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Published on: April 17, 2021
[Attempt to exclude invasive cardiology services in Poland--rationing, national sovereignty and European Union law]
Christian A Gericke1, Reinhard Busse, Izabela Sakowska
1Department of Health Care Management, Berlin University of Technology Berlin, Germany.
Insights
Equitable access to life-saving percutaneous transluminal coronary angioplasty (PTCA) is crucial in Europe. Polish citizens can access PTCA abroad, with costs reimbursed by the National Health Fund, ensuring access regardless of income.
Area of Science:
- Cardiovascular Medicine
- Health Policy
- Healthcare Economics
Context:
- Equitable access to healthcare is a key principle in European health policy.
- Percutaneous transluminal coronary angioplasty (PTCA) is a vital, life-saving procedure following coronary angiography.
- Implementing patient payments for PTCA could restrict access for low-income individuals.
Purpose:
- To analyze the accessibility of percutaneous transluminal coronary angioplasty (PTCA) in Poland within the European Union context.
- To examine the implications of cross-border healthcare access and reimbursement policies on PTCA availability.
- To discuss the evolving nature of healthcare sovereignty in the European Union.
Summary:
- Invasive cardiology, including PTCA, is advancing in Poland despite political discussions.
- Polish citizens can receive PTCA in other EU member states, with the National Health Fund covering costs per European Court of Justice ruling.
- This cross-border access ensures financial barriers do not prevent necessary treatment.
Impact:
- Cross-border healthcare access and EU regulations are reshaping national healthcare sovereignty.
- Healthcare managers and legislators must adapt to a more integrated European healthcare landscape.
- Ensuring equitable access to essential procedures like PTCA across EU member states is paramount.
Abstract:
One of the guiding principles of health policy in many European countries is equitable access to health care services. One of the life saving procedures is percutaneous transluminal coronary angioplasty (PTCA) performed after coronary angiography. Introducing payment for these procedures would limit access for low-income patients. Fortunately, despite political debate, invasive cardiology develops well in Poland. It is important to notice that within the European Union Polish citizens would be able to receive this treatment in other member states and, according to a European Court of Justice ruling, the costs would have to be reimbursed by the National Health Fund. The wider implication is that the 10 new EU member states now have to realise that health care is no longer a matter of national sovereignty - a fact legislators and health care managers in the 15 member states of the pre-accession EU are still struggling with.
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