_UE huggingface dataset:
English: ^14 Commission Implementing Decision 2013/329/EU of 26 June 2013 providing the rules for the establishment, management and transparent functioning of the network of national authorities or bodies responsible for health technology assessment (OJ L 175, 27.6.2013, p. 71).
Danish: [14: Kommissionens gennemførelsesafgørelse 2013/329/EU af 26. juni 2013 om foranstaltninger til etablering, forvaltning og gennemsigtig drift af netværket af nationale myndigheder eller organer, der er ansvarlige for medicinsk teknologivurdering (EUT L 175 af 27.6.2013, s.
English: Some Member States provide links to different legal documents; others give a general description of quality assurance strategies; a few provide detailed information (including links to hospital evaluation systems featuring typical safety parameters, e.g. mortality rate, number of cases treated with complications); others direct citizens to specific sources - websites or a named person.
Danish: Nogle enkelte giver detaljerede oplysninger (heriblandt links til hospitalsevalueringssystemer, som indeholder typiske sikkerhedsparametre, såsom dødelighed, antal behandlingssager med komplikationer).
English: In total, only four of these Member States reported more than 1 000 reimbursements.
Danish: I alt var der kun fire medlemsstater, der meddelte, at de havde ydet mere end 1 000 godtgørelser.
English: Other Member States also have regional contact points, but also one national NCP.
Danish: Andre medlemsstater har også regionale kontaktpunkter, men disse er i tillæg til et nationalt kontaktpunkt.]
English: On the one hand, reimbursement for cross-border healthcare is to be provided if such healthcare is among the benefits to which the insured person is entitled in the Member State of affiliation (Article 7(1)) and the Member State of affiliation may impose, including in case of healthcare received through telemedicine, the same conditions and criteria of eligibility as for healthcare provided in its territory.
Danish: På den ene side skal der ydes godtgørelse for grænseoverskridende sundhedsydelser, såfremt disse sundhedsydelser er blandt de ydelser, som den forsikrede person er berettiget til i forsikringsmedlemsstaten (jf. artikel 7, stk. 1), og forsikringsmedlemsstaten har ret til at fastsætte de samme betingelser og kriterier for behandling, herunder også for sundhedsydelser, der leveres via telemedicin, som den fastsætter for sundhedsydelser, der leveres på dens eget område.
English: ^9 Commission Delegated Decision 2014/286/EU of 10 March 2014 setting out criteria and conditions that European Reference Networks and healthcare providers wishing to join a European Reference Network must fulfil (OJ L 147, 17.5.2014, p. 71).
Danish: [9: Kommissionens delegerede afgørelse 2014/286/EU af 10. marts 2014 om fastsættelse af kriterier og betingelser, som europæiske netværk af referencecentre og de sundhedstjenesteydere, der ønsker at blive medlemmer af et europæisk netværk af referencecentre, skal opfylde (EUT L 147 af 17.5.2014, s.
English: ^5 http://eur-lex.europa.eu/legal-content/EN/TXT/PDF/?uri=CELEX:52014DC0044&from=EN.
Danish: [5: http://eur-lex.europa.eu/legal-content/DA/TXT/PDF/?uri=CELEX:52014DC0044&from=DA.]
English: ^13 http://eur-lex.europa.eu/legal-content/EN/ALL/?uri=CELEX:52012DC0736.
Danish: ][13: http://eur-lex.europa.eu/legal-content/DA/ALL/?uri=CELEX:52012DC0736.]
English: However, again, these are aggregate figures combining data from both the Social Security Regulations and the Directive.
Danish: Men også disse tal er totalsummer, bestående både af tilladelser i henhold til forordningerne vedrørende social sikring og tilladelser i henhold til direktivet.
English: ^11 http://ec.europa.eu/health/ehealth/docs/decision_ehealth_network_en.pdf.
Danish: [11: http://ec.europa.eu/health/ehealth/docs/decision_ehealth_network_da.pdf.
English: This seems to be due to low numbers of claims rather than large numbers of refusals: the available data suggests that roughly 85 % of reimbursement claims are granted.
Danish: Dette skyldes tilsyneladende et lavt antal ansøgninger, snarere end et højt antal afslag.
English: The rules concerning the HTA Network envisaged by article 15 of the Directive are set out in Commission Implementing Decision 2013/329/EU​[14]​ The HTA Network aims to support cooperation between national authorities, including on the relative efficacy and short-/long-term effectiveness of health technologies.
Danish: MTV-netværket sigter mod at støtte samarbejdet mellem nationale myndigheder, deriblandt samarbejde om den relative effektivitet og effektiviteten på kort og lang sigt af medicinske teknologier.
English: Of the 18 Member States who provided data, France was a clear outlier with 57 000 authorisations granted; however, this is an aggregate figure for authorisation granted under both the Social Security Regulations and the Directive.
Danish: Ud af de 18 medlemsstater, der indberettede data, afveg Frankrig fra mønstret med sine 57 000 tildelte forhåndstilladelser.
English: The proposal has been sent to the Council and the European Parliament.
Danish: Forslaget er blevet fremsendt til Rådet og Europa-Parlamentet.
English: Should such a need arise in the future, it would be necessary to deal with it swiftly via a delegated act.
Danish: Såfremt et sådant behov opstår i fremtiden, vil det være nødvendigt at håndtere det hurtigt gennem en delegeret retsakt.
English: "(European Patients' Forum - October 2016)
Danish: "(Europæisk patientforum - oktober 2016)
English: Today EU cooperation on HTA has two main components.
Danish: I dag har EU-samarbejdet om MTV to hovedkomponenter.
