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Evaluation of Border Regions in the European Union (EUREGIO)

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Evaluation of Border Regions in the European Union (EUREGIO) Evaluation of Border Regions in the European Union (EUREGIO) Grant Agreement No 2003104 (SI2.378322) Final Report May 2007 This document has been prepared as part of the project “Evaluation of Border Regions in the European Union (EUREGIO)”, funded by the European Commission. The project is financed by the European Union, grant No 2003104 (SI2.378322). Sole responsibility lies with the authors. The European Commission is not responsible for any use that may be made of the information contained therein. The project partners were (permanent or incidental): Belgium Pascal Garel, European Hospital and Healthcare Federation (HOPE) Germany: Prof. Angela Brand, University of Applied Sciences of Bielefeld Peter Schäfer, Ministry of Employment, Health and Social Affairs NRW Hans-Willi Schemken, AOK Rheinland Heike Au, AOK Rheinland Julia Schröder, AOK Rheinland Dr. Karl-Heinz Feldhoff, Municipal Health Service of Heinsberg Claudia Meier, Municipal Health Service of Heinsberg Jens Gabbe, Association of European Border Regions (AEBR) Martín Guillermo, Association of European Border Regions (AEBR) Dr. Wolfgang Klitzsch, European Public Health Centre NRW Poland: Detlef Lischka, German-Polish Health Academy Netherlands: Prof. Jacques Scheres, University Hospital Maastricht Contact: Project Team Dr Helmut Brand / Dr. Alfons Hollederer / Gudula Ward / Ulrike Wolf Institute of Public Health NRW Westerfeldstr. 35/37 33611 Bielefeld Germany Tel.: +49 521 807-223 / - 223 Fax: +49 521 807-202 / - 200 Further copies of the report are available from the address above or the websites www.euregio.nrw.de and www.loegd.nrw.de Contents Preface …………………………………………………………………………………… 1 1 Introduction ………………………………...………………………………………….. 3 1.1 Cooperation between health systems: Discussion processes and activities at the European level .....................................................................……… 4 1.2 Information about cross-border activities in health ………………………………….... 6 1.3 The Project “EUREGIO – Evaluation of border regions in the European Union” …………………………………………………………………………. 6 1.3.1 Project steps ..................................................………................................................ 7 1.3.2 Networking, exchange of experiences and dissemination of project results ………. 9 2. Cross-Border Cooperation in Health. Framework Conditions for Taking Measures: “Interreg” Community Initiative and Cross-Border Structures …………………………………………………………… 10 2.1 The Interreg Community initiative ..........………....................................................... 10 2.1.1 Background ...................................................………................................................ 10 2.1.2 The role of Euregios and similar structures under the Interreg initiative …………… 11 2.1.3 Survey conducted in Interreg IIIA secretariats ……………………………………..…. 12 2.2 Euroregions and similar structures …………………………………………………..…. 14 2.2.1 Background ………………………………………………………………………….…..... 14 2.2.2 Survey conducted in Euregios, Euroregions and similar structures ………………... 17 2.2.3 Cross-border structures: Case studies ………………………………………………... 25 3. Cross-Border Cooperation in Health: Promoting and Hindering Factors 31 3.1 Introduction………………………………………………………………………..………. 31 3.2 Internal promoting and hindering factors ………………………………………….…… 32 3.2.1 Setting up adequate partnerships…………....................................………………..... 32 3.2.2 Staff resources and commitment of the actors ………............................………....... 34 3.2.3 Cooperation agreement at project level …………………………………………….…. 35 3.2.4 Public relations work.................................................................................………..... 35 3.2.5 Language barriers ..................................................................................………....... 36 3.2.6 Project evaluation...................................................................................………........ 37 3.2.7 Exchange of experiences and information with other projects................………....... 37 3.3 External promoting and hindering factors ………………………………….………….. 38 3.3.1 Financing problems ……………………………………………………………….……… 38 3.3.2 Bureaucratic problems concerning (Interreg-)funding ………………………….……. 39 3.3.3 Willingness and unwillingness of actors ………………………………………..……… 39 3.3.4 Need for information and coordination……………………….………………………… 41 3.3.5 Political support …………………………………………………………..………………. 42 3.3.6 Need for legal certainty ………………………………………………………………….. 42 3.4 Further hindering and promoting factors ………………………………………………. 43 3.5 Evaluation of promoting and hindering factors seen from the point of view of the 44 responsible project bodies ………………………………………………………………. 