La mobilità sanitaria ospedaliera italo-slovena dopo l'adesione della Slovenia all' Unione Europea

The latest current in context of geomedicine covers health facilities.In addition to epidemiology which deals with beginning and outbreak ways of diseases, an approach not only sanitary but as well HRS-based administrative can be used for surveying those facilities. The HRS (Hospital Release File, see acronym list) enable to take account of flow relationships which can set up each other over a certain area between individuals, dwellers and not, enrolled and not enrolled at national health system, and places of hospital output. At EC level the cross-border health mobility is more and more a greatly profound topic as a consequence of two outstanding issues. The first one: if quantitative sizes of health mobility at EC-wide are unknown element, for the moment their volumes of charge show a phenomenon still limited but in the future which could increase, slipstreaming relatively recent European health deregulation. In that event, financial sustainability of national health systems would be jeopardized, above all, but not only, with reference to Member States that "export" patients and are obliged to pay the citizens’ costs of treatment in other States, notwithstanding the same treatments even were available inside. The second one: without a view to harmonize national health systems, which are responsible of their own sanitary policies, at EC level it has been agreed that health systems have to be characterized by sharing values such as universality, equality, solidarity and accessibility to high quality health care. To reach this goal in front of an unfailing financial sustainability and thus above all in obedience to solidarity, to avoid aforesaid loss of patients too, whose foil would be an accessibility deficit in “receiving” Countries, it is required that all Member States carry out a set of functional principles. That because EC citizens expect they are effective in every national health systems: quality and safety cares, proofs-based and ethics-based service, patients’ involvement, compensation for damage and privacy. In the patient mobility reflection process, health ministers and other stakeholders (Health System High Level Group1) identified areas where the economies of scale of coordinated action between all Member States can bring added value to national health systems. This may concern joint planning, mutual recognition or adaptation of procedures or standards, interoperability of respective national information and communication technology systems, practical mechanisms to ensure continuity of care or practical facilitating of cross-border provision of healthcare by health professionals on a temporary or occasional basis. One of more significant studies regarding health mobility (Patient mobility in the European Union – learning by experience) devotes its own dissection (2000/2003) with reference to nine community territorial reality, nearly eve-rything having peculiarity of transborder regions. The present one sets itself as target to look into some health mobility angles in a small European area and strictly within a transborder region such as that italo–slovene, comprising the same Slovenia and Friuli Venezia Giulia, already objective in above-mentioned study. Really, medical collaboration is relevant matter within the ambit of cross-border relations and its increase enables getting throw the border. Starting from findings of above-said quadriennium the thesis seeks to verify if later, because of Slovenian accession to European Union (2004), changes have been inside cross-border dynamics of hospitalizations.