natgillin/translations-raw huggingface dataset:
Reiterates the importance of Member States' steering capacity and regulatory responsibilities in the field of health care and the freedom of Member States to maintain or set up instruments such as planning, tariff-setting mechanisms and authorisation schemes in order to ensure universal access to high-quality health care as well as continuity; considers that if those instruments are used by Member States to safeguard the common values and principles that underpin Member States' health systems, to achieve general interest objectives, and to redress the existing market imperfections, they are to be regarded as justified by an overriding reason relating to the public interest;
Reiterates the importance of Member States’ steering capacity and regulatory responsibilities in the field of health care and the freedom of Member States to maintain or set up instruments such as planning, tariff-setting mechanisms and authorisation schemes in order to ensure universal access to high-quality health care as well as continuity; considers that if those instruments are used by Member States to safeguard the common values and principles that underpin Member States’ health systems, to achieve general interest objectives, and to redress the existing market imperfections, they are to be regarded as justified by an overriding reason relating to the public interest;
Calls on the Commission to propose a sectoral directive on health services, drawing in the social partners and decision-makers, recognising national and regional authorities' capacity to organise, finance and modernise health-care systems and furthermore clarifying the conditions under which reliance upon regulatory instruments is justified in the light of EC Treaty rules on free movement, competition and State aid;
Calls on the Commission to propose a sectoral directive on health services, drawing in the social partners and decision-makers, recognising national and regional authorities’ capacity to organise, finance and modernise health-care systems and furthermore clarifying the conditions under which reliance upon regulatory instruments is justified in the light of EC Treaty rules on free movement, competition and State aid;
Points out that the case law of the Court of Justice of the European Communities relating to health services is comprehensive, particularly with regard to the reimbursement of treatment costs, and that limited and focused EC legislation on health services and cross-border health care should clarify the circumstances under which patients are entitled to claim reimbursement for medical care in another Member State under the social security system of the Member State of affiliation in accordance with the Court's case law and in a way that is consistent with Regulation (EC) No 883/04 on the coordination of social security systems
Points out that the case law of the Court of Justice of the European Communities relating to health services is comprehensive, particularly with regard to the reimbursement of treatment costs, and that limited and focused EC legislation on health services and cross-border health care should clarify the circumstances under which patients are entitled to claim reimbursement for medical care in another Member State under the social security system of the Member State of affiliation in accordance with the Court’s case law and in a way that is consistent with Regulation (EC) No 883/04 on the coordination of social security systems
OJ L 166, 30.4.2004, p.
OJ L 166, 30.4.2004, p.
Points to the current tension between health policy objectives and the aims of the internal market for services, which ensures that in the event of conflict health policy objectives always take precedence, for overriding reasons of general interest (e.g. public health and social objectives connected therewith, maintenance of the financial balance of the social security system, etc.);
Points to the current tension between health policy objectives and the aims of the internal market for services, which ensures that in the event of conflict health policy objectives always take precedence, for overriding reasons of general interest (e.g. public health and social objectives connected therewith, maintenance of the financial balance of the social security system, etc.);
Points out that the priority instrument for action relating to health services should be cooperation between the Member States, with the requisite degree of coordination by the Commission;
Points out that the priority instrument for action relating to health services should be cooperation between the Member States, with the requisite degree of coordination by the Commission;
Calls on the Commission to take the necessary measures accompanying patient mobility in terms of patients' rights, minimum standards on the quality of health care, liability of health-care providers and compensation issues and to initiate closer cooperation between the health-care authorities of the Member States on these matters; believes that the open method of coordination is one of the appropriate instruments by which to organise closer cooperation among Member States;
Calls on the Commission to take the necessary measures accompanying patient mobility in terms of patients’ rights, minimum standards on the quality of health care, liability of health-care providers and compensation issues and to initiate closer cooperation between the health-care authorities of the Member States on these matters; believes that the open method of coordination is one of the appropriate instruments by which to organise closer cooperation among Member States;
Notes that health-care services pursue objectives comparable to other social services of general interest in the sense that they are based on the principle of solidarity, are often embedded in national social protection systems, are person-centred, ensure that citizens can enjoy their fundamental rights and a high level of social protection, and strengthen social and territorial cohesion;
