IDEAS home Printed from https://ideas.repec.org/a/sae/treure/v27y2021i3p289-302.html
   My bibliography  Save this article

Time for a paradigm change? Incorporating transnational processes into the analysis of the emerging European health-care system

Author

Listed:
  • Sabina Stan

    (8818Dublin City University and University College Dublin, Ireland)

  • Roland Erne

    (8797University College Dublin, Ireland)

Abstract

Health services have long been insulated from the process of European integration. In this article, however, we show that we are witnessing their re-configuration in an emerging EU health-care system. The article uncovers the structuring lines of this system by focusing on three interrelated EU-wide processes influencing the integration of national health-care systems into a larger whole. First, the privatisation of health-care services following the constraints of Maastricht economic convergence and the EU accession criteria; second, health-care worker and patient mobility arising from the free movement of workers and services within the European Single Market; and third, new EU laws and country-specific prescriptions on economic governance that the EU has been issuing following the 2008 financial crisis. The article shows that these processes have helped to construct a European health-care system that is uneven in terms of the distribution of patient access to services and of health-care workers’ wages and working conditions, but very similar in terms of EU economic and financial governance pressures on health care across EU Member States.

Suggested Citation

  • Sabina Stan & Roland Erne, 2021. "Time for a paradigm change? Incorporating transnational processes into the analysis of the emerging European health-care system," Transfer: European Review of Labour and Research, , vol. 27(3), pages 289-302, August.
    • Handle: RePEc:sae:treure:v:27:y:2021:i:3:p:289-302
    DOI: 10.1177/10242589211026815
    as

    Download full text from publisher

    File URL: https://journals.sagepub.com/doi/10.1177/10242589211026815
    Download Restriction: no
    File URL: https://libkey.io/10.1177/10242589211026815?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    References listed on IDEAS

    as
    1. Nicola YEATES, 2010. "The globalization of nurse migration: Policy issues and responses," International Labour Review, International Labour Organization, vol. 149(4), pages 423-440, December.
    2. Steffen Lehndorff, 2015. "Acting in different worlds. Challenges to transnational trade union cooperation in the eurozone crisis," Transfer: European Review of Labour and Research, , vol. 21(2), pages 157-170, May.
    3. Christine André & Christoph Hermann, 2009. "Privatisation and Marketisation of Health Care Systems in Europe," Palgrave Macmillan Books, in: Marica Frangakis & Christoph Hermann & Jörg Huffschmid & Károly Lóránt (ed.), Privatisation against the European Social Model, chapter 9, pages 129-144, Palgrave Macmillan.
    4. Patrick McGovern, 2007. "Immigration, Labour Markets and Employment Relations: Problems and Prospects," British Journal of Industrial Relations, London School of Economics, vol. 45(2), pages 217-235, June.
    5. Stan, Sabina, 2015. "Transnational healthcare practices of Romanian migrants in Ireland: Inequalities of access and the privatisation of healthcare services in Europe," Social Science & Medicine, Elsevier, vol. 124(C), pages 346-355.
    6. Azzopardi-Muscat, Natasha & Clemens, Timo & Stoner, Deborah & Brand, Helmut, 2015. "EU Country Specific Recommendations for health systems in the European Semester process: Trends, discourse and predictors," Health Policy, Elsevier, vol. 119(3), pages 375-383.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Voicu, Bogdan & Fărcășanu, Dana & Mustață, Mirela & Deliu, Alexandra & Vișinescu, Iulia, 2023. "Using laws, common sense, and statistical approaches to design indicators for ‘medical desertification’. An application on the Romanian case," Social Science & Medicine, Elsevier, vol. 327(C).
    2. Imre G. Szabó, 2022. "The wages of reconstruction – the EU’s new budget and the public service staff shortage crisis on the EU’s eastern periphery1," Transfer: European Review of Labour and Research, , vol. 28(1), pages 141-145, February.
    3. Kurt Vandaele, 2021. "Applauded ‘nightingales’ voicing discontent. Exploring labour unrest in health and social care in Europe before and since the COVID-19 pandemic," Transfer: European Review of Labour and Research, , vol. 27(3), pages 399-411, August.
    4. Costanza Galanti, 2024. "National heroes, disposable workers. How collective action in the health and social care sector during the pandemic negotiated with the self‐sacrificing worker ideal," Gender, Work and Organization, Wiley Blackwell, vol. 31(2), pages 606-624, March.

