Health impact of borders : general reflections and a case study from the Polish-German border
© 2023. The Author(s)..
BACKGROUND AND OBJECTIVE: Political, economic, communicative and cultural borders still limit the accessibility of acute healthcare services for patients so that they frequently have to accept longer distances to travel to the next provider within their own country. In this paper, we analyze the impact of borders and opening of borders on acute medical care in hospitals and on patients in border regions.
METHODS: We develop a conceptual framework model of cross-border healthcare and apply it to the Polish-German border area. The model combines the distance decay effect, a catchment area analysis, economies of scale and the learning curve.
RESULTS: Borders have a major impact on acute medical care in hospitals and on patients. Setting of new borders will reduce the accessibility of health facilities for patients or require the establishment of new hospitals. Reopening borders might induce a vicious circle leading to the insolvency of a hospital which might result in poorer health for some patients.
CONCLUSION: Strong effort should be invested to overcome political and cultural borders to improve the health of the population in border regions. Similarly, increased cross-border acute healthcare must be seen in the context of rural health and the special situation of small rural hospitals in rural peripheral areas.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2024 |
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| Erschienen: |
2024 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:25 |
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| Enthalten in: |
The European journal of health economics : HEPAC : health economics in prevention and care - 25(2024), 2 vom: 11. Feb., Seite 281-292 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Kuntosch, Julia [VerfasserIn] |
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| Links: |
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| Themen: |
Border |
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| Anmerkungen: |
Date Completed 14.02.2024 Date Revised 14.02.2024 published: Print-Electronic Citation Status MEDLINE |
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| doi: |
10.1007/s10198-023-01588-5 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM355504634 |
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| 500 | |a Date Revised 14.02.2024 | ||
| 500 | |a published: Print-Electronic | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a © 2023. The Author(s). | ||
| 520 | |a BACKGROUND AND OBJECTIVE: Political, economic, communicative and cultural borders still limit the accessibility of acute healthcare services for patients so that they frequently have to accept longer distances to travel to the next provider within their own country. In this paper, we analyze the impact of borders and opening of borders on acute medical care in hospitals and on patients in border regions | ||
| 520 | |a METHODS: We develop a conceptual framework model of cross-border healthcare and apply it to the Polish-German border area. The model combines the distance decay effect, a catchment area analysis, economies of scale and the learning curve | ||
| 520 | |a RESULTS: Borders have a major impact on acute medical care in hospitals and on patients. Setting of new borders will reduce the accessibility of health facilities for patients or require the establishment of new hospitals. Reopening borders might induce a vicious circle leading to the insolvency of a hospital which might result in poorer health for some patients | ||
| 520 | |a CONCLUSION: Strong effort should be invested to overcome political and cultural borders to improve the health of the population in border regions. Similarly, increased cross-border acute healthcare must be seen in the context of rural health and the special situation of small rural hospitals in rural peripheral areas | ||
| 650 | 4 | |a Journal Article | |
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| 650 | 4 | |a Catchment area | |
| 650 | 4 | |a Cross-border healthcare | |
| 650 | 4 | |a Distance decay effect | |
| 650 | 4 | |a Polish–German border area | |
| 700 | 1 | |a Ruebsam, Marie-Luise |e verfasserin |4 aut | |
| 700 | 1 | |a Orsson, Jakub |e verfasserin |4 aut | |
| 700 | 1 | |a Orsson, Dorota |e verfasserin |4 aut | |
| 700 | 1 | |a Hahnenkamp, Klaus |e verfasserin |4 aut | |
| 700 | 1 | |a Hartleib, Jörg |e verfasserin |4 aut | |
| 700 | 1 | |a Flessa, Steffen |e verfasserin |4 aut | |
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