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Easing legal and administrative obstacles in EU border regions . Case Study No. 15, Healthcare
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Easing legal and administrative obstacles in EU border regions . Case Study No. 15, Healthcare

Obstacles to the efficiency and effectiveness of health systems (Estonia – Latvia)

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This case study focuses on the extent to which different healthcare systems can hamper the effectiveness and efficiency of delivering services in cross-border regions. The specific example is the Valga (EE)-Valka (LV) twin towns at the border of Estonia and Latvia. In this example the specific obstacle examined is the access to hospital service for residents of Valka, the nearest hospital in Latvia being some 50 kms away from Valka; administrative obstacles restricting access to the nearby hospital in Valga. There are as yet no agreements - despite attempts to do so - in place at the national or municipality level to facilitate guaranteed medical assistance between the two towns. The administrative obstacles include the lack of accessible information, consultation with specialists, complex healthcare service payment procedures and insufficient institutional cooperation at municipal level and inter-governmental level. Patients face obstacles, since there is no clear and easily-readable information of the procedure phase. The information to be gathered is fragmented, since it is accessible from different entities and medical institution across the border.
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