RT Journal Article
T1 Patient mobility within national borders: drivers and politics of cross-border healthcare agreements in the Spanish decentralized system
A1 Perna, Roberta
A1 Cruz Martínez, Gibrán Alberto
A1 Moreno Fuentes, Francisco Javier
AB Cross-border patient mobility has become a topic of increasing interest for policy-makers and academic scholars. However, the focus on international dynamics hinders the fact that healthcare mobility takes place within national boundaries as well, particularly in countries characterized by decentralized health systems. This paper shifts the focus from the drivers of international patient mobility to the ones of policy-making on patient mobility within national borders, analyzing more than fifty policy arrangements adopted between Spanish Regions in the period 2000-2020. As the findings indicate, geographical/historical, economic and political factors are key to understanding the development of cross-border healthcare agreements, as well as the conflicts that may arise therefrom. Accordingly, these arrangements may become a controversial issue and a key arena for partisan competition, affecting the articulation of effective responses to patient mobility in Spain and, ultimately, patients’ rights.
PB Elsevier
YR 2022
FD 2022-09-28
LK https://hdl.handle.net/20.500.14352/99033
UL https://hdl.handle.net/20.500.14352/99033
LA eng
NO Perna, Roberta, Gibrán Cruz-Martínez & Francisco Javier Moreno Fuentes (2023): Patient mobility within national borders. Drivers and politics of cross-border healthcare agreements in the Spanish decentralized system, Health Policy, Volume 126, Issue 11, pp. 1187-93 https://doi.org/10.1016/j.healthpol.2022.09.009
NO INAP
NO Ministerio de Ciencia e Innovación
DS Docta Complutense
RD 26 dic 2025