Cross-border Purchases of Health Services : A Case Study on Austria and Hungary
This paper explores the structure of cross-border health purchasing between Austria and Hungary and determines the size of this phenomenon as well as the barriers to a further increase. Austrian patients may receive health care treatment in Hungary...
| Main Author: | |
|---|---|
| Format: | Policy Research Working Paper |
| Language: | English |
| Published: |
2012
|
| Subjects: | |
| Online Access: | http://www-wds.worldbank.org/external/default/main?menuPK=64187510&pagePK=64193027&piPK=64187937&theSitePK=523679&menuPK=64187510&searchMenuPK=64187283&siteName=WDS&entityID=000158349_20090129130519 http://hdl.handle.net/10986/4022 |
| id |
okr-10986-4022 |
|---|---|
| recordtype |
oai_dc |
| repository_type |
Digital Repository |
| institution_category |
Foreign Institution |
| institution |
Digital Repositories |
| building |
World Bank Open Knowledge Repository |
| collection |
World Bank |
| language |
English |
| topic |
ACCESS TO HEALTH CARE ADEQUATE RESOURCES AID BEDS CATARACT SURGERY CLINICS COMMUNITY HOSPITALS CONSUMER PROTECTION COST EFFECTIVENESS COSTS OF TREATMENT DENTAL CARE DENTAL TREATMENT DENTISTS DIAGNOSIS DISCRIMINATION DISEASE DOCTOR DOCTORS DOMESTIC LAW EMPLOYMENT ENTITLEMENT EXPENDITURES FAMILIES FINANCIAL RESOURCES FUNDAMENTAL PRINCIPLES GENERAL PRACTITIONER HEALTH AFFAIRS HEALTH CARE HEALTH CARE CENTERS HEALTH CARE COSTS HEALTH CARE COVERAGE HEALTH CARE FACILITIES HEALTH CARE INSTITUTIONS HEALTH CARE INSURANCE HEALTH CARE LAW HEALTH CARE PROVIDER HEALTH CARE PROVIDERS HEALTH CARE SECTOR HEALTH CARE SERVICES HEALTH CARE STANDARDS HEALTH CARE SYSTEM HEALTH CARE SYSTEMS HEALTH CARE SYSTEMS IN TRANSITION HEALTH EXPENDITURE HEALTH FACILITIES HEALTH INSURANCE HEALTH INSURANCE COMPANIES HEALTH INSURANCE FUNDS HEALTH INSURANCE SYSTEM HEALTH INSURERS HEALTH ORGANIZATION HEALTH ORGANIZATIONS HEALTH POLICY HEALTH PROVIDERS HEALTH SECTOR HEALTH SERVICE HEALTH SERVICES HEALTH SYSTEM HEALTH SYSTEMS HEALTH SYSTEMS IN TRANSITION HEALTHCARE HOSPITAL CARE HOSPITAL FINANCING HOSPITAL OPERATOR HOSPITAL SECTOR HOSPITAL TREATMENT HOSPITALS HYGIENE INCOME INSURANCE INSURANCE COVERAGE INSURANCE SYSTEMS INTEGRATION JUDICIAL PROCEEDINGS LEGAL PROVISIONS MARKETING MEDICAL ASSOCIATION MEDICAL ASSOCIATIONS MEDICAL BENEFITS MEDICAL CARE MEDICAL FACILITIES MEDICAL SCIENCE MEDICAL SERVICES MEDICAL TREATMENT MEDICINE MIGRATION NATIONAL HEALTH NATIONAL HEALTH INSURANCE NATIONAL HEALTH INSURANCE FUND NATIONAL HEALTH POLICY NURSES PATIENT PATIENT CARE PATIENT TREATMENT PATIENTS PHYSICIAN PHYSICIANS POLICY RESEARCH PRIMARY CARE PRIVATE HEALTH INSURANCE PRIVATE HEALTH INSURERS PRIVATE HOSPITALS PRIVATE HOUSEHOLDS PRIVATE INSURANCE PRIVATE INSURER PRIVATE INSURERS PRIVATE SECTOR PROVISION OF HEALTH CARE PROVISION OF SERVICES PUBLIC HEALTH PUBLIC HEALTH CARE PUBLIC HEALTH INSURANCE PUBLIC HOSPITALS PUBLIC SECTOR QUALITY CONTROL QUALITY OF HEALTH QUALITY OF HEALTH CARE REHABILITATION REIMBURSEMENT RATES RIGHT TO HEALTH CARE SOCIAL HEALTH INSURANCE SOCIAL INSURANCE SOCIAL POLICY SOCIAL SECURITY SOCIAL SECURITY SCHEMES SOCIAL SECURITY SYSTEMS SURGERY THERAPY TREATMENTS USE OF HEALTH CARE SERVICES VISITS WORKERS |
