natgillin/translations-raw huggingface dataset:
Hvad angår det juridiske aspekt, kan man med ændringsforslaget henholde sig til Domstolens dom i sag C-372/04 (Watts), punkt 147, som ikke udelukker indbyrdes tilpasning af medlemsstaternes socialsikringssystemer, og til artikel 35 i EU's charter om grundlæggende rettigheder samt det princip, der ligger til grund for nærværende direktiv, nemlig at alle bør sikres lige adgang, og at alt andet udelukkende ville være retorik.
As far as the legal aspect is concerned, the amendment can draw support from the judgment of the Court of Justice of the EU in Case C-372/04 (Watts), point 147, which does not exclude the requirement to adjust Member States' social insurance systems, and from Article 35 of the EU Charter of Fundamental Rights and the principle underlying this Directive that equal access should be guaranteed, which otherwise would be pure rhetoric.
(28) Medlemsstaterne kan opretholde generelle betingelser, behandlingskriterier og lovgivningsmæssige og administrative formaliteter for brug af sundhedsydelser og godtgørelse af udgifter hertil, f.eks. kravet om at skulle opsøge en almenpraktiserende læge før en speciallæge eller før behandling på hospital, også for patienter, der ønsker at gøre brug af sundhedsydelser i en anden medlemsstat, forudsat at sådanne betingelser er nødvendige, står i rimeligt forhold til det tilstræbte mål og ikke er vilkårlige og diskriminerende.
(28) Member States may maintain general conditions, criteria for eligibility and regulatory and administrative formalities for receipt of healthcare and reimbursement of healthcare costs, such as the requirement to consult a general practitioner before consulting a specialist or before receiving hospital care, also in relation to patients seeking healthcare in another Member State provided that such conditions are necessary, proportionate to the aim and are not discretionary and discriminatory.
Det bør derfor kræves, at disse generelle betingelser og formaliteter anvendes på en objektiv, gennemsigtig og ikke-diskriminerende måde og er kendt på forhånd, at de først og fremmest er baseret på medicinske overvejelser, og at de ikke indebærer yderligere byrder for patienter, der ønsker at gøre brug af sundhedsydelser i en anden medlemsstat, sammenlignet med patienter, der behandles i forsikringsmedlemsstaten, og at afgørelserne træffes hurtigst muligt.
It is thus appropriate to require that these general conditions and formalities are being applied in an objective, transparent and non-discriminatory way and are known in advance, that they are based primarily on medical considerations and that they do not impose any additional burden on patients seeking healthcare in another Member State in comparison with patients being treated in their Member State of affiliation, and that decisions are made as quickly as possible.
Dette berører ikke medlemsstaternes ret til at fastlægge kriterier eller betingelser for forhåndstilladelse, hvis der er tale om patienter, der ønsker at gøre brug af sundhedsydelser i forsikringsmedlemsstaten.
This is without prejudice to the rights of the Member States to provide for criteria or conditions of prior authorisation in the case of patients seeking healthcare in their Member State of affiliation.
(28) Medlemsstaterne bør opretholde generelle betingelser, behandlingskriterier og lovgivningsmæssige og administrative formaliteter for brug af sundhedsydelser og godtgørelse af udgifter hertil samt for opfølgende behandling ydet af den sundhedsprofessionelle i forsikringsmedlemsstaten , f.eks. kravet om at skulle opsøge en almenpraktiserende læge før en speciallæge eller før behandling på hospital, også for patienter, der ønsker at gøre brug af sundhedsydelser i en anden medlemsstat, forudsat at sådanne betingelser er nødvendige, står i rimeligt forhold til det tilstræbte mål og ikke er vilkårlige og diskriminerende.
(28) Member States should maintain general conditions, criteria for eligibility and regulatory and administrative formalities for receipt of healthcare , reimbursement of healthcare costs and follow-up treatment provided by the healthcare professional in the Member State of affiliation , such as the requirement to consult a general practitioner before consulting a specialist or before receiving hospital care, also in relation to patients seeking healthcare in another Member State provided that such conditions are necessary, proportionate to the aim and are not discretionary and discriminatory.
Det bør derfor kræves, at disse generelle betingelser og formaliteter anvendes på en objektiv, gennemsigtig og ikke-diskriminerende måde og er kendt på forhånd, at de først og fremmest er baseret på medicinske overvejelser, og at de ikke indebærer yderligere byrder , hverken for den sundhedsprofessionelle i forsikringsmedlemsstaten eller for patienter, der ønsker at gøre brug af sundhedsydelser i en anden medlemsstat, sammenlignet med patienter, der behandles i forsikringsmedlemsstaten, og at afgørelserne træffes hurtigst muligt.