English: More than five hundred national measures transposing the Directive were notified to the Commission.
Danish: Mere end fem hundrede nationale foranstaltninger til gennemførelse af direktivet blev meddelt til Kommissionen.
English: The Commission is considering the way forward in those cases, in particular in light of the case-law of the Court of Justice.
Danish: Kommissionen overvejer det videre forløb i disse tilfælde, navnlig i lyset af Domstolens retspraksis.
English: This is true for all countries, no matter whether they introduced prior authorisation or not.
Danish: Dette gælder for alle lande, uanset om de har indført forhåndstilladelser eller ej.
English: The interpretation of the Directive has not been subject to a review by the Court of Justice of the European Union.
Danish: Fortolkningen af direktivet har ikke været genstand for domstolsprøvelse ved Den Europæiske Unions Domstol.
English: Mapping and building cross-border and regional cooperation
Danish: Kortlægning og etablering af grænseoverskridende og regionalt samarbejde
English: Annex A provides a detailed list of further studies in support of good implementation.
Danish: Bilag A indeholder en detaljeret liste over yderligere undersøgelser til støtte for en god gennemførelse.
English: The Commission is continuing its intensive dialogues with the Member States to achieve the best possible transposition of the Directive.
Danish: Kommissionen fortsætter sine intensive dialoger med medlemsstaterne for at nå frem til den bedst mulige gennemførelse af direktivet.
English: However, the few people who did exercise their rights under the Directive were mostly satisfied, had their expenses fully or partially covered and would consider using this mechanism again.
Danish: De få personer, der udøver deres rettigheder i henhold til direktivet, var dog overvejende tilfredse, fik deres udgifter fuldt eller delvist dækket og ville overveje at anvende denne mekanisme igen.
English: The Directive was due to be transposed by Member States by 25 October 2013.
Danish: Direktivet skulle være gennemført af medlemsstaterne senest den 25. oktober 2013.
English: So far, 16 Member States have received EUR 10.6 million of CEF funding to make the necessary technical preparations for this cross-border exchange.
Danish: 16 medlemsstater har hidtil modtaget 10,6 mio. EUR fra CEF til at finansiere de nødvendige tekniske forberedelser forud for denne grænseoverskridende udveksling.
English: Information was variable also on which treatments are reimbursed.
Danish: Der var også varierende oplysninger om, hvilke behandlinger der godtgøres.
English: In addition, a number of additional strategic documents are planned in its Multi-Annual Work Programme 2016-2020.
Danish: Desuden er der planlagt en række yderligere strategiske dokumenter i det flerårige arbejdsprogram for 2016-2020.
English: The second and complementary component is the scientific and technical cooperation represented by the EUnetHTA Joint Actions.
Danish: Den anden og supplerende komponent er det videnskabelige og tekniske samarbejde repræsenteret ved fællesaktionerne EUnetHTA .
English: Other issues
Danish: Andre spørgsmål
English: Even if healthcare providers de facto have liability insurance, in practice, there was often a lack of legislation requiring such systems to be in place.
Danish: Selv om sundhedstjenesteydere rent faktisk har en ansvarsforsikring, var der i praksis ofte mangel på lovgivning med krav om sådanne ordninger.
English: This report also includes a chapter on the use of delegated powers pursuant to Article 17(1) of the Directive.
Danish: Denne rapport indeholder også et kapitel om brugen af delegerede beføjelser, jf. artikel 17, stk. 1, i direktivet.
English: Similarly, the term "completeness check" is equivalent to "transposition check" in the terminology used in the Communication.
Danish: Tilsvarende er udtrykket "kontrol af fuldstændighed" lig med "gennemførelseskontrol" i den terminologi, der er anvendt i meddelelsen.
English: Compliance checks and dialogues with Member States will continue over the next reporting period and more use will be made of mobility data.
Danish: Kontrol af overholdelsen og dialoger med medlemsstaterne vil fortsætte i den næste rapporteringsperiode, og der vil blive gjort yderligere brug af oplysninger om mobilitet.
English: It has been confirmed that structured bilateral meetings with Member States give the possibility to explain remaining concerns and find acceptable solutions for the benefit of EU citizens.
Danish: Det er blevet bekræftet, at strukturerede bilaterale møder med medlemsstaterne giver mulighed for at forklare de resterende spørgsmål og finde acceptable løsninger til gavn for EU's borgere.
English: The proposed legislation aims at ensuring a better functioning of the internal market, while contributing to a high level of human health protection.
Danish: Den foreslåede lovgivning sigter mod at sikre et mere velfungerende indre marked og samtidig sikre et højt beskyttelsesniveau for menneskers sundhed.
English: The dialogues provided for a good proactive mechanism to trigger positive effects for patients.
Danish: Dialogerne var en god proaktiv mekanisme til at udløse positive virkninger for patienterne.
English: This reflection process culminated in the Commission's adoption of a legislative proposal on 31 January 2018.
Danish: Denne proces resulterede i Kommissionens vedtagelse af et lovforslag den 31. januar 2018.
English: The Commission worked closely with the Member States on the content of the delegated act before adopting it on 10 March 2014, for entry into force on 27 May 2014.
Danish: Kommissionen har arbejdet tæt sammen med medlemsstaterne om indholdet i den delegerede retsakt, inden den vedtog retsakten den 10. marts 2014 med ikrafttrædelse den 27. maj 2014.
English: The data excluding France are represented in darker shade in the lower part of the column.]
Danish: Data uden Frankrig vises i en mørkere farve i den nederste del af kolonnen.]
English: Additionally, transposition of the Directive was discussed with Member States within committees chaired by the Commission.