| spellingShingle |
ACCESS TO HEALTH CARE ADEQUATE RESOURCES AID BEDS CATARACT SURGERY CLINICS COMMUNITY HOSPITALS CONSUMER PROTECTION COST EFFECTIVENESS COSTS OF TREATMENT DENTAL CARE DENTAL TREATMENT DENTISTS DIAGNOSIS DISCRIMINATION DISEASE DOCTOR DOCTORS DOMESTIC LAW EMPLOYMENT ENTITLEMENT EXPENDITURES FAMILIES FINANCIAL RESOURCES FUNDAMENTAL PRINCIPLES GENERAL PRACTITIONER HEALTH AFFAIRS HEALTH CARE HEALTH CARE CENTERS HEALTH CARE COSTS HEALTH CARE COVERAGE HEALTH CARE FACILITIES HEALTH CARE INSTITUTIONS HEALTH CARE INSURANCE HEALTH CARE LAW HEALTH CARE PROVIDER HEALTH CARE PROVIDERS HEALTH CARE SECTOR HEALTH CARE SERVICES HEALTH CARE STANDARDS HEALTH CARE SYSTEM HEALTH CARE SYSTEMS HEALTH CARE SYSTEMS IN TRANSITION HEALTH EXPENDITURE HEALTH FACILITIES HEALTH INSURANCE HEALTH INSURANCE COMPANIES HEALTH INSURANCE FUNDS HEALTH INSURANCE SYSTEM HEALTH INSURERS HEALTH ORGANIZATION HEALTH ORGANIZATIONS HEALTH POLICY HEALTH PROVIDERS HEALTH SECTOR HEALTH SERVICE HEALTH SERVICES HEALTH SYSTEM HEALTH SYSTEMS HEALTH SYSTEMS IN TRANSITION HEALTHCARE HOSPITAL CARE HOSPITAL FINANCING HOSPITAL OPERATOR HOSPITAL SECTOR HOSPITAL TREATMENT HOSPITALS HYGIENE INCOME INSURANCE INSURANCE COVERAGE INSURANCE SYSTEMS INTEGRATION JUDICIAL PROCEEDINGS LEGAL PROVISIONS MARKETING MEDICAL ASSOCIATION MEDICAL ASSOCIATIONS MEDICAL BENEFITS MEDICAL CARE MEDICAL FACILITIES MEDICAL SCIENCE MEDICAL SERVICES MEDICAL TREATMENT MEDICINE MIGRATION NATIONAL HEALTH NATIONAL HEALTH INSURANCE NATIONAL HEALTH INSURANCE FUND NATIONAL HEALTH POLICY NURSES PATIENT PATIENT CARE PATIENT TREATMENT PATIENTS PHYSICIAN PHYSICIANS POLICY RESEARCH PRIMARY CARE PRIVATE HEALTH INSURANCE PRIVATE HEALTH INSURERS PRIVATE HOSPITALS PRIVATE HOUSEHOLDS PRIVATE INSURANCE PRIVATE INSURER PRIVATE INSURERS PRIVATE SECTOR PROVISION OF HEALTH CARE PROVISION OF SERVICES PUBLIC HEALTH PUBLIC HEALTH CARE PUBLIC HEALTH INSURANCE PUBLIC HOSPITALS PUBLIC SECTOR QUALITY CONTROL QUALITY OF HEALTH QUALITY OF HEALTH CARE REHABILITATION REIMBURSEMENT RATES RIGHT TO HEALTH CARE SOCIAL HEALTH INSURANCE SOCIAL INSURANCE SOCIAL POLICY SOCIAL SECURITY SOCIAL SECURITY SCHEMES SOCIAL SECURITY SYSTEMS SURGERY THERAPY TREATMENTS USE OF HEALTH CARE SERVICES VISITS WORKERS Obermaier, Andreas J. Cross-border Purchases of Health Services : A Case Study on Austria and Hungary |
| geographic_facet |
Hungary Austria |
| relation |
Policy Research working paper ; no. WPS 4825 |
| description |
This paper explores the structure of
cross-border health purchasing between Austria and Hungary
and determines the size of this phenomenon as well as the
barriers to a further increase. Austrian patients may
receive health care treatment in Hungary in three different
ways. First, patients may receive benefits in the context of
the European Community Regulations 1408/71 and 574/72
(Category I patients). Second, outside those regulatory
structures, Austrian patients travel to Hungary to receive
medical treatment, especially dental treatment, and then
seek reimbursement from their Austrian insurance (Category
II patients). Third, some patients receive medical treatment
in Hungary outside both schemes (Category III patients).
