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Health Outcomes in EU Cross-Border Regions: A Scoping Review
Sophie Stroisch1,2, Viola Angelini3, Sebastian Schnettler1
1Faculty I - Educational and Social Sciences, Institute for Social Sciences, Carl von Ossietzky University of Oldenburg, Oldenburg, Germany.
European cross-border regions show limited research on long-term health trends, primarily focusing on infectious disease spread. More studies are needed to understand the impact of European integration on population health outcomes in these areas.
Area of Science:
- Public Health
- Health Services Research
- European Integration Studies
Background:
- European Union integration aims to harmonize living standards and healthcare access.
- Freedom of movement enhances cross-border healthcare access but exposes populations to diverse institutional settings.
- Health differences in border regions warrant investigation due to varying healthcare systems.
Purpose of the Study:
- To examine health outcome trends in European cross-border regions.
- To identify existing evidence on health in these areas.
- To highlight research gaps concerning population health patterns.
Main Methods:
- Scoping review utilizing Joanna Briggs Institute methodology.
- Population-Concept-Context (PCC) framework for eligibility criteria.
- Comprehensive literature search across databases and governmental websites.
Main Results:
- 24 studies were included from an initial 785.
- No comprehensive longitudinal population health studies were identified.
- Research themes included antibiotic resistance, COVID-19, infectious diseases, cancer survival, and other health outcomes, predominantly in German border regions.
- Most studies were cross-sectional.
Conclusions:
- Cross-border contexts are mainly studied for infectious disease dynamics.
- There is a lack of research on the broader effects of European integration on long-term health trends.
- Further research is needed to address health outcome trends and population health patterns in European cross-border regions.
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