Danish: Desuden blev gennemførelsen af direktivet drøftet med medlemsstaterne i udvalg under forsæde af Kommissionen.
English: The first is that over the last three years the majority of patient mobility has been between neighbouring countries.
Danish: Den første er, at størstedelen af patienternes mobilitet i de sidste tre år har været mellem nabolande.
English: Interestingly, the requirement for professional liability insurance came up during the completeness checks as a problematic issue in several Member States.
Danish: Det er interessant, at kravet om erhvervsansvarsforsikring kom frem under fuldstændighedskontrollen som et problem i flere medlemsstater.
English: The second phase of the compliance assessment started right after the national measure were notified.
Danish: Anden fase af vurderingen af overholdelsen startede, lige efter at den nationale foranstaltning blev anmeldt.
English: Following discussions with the Member States on the proportionality and necessity of all the requirements referred to above, these were lifted in the interest of patients.
Danish: Efter drøftelser med medlemsstaterne om forholdsmæssigheden og nødvendigheden af alle de ovenfor omhandlede krav blev de fjernet i patienternes interesse.
English: It is important that information on cross-border healthcare should be easily available to those patients and families who need or want it.
Danish: Det er vigtigt, at oplysninger om grænseoverskridende sundhedsydelser er lettilgængelige for de patienter og familier, der har brug for eller ønsker dem.
English: Once defined, fees and tariffs must be applied equally to both nationals and non-nationals.
Danish: Når først de er defineret, skal gebyrer og takster anvendes på samme måde i forhold til både statsborgere og ikke-statsborgere.
English: d) Fees for patients from other Member States
Danish: d) Gebyrer for patienter fra andre medlemsstater
English: They have all been closed on the grounds of subsequent transposition by the Member States.
Danish: De er alle blevet afsluttet på baggrund af efterfølgende gennemførelse i medlemsstaterne.
English: Health Technology Assessment (HTA) is an important part of evidence-based decision-making on health in EU countries.
Danish: Medicinsk teknologivurdering (MTV) er en vigtig del af evidensbaseret beslutningstagning på sundhedsområdet i EU-landene.
English: In this phase, the Commission has been assessing whether all national legal acts and other measures notified are in compliance with the Directive.
Danish: I denne fase har Kommissionen vurderet, om alle nationale retsakter og andre foranstaltninger er i overensstemmelse med direktivet.
English: The second trend is seen in the overall pattern of the flow maps in the annex.
Danish: Den anden tendens ses i det overordnede mønster i kortene i bilaget.
English: There are several scenarios for developing cooperation, one of the most realistic ones being one which builds regional networks oriented towards addressing local and regional needs, as already indicated by previous studies.
Danish: Der er flere scenarier for udviklingen af samarbejdet, idet et af de mest realistiske er ét, der opbygger regionale netværk rettet mod at håndtere lokale og regionale behov, hvilket allerede fremgår af tidligere studier.
English: Systematic checks of Member States' transposition measures
Danish: Systematisk kontrol af medlemsstaternes gennemførelsesforanstaltninger
English: Cross-border patient mobility within the EU shows a slight increasing trend over the last three years.
Danish: Grænseoverskridende patientmobilitet i EU har vist en svagt stigende tendens i de sidste tre år.
English: This is because not all Member States are able to maintain a strict separation between the data on reimbursements for healthcare under the Directive 2011/24/EU and the Regulation (EC) No 883/2004 (EC) or under bilateral cross-border agreements.
Danish: Dette skyldes, at ikke alle medlemsstater er i stand til at opretholde en streng adskillelse mellem data om godtgørelse for sundhedsydelser i henhold til direktiv 2011/24/EU og forordning (EF) nr. 883/2004 eller i henhold til bilaterale grænseoverskridende aftaler.
English: The total number of such requests for reimbursements was relatively low in all three years as a share of total patient care, but has remained very steady.
Danish: Det samlede antal af sådanne anmodninger om godtgørelser var forholdsvis lavt i alle tre år som en andel af den samlede patientpleje, men er forblevet meget stabilt.
English: A great majority of the issues of compliance examined with Member States at issue have led to a common agreement.
Danish: Et stort flertal af de spørgsmål om overholdelse, som er blevet undersøgt sammen med de berørte medlemsstater, har ført til en fælles aftale.
English: It is interesting to note that the additional data from Denmark indicates that the bulk of this patient mobility is for dental care.
Danish: Det er interessant at bemærke, at de supplerende oplysninger fra Danmark viser, at hovedparten af denne patientmobilitet gælder tandpleje.
English: Following this process, all Member States finally notified their complete transposition measures.
Danish: I forlængelse heraf meddelte alle medlemsstaterne endelig deres fuldstændige gennemførelsesforanstaltninger.
English: A little less than half of the NCP websites provide information on both pieces of legislation.
Danish: Lidt under halvdelen af de nationale kontaktpunkters websteder indeholder oplysninger om begge retsakter.
English: At the same time, it may be concluded that the Directive has improved the legal certainty and clarity for cross-border as well as for domestic patients over their rights.
Danish: Samtidig kan det konkluderes, at direktivet har forbedret retssikkerheden og klarheden for grænseoverskridende såvel som for indenlandske patienter med hensyn til deres rettigheder.
English: Before the transposition deadline (25 October 2013), the Commission's representatives visited all Member States to discuss the necessary transposition measures and to provide assistance, if requested.
Danish: Inden gennemførelsesfristens udløb (25. oktober 2013) besøgte Kommissionens repræsentanter alle medlemsstater for at drøfte de nødvendige gennemførelsesforanstaltninger og for at yde støtte, hvis der var blevet anmodet herom.