It is thus appropriate to require that these general conditions and formalities are being applied in an objective, transparent and non-discriminatory way and are known in advance, that they are based primarily on medical considerations and that they do not impose any additional burden either on the healthcare professional in the Member State of affiliation or on patients seeking healthcare in another Member State in comparison with patients being treated in their Member State of affiliation, and that decisions are made as quickly as possible.
Det er nødvendigt at sikre, at udgifterne til opfølgende behandling efter lægebehandling i en anden medlemsstat ikke medfører meromkostninger for de sundhedsprofessionelle i patientens forsikringsmedlemsstat, navnlig i tilfælde af akut behandling.
We need to ensure that the cost of treatment following an operation undergone in a different Member State does not result in additional costs being charged to the healthcare professionals in the patient’s Member State of affiliation, particularly in the case of emergency operations.
I det omfang godtgørelse af sådanne ydelser holder sig inden for rammerne af den dækning, som garanteres af sygesikringsordningen i forsikringsmedlemsstaten, vil det ikke bringe de sociale sikringsordninger ud af økonomisk ligevægt, at der ikke kræves forhåndstilladelse.
In so far as the reimbursement of such care remains within the limits of the cover guaranteed by the sickness insurance scheme of the Member State of affiliation, the absence of a prior authorisation requirement will not undermine the financial equilibrium of social security systems.
Forsikringsmedlemsstaten bør imidlertid på forhånd træffe foranstaltninger til fastsættelse af de nærmere betingelser for godtgørelse af udgifter til opfølgende behandling ydet af sundhedsprofessionelle i forsikringsmedlemsstaten, navnlig i tilfælde af akut behandling.
However, the Member State of affiliation should take steps to make prior arrangements determining the procedure for and reimbursement of follow-up treatment by healthcare professionals in the Member State of affiliation, particularly in the case of emergency operations.
Med dette direktiv fastlægges en generel ramme for levering af sikre og effektive grænseoverskridende sundhedsydelser af høj kvalitet .
This Directive establishes a general framework for the provision of safe, high quality and efficient cross-border healthcare.
Med dette direktiv fastsættes regler for godtgørelse af udgifter til sundhedsydelser udført i andre medlemsstater for patienter, som vælger at rejse til en anden medlemsstat for dér at modtage sundhedsydelser, og det åbner mulighed for samarbejde mellem medlemsstaterne med hensyn til sundhedsteknologivurderinger, referencecentre og e-sundhedstjenester, samtidig med at de til fulde respekterer de nationale kompetencer i forbindelse med tilrettelæggelsen og leveringen af sundhedsydelser i henhold til principperne om universel adgang, solidaritet, rimelige priser, lige territorial adgang og demokratisk kontrol.
This Directive provides rules for reimbursement of the costs of healthcare received in another Member State for patients who choose to go to another Member State for the purpose of receiving healthcare there and enables cooperation between Member States in relation to health technology assessment, centres of reference and e-health, whilst fully respecting national competence in organising and delivering healthcare, in accordance with the principles of universal access, solidarity, affordability, equal territorial accessibility and democratic control.
Målene med dette direktiv præciseres bedre på denne måde.
The different objectives that this directive covers are better specified by the aim stated this way.
Medlemsstaternes ansvar og de principper, der skal tages hensyn til i sundhedspolitikkerne, skal allerede fremgå af målet med direktivet.
It is important to point to the responsibilities of Member States and the principles that should be taken into account by healthcare policy already in the aim of this directive.
Dette direktiv finder anvendelse på levering af sundhedsydelser , uanset hvordan de tilrettelægges, finder sted og finansieres, og om det sker i offentligt eller privat regi .
This Directive shall apply to provision of healthcare regardless of how it is organised, delivered and financed or whether it is public or private .
Dette direktiv finder anvendelse på levering af sundhedsydelser i henhold til artikel 4 .
This Directive shall apply to provision of healthcare within the meaning of Article 4 .
