Evidence map›Paper›PMID 37046102›Full record

ArticleThe European journal of health economics : HEPAC : health economics in prevention and care2024

Health impact of borders: general reflections and a case study from the Polish-German border.

Julia Kuntosch, Marie-Luise Ruebsam, Jakub Orsson, Dorota Orsson, Klaus Hahnenkamp, Jörg Hartleib, Steffen Flessa

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Article in The European journal of health economics : HEPAC : health economics in prevention and care, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Julia KuntoschDepartment of Healthcare Management, University of Greifswald, Friedrich-Loeffler-Strasse 70, 17487, Greifswald, Germany.
Marie-Luise RuebsamDepartment of Anesthesia, Intensive, Emergency and Pain Medicine, University Medicine of Greifswald, Ferdinand-Sauerbruch-Strasse, 17475, Greifswald, Germany.
Jakub OrssonDepartment of Healthcare Management, University of Greifswald, Friedrich-Loeffler-Strasse 70, 17487, Greifswald, Germany.
Dorota OrssonDepartment of Anesthesia, Intensive, Emergency and Pain Medicine, University Medicine of Greifswald, Ferdinand-Sauerbruch-Strasse, 17475, Greifswald, Germany.
Klaus HahnenkampDepartment of Anesthesia, Intensive, Emergency and Pain Medicine, University Medicine of Greifswald, Ferdinand-Sauerbruch-Strasse, 17475, Greifswald, Germany.
Jörg HartleibDepartment of Geography, University of Greifswald, Friedrich-Ludwig-Jahn-Strasse 16, 17487, Greifswald, Germany.
Steffen FlessaDepartment of Healthcare Management, University of Greifswald, Friedrich-Loeffler-Strasse 70, 17487, Greifswald, Germany. steffen.flessa@uni-greifswald.de.ORCID http://orcid.org/0000-0002-4068-1539

Funding

Interreg V A
6 · The paper itself

Abstract

BACKGROUND AND

objectivePolitical, economic, communicative and cultural borders still limit the accessibility of acute healthcare services for patients so that they frequently have to accept longer distances to travel to the next provider within their own country. In this paper, we analyze the impact of borders and opening of borders on acute medical care in hospitals and on patients in border regions.

methodsWe develop a conceptual framework model of cross-border healthcare and apply it to the Polish-German border area. The model combines the distance decay effect, a catchment area analysis, economies of scale and the learning curve.

resultsBorders have a major impact on acute medical care in hospitals and on patients. Setting of new borders will reduce the accessibility of health facilities for patients or require the establishment of new hospitals. Reopening borders might induce a vicious circle leading to the insolvency of a hospital which might result in poorer health for some patients.

conclusionStrong effort should be invested to overcome political and cultural borders to improve the health of the population in border regions. Similarly, increased cross-border acute healthcare must be seen in the context of rural health and the special situation of small rural hospitals in rural peripheral areas.

Indexed as

Delivery of Health CareHospitalsCatchment Area, HealthHealth Services AccessibilityHumansPolandTravelBorderCatchment areaCross-border healthcareDistance decay effectPolish–German border area

Identifiers

PMID37046102
PMCPMC10096107

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.