English: Such an option is by no means intended to be overused, as this would be regarded as restriction of the free movement of services.
Danish: En sådan løsning skal på ingen måde overdrives, da dette ville blive anset for en begrænsning af den frie bevægelighed for tjenesteydelser.
English: ][13: Seven countries (Czech Republic, Estonia, Finland, Lithuania, The Netherlands, Sweden and Norway) did not choose to introduce a prior authorisation system.]
Danish: ][13: Syv lande (Tjekkiet, Estland, Finland, Litauen, Nederlandene, Sverige og Norge) valgte ikke at indføre en forhåndstilladelsesordning.]
English: It should be noted that, since not all Member States were able to supply information on each issue in each year, the baseline numbers of reports are therefore not identical for each issue.
Danish: Det bør bemærkes, at ikke alle medlemsstater var i stand til at give oplysninger inden for alle emner i hvert år, og antallet af rapporter er derfor ikke det samme for de enkelte emner.
English: The Network provides strategic guidance and policy orientation for scientific and technical cooperation.
Danish: Netværket giver strategisk vejledning og politiske retningslinjer for videnskabeligt og teknisk samarbejde.
English: This reflects findings of the previous Commission report and echoes its past conclusions that knowledge of the existence of the Directive among the surveyed groups remains scarce.
Danish: Dette afspejler resultaterne af Kommissionens tidligere rapport og gentager tidligere konklusioner om, at kendskabet til forekomsten af direktivet blandt de undersøgte grupper fortsat er begrænset.
English: As of 1 June 2018, the completeness check phase is finalised as all the infringement proceedings related to that phase have been closed, the compliance checks and structured dialogues are ongoing and one infringement case is open.
Danish: Pr. 1. juni 2018 afsluttes fuldstændighedskontrollen, da alle traktatbrudsprocedurer vedrørende denne fase er afsluttet, kontrollen af overholdelsen og strukturerede dialoger pågår, og én traktatbrudssag er åben.
English: It requires the Commission to prepare a report in respect of the delegated powers.
Danish: Det pålægges Kommissionen at aflægge rapport vedrørende de delegerede beføjelser.
English: [4: The Committee under Article 16 of the Directive and the Cross-border Healthcare Expert Group. ]
Danish: [4: Udvalget i henhold til direktivets artikel 16 og ekspertgruppen om grænseoverskridende sundhedsydelser. ]
English: In accordance with Article 20 of the Directive, Member States report on an annual basis on their patient mobility under Directive 2011/24/EU.
Danish: I overensstemmelse med direktivets artikel 20 skal medlemsstaterne årligt aflægge rapport om deres patientmobilitet i henhold til direktiv 2011/24/EU.
English: [20: See footnote 2.]
Danish: [20: Se fodnote 2.]
English: Data from Member States on information requests received by National Contact Points
Danish: Data fra medlemsstaterne om anmodninger om oplysninger modtaget af de nationale kontaktpunkter
English: As a result of a systematic assessment of all notified measures, the Commission opened 11 own-initiative investigations gathering information for proper compliance assessment and others are in the pipeline.
Danish: Som følge af en systematisk vurdering af alle anmeldte foranstaltninger indledte Kommissionen 11 undersøgelser på eget initiativ, hvor der blev indsamlet oplysninger til korrekt vurdering af overholdelsen, og andre er undervejs.
English: First, the Commission has made a legislative proposal on health technology assessment (see Chapter 4.1).
Danish: For det første har Kommissionen fremlagt et lovgivningsforslag om medicinsk teknologivurdering (se kapitel 4.1).
English: In practice, prior authorisation systems are based almost entirely on the said Article 8(2)(a) on which this report will therefore focus.
Danish: Forhåndstilladelsesordninger er i praksis næsten udelukkende baseret på artikel 8, stk. 2, litra a), og denne rapport fokuserer derfor på denne bestemmelse.
English: The rules concerning the HTA Network envisaged by Article 15 of the Directive are set out in Commission Implementing Decision 2013/329/EU.
Danish: Reglerne vedrørende det MTV-netværk, som der lægges op til i artikel 15 i direktivet, står beskrevet i Kommissionens gennemførelsesafgørelse 2013/329/EU.
English: The Networks bring together more than 900 highly specialised healthcare units located in around 300 hospitals of 25 Member States (plus Norway).
Danish: Netværkene omfatter mere end 900 højt specialiserede sundhedscentre på omkring 300 hospitaler i 25 medlemsstater (plus Norge).
English: As stated before (see Chapter 1.2.1.b), the Directive allows on certain conditions the Member States to set up a system of prior authorisation (PA).
Danish: Som tidligere nævnt (jf. kapitel 1.2.1.b) tillader direktivet på visse betingelser medlemsstaterne at oprette et system med forhåndstilladelse.
English: Since neither the European Parliament nor the Council revoked the delegation of powers conferred by Articles 11(5) and 12(5), they were automatically extended, in accordance with Article 17(1) of the Directive, for another 5 years period.
Danish: Eftersom hverken Europa-Parlamentet eller Rådet tilbagekaldte den delegation af beføjelser, som Kommissionen blev tillagt ved artikel 11, stk. 5, og artikel 12, stk. 5, blev de automatisk forlænget i overensstemmelse med direktivets artikel 17, stk. 1, for en yderligere periode på fem år.
English: These patterns previously identified have not changed significantly from 2015 to 2017.
Danish: Disse mønstre, som er blevet identificeret tidligere, har ikke ændret sig væsentligt fra 2015 til 2017.
English: Since the last report, the Members States within the ERN Board have approved 24 thematic Networks which were launched in March 2017 in Vilnius at the third ERN Conference.