Artikel 5 – stk. 1 – litra c a (nyt)
Article 5 – paragraph 1 – point c a (new)
ca) forsikringsselskaber, gensidige selskaber og sygekasser afskaffer enhver form for forskelsbehandling, herunder skjult forskelsbehandling, gennem anvendelse af risikofaktorer relateret til arvelige eller genetiske sygdomme, og omkostningerne ved sygeforsikringer og forsikringspræmier beregnes ikke længere på grundlag af køn og arten af forsikringstagerens arbejde, og de mekanismer, der anvendes til at beregne omkostningerne og præmierne, må ikke indebære nogen form for forskelsbehandling, navnlig af kvinder
(ca) insurance companies, mutual societies and healthcare funds put an end to any form of discrimination, including covert discrimination, based on risk factors associated with genetic or hereditary disorders and cease to calculate sickness insurance costs and insurance premiums as a function of the sex and type of work, and that the mechanisms applicable to the calculation of costs and premiums end any discrimination, particularly against women.
Artikel 5 – stk. 1 – litra g a (ny)
Article 5 – paragraph 1 – point g a (new)
ga) der er lighed i sundhed, hvilket indebærer at mænd og kvinder behandles lige, når de har samme behov, samtidig med at der tages rimeligt hensyn til deres forskelligheder.
(ga) there is equity in health, which means that men and women shall be treated equally where they have common needs, while at the same time addressing their differences in an equitable manner.
Forsikringsmedlemsstaten godtgør de udgifter, som ville være blevet dækket af dens lovpligtige socialsikringsordning, hvis den samme eller tilsvarende sundhedsydelse var blevet udført på dens område.
The Member State of affiliation shall reimburse the costs which would have been paid for by its statutory social security system had the same or similar healthcare been provided in its territory.
Den lige adgang til grænseoverskridende sundhedsydelser kan bringes i fare, når en patient ser sig nødsaget til at selv at betale for ydelserne, inden vedkommende kan få dem godtgjort.
Equal access to care abroad can be compromised by the need for a patient to pay for the care first from his own pocket before being able to seek reimbursement.
Forsikrings- og behandlingsmedlemsstaten kunne indføre hurtige indbyrdes refusionsordninger (som minimum, hvis det ikke indføres for alle patienter, for dem, der er økonomisk dårligt stillet).
Member States of affiliation and treatment could set up swift reimbursement schemes between them (at least for economically disadvantaged patients, if not for all).
Hvis det anføres, at den forsikrede person godtgøres udgifterne, udelukkes denne mulighed.
By specifying that the costs will be reimbursed to the insured person, this possibility is excluded.
Hvis patienten hurtigt har brug for en stationær hospitalsbehandling, som ikke er sikret i forsikringsmedlemsstaten inden for en tidsfrist, som er medicinsk forsvarlig, godtgør forsikringsmedlemsstaten de samlede faktiske udgifter til de pågældende sundhedsydelser.
If a patient requires immediate inpatient hospital treatment but it is not guaranteed to him or her in the Member State of affiliation within the medically indicated time limit, the Member State of affiliation shall pay the whole of the actual charge for the health care.
Forsikringsmedlemsstaten kan for en patient, der ønsker at gøre brug af sundhedsydelser i en anden medlemsstat, fastsætte de samme betingelser, behandlingskriterier og lovgivningsmæssige og administrative formaliteter for brug af sundhedsydelser og godtgørelse af udgifter til sundhedsydelser, som den ville fastsætte, hvis de samme eller tilsvarende sundhedsydelser var blevet udført på dens område, forudsat at de ikke er diskriminerende eller udgør en hindring for den frie bevægelighed for personer.
The Member State of affiliation may impose on a patient seeking healthcare provided in another Member State, the same conditions, criteria of eligibility and regulatory and administrative formalities for receiving healthcare and reimbursement of healthcare costs as it would impose if the same or similar healthcare was provided in its territory, in so far as they are neither discriminatory nor an obstacle to freedom of movement of persons.
Forsikringsmedlemsstaten kan for en patient, der ønsker at gøre brug af sundhedsydelser i en anden medlemsstat, fastsætte de samme betingelser, behandlingskriterier og lovgivningsmæssige og administrative formaliteter for brug af sundhedsydelser og godtgørelse af udgifter til sundhedsydelser, som den ville fastsætte, hvis de samme eller tilsvarende sundhedsydelser var blevet udført på dens område, forudsat at de ikke er diskriminerende eller udgør en hindring for den frie bevægelighed for personer , varer eller tjenesteydelser, og hvis borgerne, navnlig kvinder og børn, på forhånd sikres universel adgang til sundhedsydelser .