There are about 42,500 Category I patients per year; and
58,000 Category II patients world-wide per year. An unknown
but supposedly greater number of patients travel to Hungary
to receive mainly dental treatment and cosmetic surgery
(Category III). Most health actors in both Austria and
Hungary do not regard cross-border purchasing of health
services as having cost-saving effects. They put forward
major legal, institutional, political, and psychological
barriers, which inhibit public and private Austrian
providers, to facilitate trade in health care and which
inhibit individual patients to realize cost savings through
capitalizing on lower health care prices in Hungary.
Therefore, for the time being, trade in health care and
patient mobility between Austria and Hungary is a
circumscribed phenomenon in terms of quantities, and it will
most probably remain so in the near future. |
| format |
Publications & Research :: Policy Research Working Paper |
| author |
Obermaier, Andreas J. |
| author_facet |
Obermaier, Andreas J. |
| author_sort |
Obermaier, Andreas J. |
| title |
Cross-border Purchases of Health Services : A Case Study on Austria and Hungary |
| title_short |
Cross-border Purchases of Health Services : A Case Study on Austria and Hungary |
| title_full |
Cross-border Purchases of Health Services : A Case Study on Austria and Hungary |
| title_fullStr |
Cross-border Purchases of Health Services : A Case Study on Austria and Hungary |
| title_full_unstemmed |
Cross-border Purchases of Health Services : A Case Study on Austria and Hungary |
| title_sort |
cross-border purchases of health services : a case study on austria and hungary |
| publishDate |
2012 |
| url |
http://www-wds.worldbank.org/external/default/main?menuPK=64187510&pagePK=64193027&piPK=64187937&theSitePK=523679&menuPK=64187510&searchMenuPK=64187283&siteName=WDS&entityID=000158349_20090129130519 http://hdl.handle.net/10986/4022 |
| _version_ |
1764389543323107328 |
| spelling |
okr-10986-40222021-04-23T14:02:14Z Cross-border Purchases of Health Services : A Case Study on Austria and Hungary Obermaier, Andreas J. ACCESS TO HEALTH CARE ADEQUATE RESOURCES AID BEDS CATARACT SURGERY CLINICS COMMUNITY HOSPITALS CONSUMER PROTECTION COST EFFECTIVENESS COSTS OF TREATMENT DENTAL CARE DENTAL TREATMENT DENTISTS DIAGNOSIS DISCRIMINATION DISEASE DOCTOR DOCTORS DOMESTIC LAW EMPLOYMENT ENTITLEMENT EXPENDITURES FAMILIES FINANCIAL RESOURCES FUNDAMENTAL PRINCIPLES GENERAL PRACTITIONER HEALTH AFFAIRS HEALTH CARE HEALTH CARE CENTERS HEALTH CARE COSTS HEALTH CARE COVERAGE HEALTH CARE FACILITIES HEALTH CARE INSTITUTIONS HEALTH CARE INSURANCE HEALTH CARE LAW HEALTH CARE PROVIDER HEALTH CARE PROVIDERS HEALTH CARE SECTOR HEALTH CARE SERVICES HEALTH CARE STANDARDS HEALTH CARE SYSTEM HEALTH CARE SYSTEMS HEALTH CARE SYSTEMS IN TRANSITION HEALTH EXPENDITURE HEALTH FACILITIES HEALTH INSURANCE HEALTH INSURANCE COMPANIES HEALTH INSURANCE FUNDS HEALTH INSURANCE SYSTEM HEALTH INSURERS HEALTH ORGANIZATION HEALTH ORGANIZATIONS HEALTH POLICY HEALTH PROVIDERS HEALTH SECTOR HEALTH SERVICE HEALTH SERVICES HEALTH SYSTEM HEALTH SYSTEMS HEALTH SYSTEMS IN TRANSITION HEALTHCARE HOSPITAL CARE HOSPITAL FINANCING HOSPITAL OPERATOR HOSPITAL