Danish: Siden den sidste rapport har medlemsstaterne i ERN's bestyrelse godkendt 24 tematiske netværk, der blev lanceret i marts 2017 i Vilnius på den tredje ERN-konference.
English: Overall, patient mobility and its financial dimension within the EU remain relatively low and the Cross-border Healthcare Directive has not resulted in a major budgetary impact on the sustainability of health systems.
Danish: Samlet set er patientmobilitet og dens finansielle dimension inden for EU fortsat forholdsvis lav, og direktivet om grænseoverskridende sundhedsydelser har ikke resulteret i store budgetmæssige konsekvenser for sundhedssystemernes bæredygtighed.
English: "There is still very little experience about cross-border healthcare among patient communities.
Danish: "Der er stadig meget lidt erfaring med grænseoverskridende sundhedsydelser i patientmiljøet.
English: To this end, patients are reimbursed for healthcare in accordance with the principles established by the European Court of Justice of the European Union and codified by the Directive.
Danish: Med henblik herpå godtgøres patienterne for sundhedsydelser i overensstemmelse med de principper, der er opstillet af Den Europæiske Unions Domstol og kodificeret ved direktivet.
English: The intention is to review the management and functioning of the eHealth network to clarify its role in the governance of the eHealth digital service infrastructure and its operational requirements.
Danish: Hensigten er at gennemgå forvaltningen og driften af e-sundhedsnetværket for at præcisere dets rolle i forvaltningen af e-sundheds digitale serviceinfrastruktur og dets operationelle krav.
English: At the Informal Ministerial Council in 2015, Member States called upon the Commission to prepare a study to map cross-border co-operation.
Danish: På det uformelle ministerrådsmøde i 2015 anmodede medlemsstaterne Kommissionen om at udarbejde en undersøgelse for at kortlægge grænseoverskridende samarbejde.
English: However, this estimate should be interpreted with some caution because, as noted above, not all Member States are able to fully separate those claims made under the Directive and those made under the Regulations.
Danish: Dette skøn bør dog fortolkes med en vis forsigtighed, da det, som nævnt ovenfor, ikke er alle medlemsstater, der er i stand til fuldt ud at adskille kravene i henhold til direktivet og i henhold til forordningerne.
English: Enhancing information to patients and information needs for persons with disabilities
Danish: Bedre oplysninger til patienter og informationsbehov for personer med handicap
English: Similarly, as doctors have become more knowledgeable about the scheme, they are to provide information themselves directly to the patients.
Danish: På samme måde skal læger, i takt med at de har fået bedre kendskab til ordningen, selv informere patienterne direkte.
English: Delegated powers
Danish: Delegerede beføjelser
English: The proposal seeks to build on the on-going project based cooperation on HTA and to address certain shortcomings identified in the reflection process.
Danish: Forslaget skal bygge videre på det igangværende projektbaserede samarbejde om MTV og afhjælpe visse konstaterede mangler i forbindelse med refleksionsprocessen.
English: [5: For the sake of continuity, in this report the term "compliance check" is used in line with the earlier Implementation Report of 2015, as meaning the compatibility of national transposition measures with the Directive's provisions.
Danish: [5: Af hensyn til kontinuiteten i rapporten anvendes "kontrol af overholdelsen" i overensstemmelse med den tidligere gennemførelsesrapport for 2015 som de nationale gennemførelsesforanstaltningers forenelighed med direktivets bestemmelser.
English: An additional call took place in 2018 allowing more Member States to participate in the eHDSI.
Danish: En yderligere indkaldelse fandt sted i 2018, så flere medlemsstater fik mulighed for at deltage i eHDSI.
English: Some Member States require patients to provide a certified translation of their medical documentation in order to obtain their reimbursement.
Danish: Nogle medlemsstater kræver, at patienterne forelægger en autoriseret oversættelse af deres lægelige dokumentation for at kunne opnå godtgørelse.
English: The Commission should encourage Member States to cooperate in cross-border healthcare provision in border regions.
Danish: Kommissionen bør tilskynde medlemsstaterne til at samarbejde om grænseoverskridende sundhedsydelser i grænseregioner.
English: In response to the calls from the Council and the European Parliament to ensure sustainability of EU cooperation on HTA beyond 2020, the Commission launched an extensive reflection process, including stakeholder consultations and impact assessment in line with the Commission's Better Regulation Agenda.
Danish: Som reaktion på opfordringer fra Rådet og Europa-Parlamentet om at sikre bæredygtigheden af EU-samarbejdet om MTV efter 2020 indledte Kommissionen en omfattende refleksionsproces, herunder høringer af interessenter og konsekvensanalyser, i overensstemmelse med Kommissionens dagsorden for bedre regulering.
English: The Commission considers that it has exercised its delegated powers within the remit conferred to it by the Directive.
Danish: Kommissionen mener, at den har udøvet sine delegerede beføjelser inden for de rammer, som den er tillagt ved direktivet.
English: However, it should be kept in mind that the establishment of a cost-based pricing system might well have implications for reimbursement obligations of Member States to outgoing patients.
Danish: Det bør imidlertid erindres, at oprettelsen af et omkostningsbaseret prissystem sagtens kunne have konsekvenser for medlemsstaternes godtgørelsesforpligtelser over for udgående patienter.
English: Now, after five years of the operation of the Directive, it can be concluded that cross-border patient flows are showing a stable pattern, mostly driven by geographical or cultural proximity.
Danish: Nu, efter at direktivet har været i kraft i fem år, kan det konkluderes, at grænseoverskridende patientstrømme viser et stabilt mønster, hvilket overvejende skyldes geografisk og kulturel nærhed.