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Chris F. Wright, 2017. "Employer Organizations and Labour Immigration Policy in Australia and the United Kingdom: The Power of Political Salience and Social Institutional Legacies," British Journal of Industrial Relations, London School of Economics, vol. 55(2), pages 347-371, June.
    2. Dawson Chris & Veliziotis Michail & Hopkins Benjamin, 2014. "Assimilation of the migrant work ethic," Working Papers 20141407, Department of Accounting, Economics and Finance, Bristol Business School, University of the West of England, Bristol.
    3. Mikolaj Stanek & Alberto Veira, 2012. "Ethnic niching in a segmented labour market: Evidence from Spain," Migration Letters, Migration Letters, vol. 9(3), pages 249-262, September.
    4. Chloe Tarrabain & Robyn Thomas, 2024. "The Dynamics of Control of Migrant Agency Workers: Over-Recruitment, ‘The Bitchlist’ and the Enterprising-Self," Work, Employment & Society, British Sociological Association, vol. 38(1), pages 27-43, February.
    5. Laura Kemppainen & Veera Koskinen & Harley Bergroth & Eetu Marttila & Teemu Kemppainen, 2021. "Health and Wellness–Related Travel: A Scoping Study of the Literature in 2010-2018," SAGE Open, , vol. 11(2), pages 21582440211, May.
    6. Siegmann, K.A. & Ivosevic, P. & Visser, O., 2021. "Working like machines: Exploring effects of technological change on migrant labour in Dutch horticulture," ISS Working Papers - General Series 691, International Institute of Social Studies of Erasmus University Rotterdam (ISS), The Hague.
    7. Camilleri, Carl & Jofre-Bonet, Mireia & Serra-Sastre, Victoria, 2018. "The suitability of a DRG casemix system in the Maltese hospital setting," Health Policy, Elsevier, vol. 122(11), pages 1183-1189.
    8. Torben Krings, 2021. "‘Good’ Bad Jobs? The Evolution of Migrant Low-Wage Employment in Germany (1985–2015)," Work, Employment & Society, British Sociological Association, vol. 35(3), pages 527-544, June.
    9. Azzopardi-Muscat, Natasha & Baeten, Rita & Clemens, Timo & Habicht, Triin & Keskimäki, Ilmo & Kowalska-Bobko, Iwona & Sagan, Anna & van Ginneken, Ewout, 2018. "The role of the 2011 patients' rights in cross-border health care directive in shaping seven national health systems: Looking beyond patient mobility," Health Policy, Elsevier, vol. 122(3), pages 279-283.
    10. Virpi Timonen & Luciana Lolich, 2020. "Dependency as Status: Older Adults’ Presentations of Self as Recipients of Care," SAGE Open, , vol. 10(4), pages 21582440209, October.
    11. Zinovijus Ciupijus, 2010. "Ethical Pitfalls of Temporary Labour Migration: A Critical Review of Issues," Journal of Business Ethics, Springer, vol. 97(1), pages 9-18, December.
    12. Reinout A van der Veer & Markus Haverland, 2018. "Bread and butter or bread and circuses? Politicisation and the European Commission in the European Semester," European Union Politics, , vol. 19(3), pages 524-545, September.
    13. Probst, Ursula, 2023. "Health insurance for the good European citizen? Migrant sex workers’ quests for health insurance and the moral economy of health care," Social Science & Medicine, Elsevier, vol. 319(C).
    14. Mattia Guidi & Igor Guardiancich, 2018. "Intergovernmental or supranational integration? A quantitative analysis of pension recommendations in the European Semester," European Union Politics, , vol. 19(4), pages 684-706, December.
    15. Mikolaj Stanek & Alberto Veira Ramos, 2013. "Occupational Mobility at Migration - Evidence from Spain," Sociological Research Online, , vol. 18(4), pages 158-166, November.
    16. Sara Casagrande & Bruno Dallago, 2022. "Socio-Economic and Political Challenges of EU Member Countries: Grasping the Policy Direction of the European Semester," Comparative Economic Studies, Palgrave Macmillan;Association for Comparative Economic Studies, vol. 64(3), pages 487-519, September.
    17. Richard Bůžek & Christoph Scheuplein, 2022. "The Global Wealth Chains of Private‐Equity‐Run Physician Practices," Tijdschrift voor Economische en Sociale Geografie, Royal Dutch Geographical Society KNAG, vol. 113(4), pages 331-347, September.
    18. Omar Manky, 2017. "From Towns to Hotels: Changes in Mining Accommodation Regimes and Their Effects on Labour Union Strategies," British Journal of Industrial Relations, London School of Economics, vol. 55(2), pages 295-320, June.
    19. Cyril Benoît, 2023. "The regulatory path to healthcare systems’ financialization," Post-Print hal-04220439, HAL.
    20. Lorenzo Frangi & Tingting Zhang & Rupa Banerjee, 2021. "Constructing Inequalities: Tenure Trajectories of Immigrant Workers and Union Strategies in the Milan Construction Sector," British Journal of Industrial Relations, London School of Economics, vol. 59(2), pages 474-502, June.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:sae:treure:v:27:y:2021:i:3:p:289-302. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: SAGE Publications (email available below). General contact details of provider: .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.