Notes that health-care services pursue objectives comparable to other social services of general interest in the sense that they are based on the principle of solidarity, are often embedded in national social protection systems, are person-centred, ensure that citizens can enjoy their fundamental rights and a high level of social protection, and strengthen social and territorial cohesion;
Notes that in reality it is hard to draw a clear distinction between the provision of health-care services and the provision of other social services of general interest since the providers of medical care are also often involved in the provision of purely social services; notes also that it would be appropriate to consider under the term health services the whole hospital and rehabilitation sector including ambulant treatment as well as all treatments in which medical practitioners and paramedical and nursing staff take part;
Notes that in reality it is hard to draw a clear distinction between the provision of health-care services and the provision of other social services of general interest since the providers of medical care are also often involved in the provision of purely social services; notes also that it would be appropriate to consider under the term health services the whole hospital and rehabilitation sector including ambulant treatment as well as all treatments in which medical practitioners and paramedical and nursing staff take part;
Is of the opinion that any Community action relating to health-care services should be consistent with Community action relating to social services of general interest;
Is of the opinion that any Community action relating to health-care services should be consistent with Community action relating to social services of general interest;
Points out that the provisions in a future directive on health services must be compatible with Community rules on social security systems, the establishment of service providers (applying the same social standards, standards of employment law and quality standards), (patient) mobility and the mutual recognition of professional qualifications;
Points out that the provisions in a future directive on health services must be compatible with Community rules on social security systems, the establishment of service providers (applying the same social standards, standards of employment law and quality standards), (patient) mobility and the mutual recognition of professional qualifications;
Advocates, therefore, measures to ensure the free movement of patients in health systems, since this produces shorter waiting times and improved access to specialists;
Advocates, therefore, measures to ensure the free movement of patients in health systems, since this produces shorter waiting times and improved access to specialists;
Expects (given the existing differences) the Member States to resolve issues such as access, quality of care and the control of costs among themselves;
Expects (given the existing differences) the Member States to resolve issues such as access, quality of care and the control of costs among themselves;
Takes the view that, under a future directive on health services, entailing explicit recognition of the principles of subsidiarity and general interest already accepted by the Court of Justice, the law of the Member State in which a service is provided should, in principle, apply, and stresses that the full responsibility of the Member States for structuring and funding their national health systems, as well as for monitoring performance, must be safeguarded and that Community law must ensure that the financial balance of social systems is not affected by increasing patient mobility;
Takes the view that, under a future directive on health services, entailing explicit recognition of the principles of subsidiarity and general interest already accepted by the Court of Justice, the law of the Member State in which a service is provided should, in principle, apply, and stresses that the full responsibility of the Member States for structuring and funding their national health systems, as well as for monitoring performance, must be safeguarded and that Community law must ensure that the financial balance of social systems is not affected by increasing patient mobility;
Considers that, in order to respond speedily to the needs of Europeans travelling to seek high-quality health services, the priority should be to step up the involvement of regional health systems, which are probably better suited to finding appropriate, regionally based solutions to the population's needs, and to focus in particular on the experience and good practice which have been built up in border regions and in the Euro-regions;
Considers that, in order to respond speedily to the needs of Europeans travelling to seek high-quality health services, the priority should be to step up the involvement of regional health systems, which are probably better suited to finding appropriate, regionally based solutions to the population’s needs, and to focus in particular on the experience and good practice which have been built up in border regions and in the Euro-regions;
Expects the Commission to modify the regulation on the coordination of social security systems in order to bring it into line with the principles laid down by the Court of Justice regarding patient mobility;
Expects the Commission to modify the regulation on the coordination of social security systems in order to bring it into line with the principles laid down by the Court of Justice regarding patient mobility;
Points out that cross-border cooperation between those concerned can lead to finding appropriate solutions, as shown by the example of Euroregis shows;