English: It also notes that Member States may, under certain circumstances, adopt measures regarding access to treatment; however, such measures must be justified, proportionate and necessary; they must also be announced publicly in advance.
Danish: Det bemærkes også, at medlemsstaterne under visse omstændigheder kan vedtage foranstaltninger vedrørende adgang til behandling, men sådanne foranstaltninger skal være begrundede, rimelige og nødvendige, ligesom de skal offentliggøres på forhånd.
English: At the end of 2018, the Commission plans to organise a strategic event focused on healthcare with stakeholders from border regions to explore ways in which information exchange and best practices can be further developed throughout the Union.
Danish: Ved udgangen af 2018 planlægger Kommissionen at afholde et strategimøde med fokus på sundhedspleje med interessenter fra grænseregioner for at undersøge, hvordan udvekslingen af oplysninger og bedste praksis kan udvikles yderligere i hele Unionen.
English: Last but not least, the launch of the ERNs clearly marked a major change for the delivery of quality and accessible cross-border healthcare to EU citizens (see Chapter 4.3).
Danish: Og sidst, men ikke mindst, markerede lanceringen af ERN'er klart en vigtig ændring for levering af grænseoverskridende sundhedsydelser af høj kvalitet og tilgængelighed for EU's borgere (se kapitel 4.3).
English: Outside the public schemes, the Commission has not identified any issues of implementation and Member States did not choose to introduce measures regarding access for incoming patients.
Danish: Uden for de offentlige ordninger har Kommissionen ikke konstateret nogen problemer i forbindelse med gennemførelsen, og medlemsstaterne valgte ikke at indføre foranstaltninger vedrørende adgang for patienter udefra.
English: The European Reference Networks
Danish: De europæiske netværk af referencecentre.
English: It would seem therefore that the opportunities offered by the Regulation (EC) No 883/2004 under the European Health Insurance Card are more widely used than those under the Directive.
Danish: Det ser derfor ud til, at de muligheder, som det europæiske sygesikringskort giver i henhold til forordning (EF) nr. 883/2004, anvendes i højere grad end direktivets.
English: By using the toolbox disseminated during the Workshop, all NCPs should now be able to explain the distinction between the two legal routes via their websites and to proactively bring them up in contact with patients.
Danish: Ved at anvende den værktøjskasse, som blev formidlet under workshoppen, bør alle de nationale kontaktpunkter nu kunne forklare forskellen mellem de to retlige veje via deres websteder og proaktivt fortælle om dem, når de er i kontakt med patienter.
English: At the same time, Member States remain responsible for providing adequate healthcare in their territory.
Danish: Samtidig er medlemsstaterne fortsat ansvarlige for at sørge for tilstrækkelige sundhedsydelser på deres område.
English: In order to provide more clarity, numerous structured dialogues with Member States were launched in relation to lists of healthcare subject to prior authorisation.
Danish: For at skabe større klarhed blev der lanceret en række strukturerede dialoger med medlemsstaterne i forbindelse med lister over sundhedsydelser, der kræves forhåndstilladelse til.
English: As the figures have been moderate and stable over the years, impact on national health budgets arising from patients wishing to access cross-border healthcare appears marginal.
Danish: Da tallene har været moderate og stabile gennem årene, synes konsekvenserne for de nationale sundhedsbudgetter hidrørende fra patienter, der ønsker adgang til grænseoverskridende sundhedsydelser, marginale.
English: The European Reference Networks (ERNs) are virtual, voluntary cross-border networks, bringing together healthcare providers across Europe.
Danish: De europæiske netværk af referencecentre (ERN) er virtuelle, frivillige grænseoverskridende netværk, der samler udbydere af sundhedsydelser i hele Europa.
English: However, as explained in recital 46 to the Directive, in certain cases, the benefits should be provided under the Regulations, unless otherwise requested by the patient.
Danish: Men som forklaret i betragtning 46 i direktivet bør ydelserne i visse tilfælde gives i henhold til forordningerne, medmindre patienten anmoder om andet.
English: On 25 April 2018 the Commission adopted a Communication, which inter alia seeks to ensure appropriate governance of the eHDSI and its financial basis and to improve the interoperability of patient data and access by the citizen.
Danish: Den 25. april 2018 vedtog Kommissionen en meddelelse, som bl.a. har til formål at sikre en hensigtsmæssig styring af eHDSI og dens finansielle grundlag og forbedre interoperabiliteten af patientoplysninger og adgang for borgerne.
English: The Commission is also empowered under the Directive to adopt, by means of delegated acts, a list of the specific criteria and conditions that the European Reference Networks must fulfil, and the conditions and criteria required from healthcare providers wishing to join such Networks.
Danish: Kommissionen tillægges i direktivet endvidere beføjelser til ved hjælp af delegerede retsakter at vedtage en liste over specifikke kriterier og betingelser, som de europæiske netværk af referencecentre skal opfylde, og betingelser og kriterier vedrørende sundhedstjenesteydere, der ønsker at blive medlemmer af sådanne netværk.
English: Cooperation between Health Systems
Danish: Samarbejde mellem sundhedssystemer
English: The Communication proposes a set of actions to enhance the competitive situation of border regions by showcasing successful practices.
Danish: I meddelelsen foreslås der en række tiltag til at øge den konkurrencemæssige situation i grænseregioner ved at fremhæve eksempler på vellykket praksis.
English: These virtual networks that bring together healthcare providers across Europe to tackle complex or rare medical conditions, so that it is the medical knowledge that travels and not the patient, are certainly an example of good practice.