The Member State of affiliation may impose on a patient seeking healthcare provided in another Member State, the same conditions, criteria of eligibility and regulatory and administrative formalities for receiving healthcare and reimbursement of healthcare costs as it would impose if the same or similar healthcare was provided in its territory, in so far as they are neither discriminatory nor an obstacle to freedom of movement of persons, goods and services, on condition that it has first ensured universal access to healthcare for its own citizens, with particular reference to women and children .
Efter den store tilstrømning af patienter fra de gamle medlemsstater til de nye medlemsstaters sundhedsplejeinstitutioner udøver visse af disse institutioner forskelsbehandling af patienterne.
The influx of substantial numbers of patients from old Member States into healthcare facilities in new Member States is giving rise to discrimination between patients in some facilities.
Dette er så meget desto mere skadeligt, da det berører kvinders og børns sundhed.
This situation is made all the worse by the fact that it is women and children who are suffering.
Medlemsstaterne skal råde over en ordning til beregning af udgifter, som den lovpligtige socialsikringsordning skal godtgøre for den forsikrede for sundhedsydelser udført i en anden medlemsstat.
Member States shall have a mechanism for calculation of costs that are to be reimbursed on behalf of the insured person by the statutory social security system for healthcare provided in another Member State.
I forbindelse med godtgørelse af sundhedsydelser udført i en anden medlemsstat i henhold til dette direktiv forstås ved hospitalsbehandling:
For the purposes of reimbursement of healthcare provided in another Member State in accordance with this Directive, hospital care shall mean:
I forbindelse med godtgørelse af sundhedsydelser udført i en anden medlemsstat i henhold til dette direktiv forstås ved hospitalsbehandling og specialistbehandling sundhedsydelser i henhold til forsikringsmedlemsstatens gældende lovgivning, hvis behandlingen kræver indlæggelse af patienten mindst én nat eller brug af højt specialiseret og omkostningskrævende medicinsk infrastruktur eller medicinsk udstyr, eller når behandlinger udgør en særlig risiko for patienten eller befolkningen.
For the purposes of reimbursement of healthcare provided in another Member State in accordance with this Directive, ‘hospital care’ and ‘specialised care’ shall mean healthcare, as defined in the legislation in force in the Member State of affiliation, in cases where care requires overnight accommodation of the patient in question for at least one night or the use of highly specialised and cost-intensive medical infrastructure or medical equipment or where the treatment involves a particular risk for the patient or the population .
- sundhedsydelser, der kræver brug af højt specialiseret og omkostningskrævende medicinsk infrastruktur eller medicinsk udstyr eller
– healthcare that requires use of highly specialised and cost-intensive medical infrastructure or medical equipment; or
- sundhedsydelser, der indebærer behandlinger, der udgør en særlig risiko for patienten eller befolkningen.
– healthcare involving treatments presenting a particular risk for the patient or the population.
Der udstedes under alle omstændigheder en forhåndstilladelse, hvis patienten skal have en lægebehandling, som normalt er dækket af forsikringsmedlemsstatens socialsikringsordning, og vedkommende ikke kan få behandlingen i bopælsmedlemsstaten inden for en tidsfrist, som er medicinsk forsvarlig i henhold til forordning (EØF) nr. 1408/71 og forordning (EF) nr. 883/2004.
Prior authorisation shall in any case be granted when the patient is in need of medical treatment normally provided for by the social security system of the Member State of affiliation and the treatment cannot be provided in the Member State of residence, within a time limit which is medically justifiable, as established by Regulation (EEC) No 1408/71 and Regulation (EC) No 883/2004.
Det er vigtigt på dette stadium at understrege grænserne for denne artikels anvendelsesområde som følge af anvendelsen af forordning nr. 1408/71 og nr. 883/2004.
It is important to point out here the limits of the reach of this article resulting from the application of Regulations 1408/71 and 883/2004.
Behandlingsmedlemsstaten kan vedtage passende foranstaltninger for at styre tilstrømningen af patienter og for at forhindre, at den griber - eller kan gribe alvorligt - ind i den planlægning og rationalisering i hospitalssektoren, der gennemføres for at undgå overkapacitet på hospitalerne, ubalance i udbuddet af hospitalsbehandling samt logistisk og økonomisk spild, til fordel for opretholdelsen af et afbalanceret system for læge- og hospitalsbehandling, der er tilgængeligt for alle, eller opretholdelsen af behandlingskapacitet eller medicinsk kompetence på dens område.