SECTOR HOSPITAL TREATMENT HOSPITALS HYGIENE INCOME INSURANCE INSURANCE COVERAGE INSURANCE SYSTEMS INTEGRATION JUDICIAL PROCEEDINGS LEGAL PROVISIONS MARKETING MEDICAL ASSOCIATION MEDICAL ASSOCIATIONS MEDICAL BENEFITS MEDICAL CARE MEDICAL FACILITIES MEDICAL SCIENCE MEDICAL SERVICES MEDICAL TREATMENT MEDICINE MIGRATION NATIONAL HEALTH NATIONAL HEALTH INSURANCE NATIONAL HEALTH INSURANCE FUND NATIONAL HEALTH POLICY NURSES PATIENT PATIENT CARE PATIENT TREATMENT PATIENTS PHYSICIAN PHYSICIANS POLICY RESEARCH PRIMARY CARE PRIVATE HEALTH INSURANCE PRIVATE HEALTH INSURERS PRIVATE HOSPITALS PRIVATE HOUSEHOLDS PRIVATE INSURANCE PRIVATE INSURER PRIVATE INSURERS PRIVATE SECTOR PROVISION OF HEALTH CARE PROVISION OF SERVICES PUBLIC HEALTH PUBLIC HEALTH CARE PUBLIC HEALTH INSURANCE PUBLIC HOSPITALS PUBLIC SECTOR QUALITY CONTROL QUALITY OF HEALTH QUALITY OF HEALTH CARE REHABILITATION REIMBURSEMENT RATES RIGHT TO HEALTH CARE SOCIAL HEALTH INSURANCE SOCIAL INSURANCE SOCIAL POLICY SOCIAL SECURITY SOCIAL SECURITY SCHEMES SOCIAL SECURITY SYSTEMS SURGERY THERAPY TREATMENTS USE OF HEALTH CARE SERVICES VISITS WORKERS This paper explores the structure of cross-border health purchasing between Austria and Hungary and determines the size of this phenomenon as well as the barriers to a further increase. Austrian patients may receive health care treatment in Hungary in three different ways. First, patients may receive benefits in the context of the European Community Regulations 1408/71 and 574/72 (Category I patients). Second, outside those regulatory structures, Austrian patients travel to Hungary to receive medical treatment, especially dental treatment, and then seek reimbursement from their Austrian insurance (Category II patients). Third, some patients receive medical treatment in Hungary outside both schemes (Category III patients). There are about 42,500 Category I patients per year; and 58,000 Category II patients world-wide per year. An unknown but supposedly greater number of patients travel to Hungary to receive mainly dental treatment and cosmetic surgery (Category III). Most health actors in both Austria and Hungary do not regard cross-border purchasing of health services as having cost-saving effects. They put forward major legal, institutional, political, and psychological barriers, which inhibit public and private Austrian providers, to facilitate trade in health care and which inhibit individual patients to realize cost savings through capitalizing on lower health care prices in Hungary. Therefore, for the time being, trade in health care and patient mobility between Austria and Hungary is a circumscribed phenomenon in terms of quantities, and it will most probably remain so in the near future. 2012-03-19T19:08:31Z 2012-03-19T19:08:31Z 2009-01-01 http://www-wds.worldbank.org/external/default/main?menuPK=64187510&pagePK=64193027&piPK=64187937&theSitePK=523679&menuPK=64187510&searchMenuPK=64187283&siteName=WDS&entityID=000158349_20090129130519 http://hdl.handle.net/10986/4022 English Policy Research working paper ; no. WPS 4825 CC BY 3.0 IGO http://creativecommons.org/licenses/by/3.0/igo/ World Bank Publications & Research :: Policy Research Working Paper Hungary Austria |