Danish: Disse virtuelle netværk, der samler udbydere af sundhedsydelser i hele Europa om arbejdet med at håndtere komplekse eller sjældne sygdomme, således at det er den medicinske viden, som bevæger sig, og ikke patienten, er helt afgjort et eksempel på god praksis.
English: The subsequent study provides a picture of EU-funded projects implemented in the period of 2007 to 2017 and shows that geographical and cultural-societal factors remain decisive for policy-makers to establish and maintain cooperation initiatives across borders.
Danish: Den efterfølgende undersøgelse giver et billede af EU-finansierede projekter gennemført i perioden 2007-2017 og viser, at geografiske og kulturelle/sociale faktorer er afgørende for, at de politiske beslutningstagere kan etablere og opretholde samarbejde på tværs af grænserne.
English: A recent small-scale survey by IF SBH relating mostly to one Member State (Denmark) found that an overwhelming majority of respondents had not even heard about the existence of NCPs.
Danish: En nylig mindre undersøgelse foretaget af IF SBH vedrører primært én medlemsstat (Danmark), og heri blev det fastslået, at et overvældende flertal af respondenterne ikke engang havde hørt om de nationale kontaktpunkter.
English: Some lists were considered overly extensive; concerns were also raised in relation to the requirement of prior authorisation for each type of healthcare abroad exceeding one consultation with a specialist per patient per year.
Danish: Nogle lister blev anset for at være alt for omfattende, ligesom der blev ytret betænkeligheder i relation til kravet om forhåndstilladelse for hver type sundhedsydelse i udlandet, som overstiger én konsultation hos en specialist pr. patient pr. år.
English: Presently, six Member States plus Norway have no prior authorisation system in place at all, giving patients freedom to choose and reducing administrative burden.
Danish: På nuværende tidspunkt er der seks medlemsstater plus Norge, som ikke har nogen forhåndstilladelsesordning overhovedet, hvilket giver patienterne mulighed for frit at vælge og letter den administrative byrde.
English: Interaction with the social security coordination Regulations
Danish: Samspil med forordningerne om koordinering af sociale sikringsordninger
English: The virtual panels are convened to review a patient's diagnosis and treatment and are attended by medical specialists from different centres of expertise across the EU.
Danish: De virtuelle paneler indkaldes for at drøfte en patients diagnose og behandling og har deltagelse af specialister fra forskellige ekspertisecentre i hele EU.
English: The concern of the Commission in this respect is that systems of prior authorisation should not suffer from the lack of legal certainty and transparency about which treatments are subject to and fit the criteria of prior authorisation.
Danish: Kommissionens bekymring i denne henseende er, at ordninger med forhåndstilladelse ikke bør lide under manglende retssikkerhed og gennemsigtighed omkring, hvilke behandlinger der er underlagt og opfylder kriterierne for forhåndstilladelse.
English: In the case of the Regulation (EC) No 883/2004, unplanned cross-border healthcare is mostly reimbursed between Member States on receipt of a request from the Member State of treatment.
Danish: For så vidt angår forordning (EF) nr. 883/2004, godtgøres ikkeplanlagte grænseoverskridende sundhedsydelser primært mellem medlemsstaterne efter modtagelse af en anmodning fra behandlingsmedlemsstaten.
English: The large number of national laws involved is partly due to the fact that the Directive regulated a number of issues which are under different regional/administrative levels and in separate pieces of legislation in Member States, such as reimbursement mechanisms, information channels (National Contact Points, healthcare providers), patients' rights and entitlements, professional liability.
Danish: Det store antal nationale love, som er involveret, skyldes til dels det forhold, at direktivet regulerer en række spørgsmål, som er underlagt forskellige regionale/administrative niveauer og i forskellige dele af lovgivningen i medlemsstaterne, såsom godtgørelsesmekanismer, informationskanaler (nationale kontaktpunkter, sundhedstjenesteydere), patienters rettigheder og erhvervsansvar.
English: Where authorisation was not required, the greatest flow was from France to Germany.
Danish: Hvor der ikke var krav om en tilladelse, sås den største strøm fra Frankrig til Tyskland.
English: The work of the eHealth Network plays an important role in overcoming legal, organisational, technical, and semantic interoperability challenges in the context of cross-border exchange of personal health data.
Danish: E-sundhedsnetværkets arbejde spiller en vigtig rolle med hensyn til at fjerne juridiske, organisatoriske, tekniske og semantiske interoperabilitetsproblemer i forbindelse med grænseoverskridende udveksling af helbredsoplysninger.
English: The report is to include, in particular, information on patient flows, financial dimensions of patient mobility, the implementation of Article 7(9) and Article 8, and on the functioning of the European Reference Networks and National Contact Points (NCPs).
Danish: Rapporten skal især indeholde oplysninger om patientstrømme, de finansielle dimensioner af patientmobilitet, gennemførelsen af artikel 7, stk. 9, og artikel 8 samt om de europæiske netværk af referencecentres og de nationale kontaktpunkters (NCP'er) funktion.
English: One Member State introduced an excessive minimum threshold (of 15 Euros) for reimbursement that roughly equalled average reimbursement tariffs for outpatient healthcare in that Member State.
Danish: Én medlemsstat indførte en alt for høj minimumstærskel (15 EUR) for godtgørelse, der stort set svarede til den gennemsnitlige godtgørelsessats for ambulante sundhedsydelser i den pågældende medlemsstat.
English: The prior notification option is a mechanism worth upscaling, supporting Member States to comply with their obligation.
Danish: Muligheden for forudgående underretning er en mekanisme, som er værd at bygge videre på, og som støtter medlemsstaterne i at opfylde deres forpligtelse.