The Member State of treatment may take appropriate measures to address the inflow of patients and to prevent it from undermining, or being likely to undermine, the planning and rationalisation carried out in the hospital sector to avoid hospital overcapacity, imbalance in the supply of hospital care and logistical and financial wastage, the maintenance of a balanced medical and hospital service open to all, or the maintenance of treatment capacity or medical competence on the territory of the Member State concerned.
Behandlingsmedlemsstaten afstår fra enhver forskelsbehandling på grundlag af nationalitet og sørger for, at foranstaltningerne til begrænsning af den frie bevægelighed kun omfatter det, der er nødvendigt og rimeligt.
The Member State of treatment shall refrain from discriminating with regard to nationality and shall ensure that the measures restricting free movement shall be limited to what is necessary and proportionate.
Behandlingsmedlemsstaten underretter Kommissionen om disse foranstaltninger.
The Member State of treatment shall notify these measures to the Commission.
I artikel 5 i direktivet fastsættes behandlingsmedlemsstatens ansvar i forbindelse med grænseoverskridende sundhedsydelser, mens metoderne til at kontrollere patientstrømmen er anført andetsteds (artikel 8).
Article 5 of this directive establishes the responsibilities of Member States of treatment in the case of cross border healthcare.
Dette direktiv nævner imidlertid ikke de foranstaltninger, medlemsstaterne råder over til at kontrollere den store patienttilstrømning, som kan påvirke deres sundhedssystemer og forhindre dem i at påtage sig deres ansvar med hensyn til sundhedspleje.
Whereas the means of controlling patient flows by the Member State of affiliation is covered elsewhere (in Article 8), this directive remains silent on the possibilities of Member States of treatment to control large inflows of patients that may affect their healthcare system and the possibilities to carry out their responsibilities in the field of healthcare.
Artikel 9 – stk. 4 – litra b a (ny)
Article 9 - paragraph 4 - point b a (new)
(ba) behandlingens presserende art eller den pågældende lægebehandling
(ba) the urgency of the treatment or of the medical procedure in question,
Selv om mange sygdomme ikke nødvendigvis medfører smerter, kan et indgreb eller presserende behandling ved hjælp af specifik lægebehandling være påkrævet.
Although many medical conditions may not be painful, they might require urgent treatment or intervention through specific medical procedures.
Forsikringsmedlemsstaterne skal sikre, at der findes ordninger, så patienterne efter anmodning kan få oplysning om brug af sundhedsydelser i en anden medlemsstat og om betingelserne herfor, herunder om situationen, hvis der sker skader som følge af sundhedsydelser, der er udført i en anden medlemsstat , betingelserne for tilladelse til opfølgende behandling ydet af sundhedsprofessionelle i forsikringsmedlemsstaten samt for godtgørelse .
The Member States of affiliation shall ensure that there are mechanisms in place to provide patients on request with information on receiving healthcare in another Member State, the terms and conditions that would apply, inter alia, whenever harm is caused as a result of healthcare received in another Member State , the conditions authorising follow-up treatment by healthcare professionals in the Member State of affiliation, and reimbursement .
I oplysningerne om grænseoverskridende sundhedsydelser skal der skelnes klart mellem de rettigheder, patienterne har i kraft af dette direktiv, og deres rettigheder i henhold til de forordninger om koordinering af socialsikringsordninger, der er nævnt i artikel 3, stk. 1, litra f).
In information about cross-border care, a clear distinction shall be made between the rights which patients have by virtue of this Directive and rights arising from regulations on the coordination of social security schemes as referred to in Article 3(1)(f).
Artikel 12 – stk. 2 – litra a
Article 12 - paragraph 2 – point a
(a) stille oplysninger til rådighed for patienterne, særlig om deres rettigheder i forbindelse med grænseoverskridende sundhedsydelser, kvalitets- og sikkerhedsgarantier, beskyttelse af personoplysninger, klageprocedurer og erstatningsmuligheder i forbindelse med sundhedsydelser udført i en anden medlemsstat og om de gældende betingelser
(a) provide and disseminate information to patients in particular on their rights related to cross-border healthcare and the guarantees of quality and safety, protection of personal data, procedures for complaints and means of redress available for healthcare provided in another Member State, and on the terms and conditions applicable;