4. Cross-Border Health Projects: Analysis of the Project Landscape …... 47 4.1 Introduction............................................................................................……............ 47 4.2 Method ......................................................................................................……........ 47 4.2.1 Identification of contact partners of cross-border projects in health ……….……….. 47 4.2.2 Survey among the responsible project bodies of cross-border health-related projects …………………………………………………………………… 48 4.3 Results .......................................................................................................……....... 50 4.3.1 Project development state, project term and countries involved ..........……............ 50 4.3.2 Priority issues……….. .............................................................................…….......... 51 4.3.3 Clarification of needs and requirements...................................................………...... 54 4.3.4 Target criteria.......................................................................................……….......... 55 4.3.5 Target group(s).........................................................................................………...... 56 4.3.6 Cooperation based on partnership …………….......................................………....... 57 4.3.7 Sustainability ..........................................................................................………....... 59 4.3.8 Evaluation .............................................................................................……............ 60 4.3.9 Public relations work and documentation ..............................................………........ 61 4.3.10 Analysis of the project landscape: Comments and summary .....………………….... 63 5. Conclusion and Recommendations for Action …………….......……………....... 64 5.1 Conclusion .................................................................................……….……......... 64 5.2 Recommendations for action concerning quality development and strengthening of cross-border cooperation ..........................…………………………………….….. 70 6. Examples of Good Practice: Eight Projects Present Themselves …..... 73 6.1 The selection process …………………………………………………………..…..….. 73 6.2 “Models of good practice“ in comparison: Results of an evaluation process ….... 78 6.3 Presentation of the selected eight “good practice models“ ..............…………….... 79 6.3.1 Cross-border activities facilitating patient mobility in the country triangle of Germany, The Netherlands, Belgium: Pilot project “(Integration) Zorg op Maat” (IZOM/ZOM), HealthCard International (GCi), Contracting Belgian Health Care, Euregio Health Portal …………………………………...…………………………....… 80 6.3.2 Cross-border dental care (Finland, Sweden) ………………………………….…..… 99 6.3.3 Hospital of Cerdanya (France, Spain) ……….……….………………………...…….. 105 6.3.4 State-of-the-art medicine along the borders in Europe (Germany, the Netherlands) …………………………………………………………………….……..... 112 6.3.5 Standardization of treatment in patients presenting HIV, HVC and other infectious pathologies (Italy, France) ……………………………………………..….. 119 6.3.6 Telemedicine network to support tumour care in the POMERANIA Euroregion (Germany, Poland) ………………………………….……………………….….……... 125 6.3.7 EUMED: Cross-border emergency medical assistance in the Meuse-Rhine Euregio (Germany, The Netherlands, Belgium) ………………………..…...……..... 132 6.3.8 Cross-border cooperation in the Meuse-Rhine Euregio to decrease risky behaviour in adolescents – Riscogedrag adolescenten (Germany, the Netherlands, Belgium) ………………………………………………….……………… 141 Literature ........................................................................………...……................ 149 Downloads 153 Enclosures .........................................................................………………....….... 154 Enclosure 1: Events at which the project was presented …………………..………. 155 Enclosure 2: Overview of project publications as well as newsletters, position papers and articles in learned journals in which the “EUREGIO“ project is mentioned ……………………………………………………………………………..… 158 Enclosure 3: List of interviewed Interreg IIIA secretariats ………………………..… 160 Enclosure 4: Interreg IIA and IIIA programmes: health-related priorities, measures and numbers of projects (overview) …………………………………….... 163 Enclosure 5: List of interviewed cross-border structures: Euregios/Euroregions/Working Groups …………………………………...……….… 174 Enclosure 6: Euregions and similar structures - General information …………..… 177 Enclosure 7: Euregios, Euroregions and similar cross-border structures - Overview of health-related working groups ………………………………….…….… 181 Enclosure 8: List of reported cross-border health-related projects, sorted by regions …………………………………………………………………..…… 186 List of Illustrations, Tables and Boxes Illustrations Illustration 1 Methods and project
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