English: [23: Under the Directive reimbursement is usually at the rate that would have been made in the country of insurance, while under the Regulations it is at the rate of cost in the country of treatment.]
Danish: [23: I henhold til direktivet ligger godtgørelserne normalt til den sats, der ville have været gældende i forsikringslandet, mens det i henhold til forordningerne svarer til omkostningerne i behandlingslandet.]
English: During the transposition period, there were some arguments raised by Member States that existing public tariffs do not represent a comparable price because important elements, for example from general taxation (e.g. capital investment costs), are not represented in the public tariff which is not fully cost-recovering.
Danish: I gennemførelsesperioden lød der visse argumenter fra medlemsstaterne om, at de eksisterende offentlige takster ikke udgør en sammenlignelig pris, fordi vigtige elementer, f.eks. af skattemæssig art (f.eks. i forhold til anlægsinvesteringer), ikke er indeholdt i den offentlige takst, som derfor ikke dækker omkostningerne fuldt ud.
English: This is understandable since in many cases the level of reimbursement under the Regulations will be higher than under the Directive and Member States are required to ensure that citizens are advised on the most suitable route for a claim.
Danish: Dette er forståeligt, eftersom godtgørelsesbeløbet i henhold til forordningerne i mange tilfælde vil være højere end under direktivet, og medlemsstaterne er forpligtet til at sikre, at borgerne informeres om den mest hensigtsmæssige måde at fremsætte et krav på.
English: If prior authorisation is considered necessary, a detailed and sufficiently defined shortlist of treatments should be publicly available.
Danish: Hvis det vurderes, at der er behov for forhåndstilladelse, bør der offentliggøres en detaljeret og tilstrækkelig defineret liste over behandlinger.
English: Adjusting for the number of countries reporting data, this shows that EU citizens' use of the rights granted under the Directive had no significant growth or reduction over the three years of the reporting period.
Danish: Justeret for antallet af lande, som indberetter data, viser dette, at EU-borgernes udnyttelse af rettighederne ifølge direktivet hverken steg eller faldt væsentligt i løbet af den treårige indberetningsperiode.
English: A recent study of the Commission on the information provided to patients shows that in-depth information on patients' rights is generally lacking on NCP websites, including insight into what to do in the case of undue delay.
Danish: En nyere undersøgelse foretaget af Kommissionen om de oplysninger, som gives til patienterne, viser, at der generelt mangler dybdegående oplysninger om patientrettigheder på de nationale kontaktpunkters websteder, herunder indblik i, hvad man skal gøre i tilfælde af uberettiget forsinkelse.
English: Certain Member States introduced systems of prior notification whereby the patient receives a written confirmation of the amount to be reimbursed on the basis of an estimate, as provided for under Article 9(5) of the Directive.
Danish: Visse medlemsstater har indført ordninger med forudgående underretning, hvor patienten modtager en skriftlig bekræftelse på det beløb, der skal godtgøres, på baggrund af et skøn, som fastsat i direktivets artikel 9, stk. 5.
English: National experts have been trained in explaining the two routes, firstly via the Conference of October 2016 on awareness of rights under the Directive and secondly via the NCP Capacity Building Workshop on 8 March 2018 which were both organised by the Commission.
Danish: Nationale eksperter er blevet trænet i at forklare de to veje, dels via konferencen i oktober 2016 om kendskab til rettighederne i henhold til direktivet og dels via de nationale kontaktpunkters workshop om kapacitetsopbygning den 8. marts 2018, som begge var arrangeret af Kommissionen.
English: Firstly, the HTA Network which connects national authorities or bodies responsible for HTA.
Danish: For det første MTV-netværket, der forbinder de nationale myndigheder eller organer med ansvar for MTV.
English: It should be noted that the data discussed below may also include some cases of healthcare reimbursed under the social security coordination Regulations.
Danish: Det skal bemærkes, at de data, der behandles nedenfor, også kan omfatte visse tilfælde af godtgjorte sundhedsydelser i henhold til forordningerne om koordinering af sociale sikringsordninger.
English: In its Communication on Boosting Growth and Cohesion in EU Border Regions, the Commission highlights ways in which Europe can reduce the complexity, length and costs of cross-border interaction and promote the pooling of services along internal borders.
Danish: I sin meddelelse om fremme af vækst og samhørighed i EU's grænseregioner fremhæver Kommissionen, hvordan Europa kan mindske kompleksiteten af, tidsforbruget og omkostningerne ved grænseoverskridende interaktion og fremme udveksling af tjenesteydelser langs de indre grænser.
English: The general objective of the Directive 2011/24/EU (hereafter 'the Directive') on patients' rights in cross-border healthcare is to facilitate the access to safe and high-quality healthcare in another Member State.
Danish: Det generelle formål med direktiv 2011/24/EU (i det følgende benævnt "direktivet") om patientrettigheder i forbindelse med grænseoverskridende sundhedsydelser er at lette adgangen til sikre sundhedsydelser af høj kvalitet i en anden medlemsstat.
English: [30: 14 out of 37 NCP staff admitted in 2017 to facing difficulties communicating the Directive's relationship with the Regulations to the patient.
Danish: [30: 14 af de 37 ansatte hos de nationale kontaktpunkter indrømmede i 2017, at de havde vanskeligt ved at formidle oplysninger om forholdet mellem direktivet og forordningerne til patienten.
English: [26: Recall however that the flow from France to other Member States applies to 2016 data only since France was not able to provide this data in 2015 or 2017.]
Danish: [26: Det skal dog erindres, at strømmen fra Frankrig til andre medlemsstater kun vedrører data for 2016, da Frankrig ikke kunne fremlægge disse oplysninger i 2015 eller 2017.]