Points out that cross-border cooperation between those concerned can lead to finding appropriate solutions, as shown by the example of Euroregis shows;
Points out that increasing patient mobility requires the rules on liability in the case of injury arising from treatment to be aligned, and that it should be possible to enforce compensation claims in all the Member States before the relevant national courts or authorities;
Points out that increasing patient mobility requires the rules on liability in the case of injury arising from treatment to be aligned, and that it should be possible to enforce compensation claims in all the Member States before the relevant national courts or authorities;
Is of the opinion that under the relevant regulatory instruments prior authorisation should be based on easily accessible procedural rules, and should guarantee to the patient concerned that the application is processed immediately and assessed on the basis of objective and neutral medical criteria, subject to patient consent;
Is of the opinion that under the relevant regulatory instruments prior authorisation should be based on easily accessible procedural rules, and should guarantee to the patient concerned that the application is processed immediately and assessed on the basis of objective and neutral medical criteria, subject to patient consent;
Notes that, for a foreign patient, safe, high-quality health care depends on the availability and accessibility of the patient's medical and administrative data and that these data are often held in the patient's country of residence, that, therefore, – in consideration of data protection – cross-border access to the relevant patient data needs to be facilitated and guaranteed adequately and safely, and that this requires not only the development of European standards but also legal provisions governing digitised medical data transmission between Member States;
Notes that, for a foreign patient, safe, high-quality health care depends on the availability and accessibility of the patient’s medical and administrative data and that these data are often held in the patient’s country of residence, that, therefore, – in consideration of data protection – cross-border access to the relevant patient data needs to be facilitated and guaranteed adequately and safely, and that this requires not only the development of European standards but also legal provisions governing digitised medical data transmission between Member States;
Notes that although mutual recognition of professional qualifications exists in Europe, there remains insufficient uniformity of quality of the content of professional training and of the ways in which professions are pursued and/or insufficient provision for such uniformity;
Notes that although mutual recognition of professional qualifications exists in Europe, there remains insufficient uniformity of quality of the content of professional training and of the ways in which professions are pursued and/or insufficient provision for such uniformity;
Notes that the major differences in names, prescription, distribution, prices and reimbursement of the cost of medicines between Member States are a practical obstacle to patient mobility and that this is also a field where from the point of view of safe and high-quality cross-border care there will be a need for standardisation and transparency.
Notes that the major differences in names, prescription, distribution, prices and reimbursement of the cost of medicines between Member States are a practical obstacle to patient mobility and that this is also a field where from the point of view of safe and high-quality cross-border care there will be a need for standardisation and transparency.
Влияние и последици от изключването на здравните услуги от директивата за услугите на вътрешния пазар
Impact and consequences of the exclusion of health services from the Directive on services in the internal market
Harald Ettl 22.11.2006
Harald Ettl 22.11.2006
34 4 0
34 4 0
Jan Andersson, Roselyne Bachelot-Narquin, Edit Bauer, Jean-Luc Bennahmias, Emine Bozkurt, Iles Braghetto, Milan Cabrnoch, Alejandro Cercas, Ole Christensen, Luigi Cocilovo, Proinsias De Rossa, Harald Ettl, Richard Falbr, Ilda Figueiredo, Joel Hasse Ferreira, Stephen Hughes, Karin Jöns, Jan Jerzy Kułakowski, Jean Lambert, Thomas Mann, Jiří Maštálka, Ana Mato Adrover, Maria Matsouka, Ria Oomen-Ruijten, Csaba Őry, Siiri Oviir, Marie Panayotopoulos-Cassiotou, Pier Antonio Panzeri, Jacek Protasiewicz, Elisabeth Schroedter, José Albino Silva Peneda, Kathy Sinnott, Jean Spautz, Gabriele Stauner, Anne Van Lancker, Gabriele Zimmer
Jan Andersson, Roselyne Bachelot-Narquin, Edit Bauer, Jean-Luc Bennahmias, Emine Bozkurt, Iles Braghetto, Milan Cabrnoch, Alejandro Cercas, Ole Christensen, Luigi Cocilovo, Proinsias De Rossa, Harald Ettl, Richard Falbr, Ilda Figueiredo, Joel Hasse Ferreira, Stephen Hughes, Karin Jöns, Jan Jerzy Kułakowski, Jean Lambert, Thomas Mann, Jiří Maštálka, Ana Mato Adrover, Maria Matsouka, Ria Oomen-Ruijten, Csaba Őry, Siiri Oviir, Marie Panayotopoulos-Cassiotou, Pier Antonio Panzeri, Jacek Protasiewicz, Elisabeth Schroedter, José Albino Silva Peneda, Kathy Sinnott, Jean Spautz, Gabriele Stauner, Anne Van Lancker, Gabriele Zimmer
Dimitrios Papadimoulis, Patrizia Toia
Dimitrios Papadimoulis, Patrizia Toia
on the impact and consequences of the exclusion of Health Services from the Directive on Services in the Internal Market
on the impact and consequences of the exclusion of health services from the Directive on services in the internal market
The Committee on the Environment, Public Health and Food Safety calls on the Committee on the Internal Market and Consumer Protection, as the committee responsible, to incorporate the following suggestions in its motion for a resolution:
The Committee on the Environment, Public Health and Food Safety calls on the Committee on the Internal Market and Consumer Protection, as the committee responsible, to incorporate the following suggestions in its motion for a resolution:
Emphasises that Member States' health systems are a fundamental part of the European social infrastructure
Emphasises that Member States’ health systems are a fundamental part of the European social infrastructure
EU Health Ministers statement on common values and principles - Luxembourg, 1-2 June 2006. ; recalls that health care was excluded from the scope of the services directive because it is not like other services and requires special safeguards to ensure that everyone is able to access high-quality healthcare, and because it entails political choices at European, national and regional level;
EU Health Ministers statement on common values and principles – Luxembourg, 1-2 June 2006. ; recalls that health care was excluded from the scope of the services directive because it is not like other services and requires special safeguards to ensure that everyone is able to access high-quality health care, and because it entails political choices at European, national and regional level;
Underlines that Europe is characterised by making high-quality healthcare available to all citizens regardless of personal circumstances, and therefore while access to cross-border healthcare and the free movement of patients and healthcare professionals may contribute to the improvement of health outcomes, the point of departure should be that all patients receive proper treatment in their own country and patient mobility must not on any account impair the safety of healthcare;
Underlines that Europe is characterised by making high-quality health care available to all citizens regardless of personal circumstances, and therefore while access to cross-border health care and the free movement of patients and health-care professionals may contribute to the improvement of health outcomes, the point of departure should be that all patients receive proper treatment in their own country and patient mobility must not on any account impair the safety of health care;
Considers that the right to reimbursement of costs of treatment in another Member State of a disease which is not acute should be guaranteed if there are long waiting lists in the patient's own Member State or the quality of treatment there is inferior to that in other Member States subject to mutual agreement between the Member States concerned; also considers that it is not permissible to bring pressure to bear on patients to undergo cheaper treatment in another country;
Considers that the right to reimbursement of costs of treatment in another Member State of a disease which is not acute should be guaranteed if there are long waiting lists in the patient’s own Member State or the quality of treatment there is inferior to that in other Member States subject to mutual agreement between the Member States concerned; also considers that it is not permissible to bring pressure to bear on patients to undergo cheaper treatment in another country;
While recognising that healthcare policy is primarily a Member States' competence and emphasising the need for high-quality healthcare provision in the country of origin of the patient, nevertheless welcomes the Commission´s initiative to launch a consultation procedure on the best form for Community action with a view to improving the access of patients, within a reasonable timeframe, to a safe, high-quality and efficient framework for cross-border aspects of health care, and calls on the Commission to come up with concrete proposals to encourage and monitor progress in this area;
While recognising that health-care policy is primarily a Member States’ competence and emphasising the need for high-quality health-care provision in the country of origin of the patient, nevertheless welcomes the Commission’s initiative to launch a consultation procedure on the best form for Community action with a view to improving the access of patients, within a reasonable timeframe, to a safe, high-quality and efficient framework for cross-border aspects of health care, and calls on the Commission to come up with concrete proposals to encourage and monitor progress in this area;
Notes that the Member States do not sufficiently promote health care, as a result of which patients' rights are restricted;
Notes that the Member States do not sufficiently promote health care, as a result of which patients’ rights are restricted;
While fully respecting the Council conclusions on universality, solidarity and equity as fundamental values underpinning European health care systems and the limited provisions of Article 152 of the EC Treaty, emphasises that the rulings of the European Court of Justice (ECJ) address the problems relating to patients' rights to seek treatment abroad and subsequently get reimbursed by their national health insurance scheme in certain circumstances;
While fully respecting the Council conclusions on universality, solidarity and equity as fundamental values underpinning European health-care systems and the limited provisions of Article 152 of the EC Treaty, emphasises that the rulings of the European Court of Justice (ECJ) address the problems relating to patients’ rights to seek treatment abroad and subsequently get reimbursed by their national health insurance scheme in certain circumstances;
Recognises that health services may benefit from more open borders; stresses that treatment methods and patient survival rates vary substantially between Member States; considers that the quality of health services will benefit more from exchanges of treatment methods than from unbridled patient mobility;
Recognises that health services may benefit from more open borders; stresses that treatment methods and patient survival rates vary substantially between Member States; considers that the quality of health services will benefit more from exchanges of treatment methods than from unbridled patient mobility;