Clinicians', policy makers' and patients' views of pediatric cross-border care between Malta and the UK. (July 2014)

• Record Type: Journal Article
• Authors: Saliba, Vanessa; Muscat, Natasha Azzopardi; Vella, Mairi; Montalto, Simon Attard; Fenech, Charlene; McKee, Martin; Knai, Cécile
• Is Part Of: Journal of health services research & policy. Volume 19:Number 3(2014:Jul.)
• Page Start: 153
• Page End: 160
• Publication Date: 2014-07
• Subjects: cross-border care -- patient care pathways -- pediatric -- rare diseases; Medical care -- Periodicals; Medical policy -- Periodicals; Public health -- Periodicals; 362.105
• DOI: 10.1177/1355819614521408
• Languages: English
• ISSNs: 1355-8196

Abstract

Objective: The Malta–UK cross-border health care collaboration gives Maltese patients access to highly specialized care that is not available locally. Our aim was to identify the issues that arise in cross-border specialized care for rare childhood diseases. Methods: We conducted 31 semi-structured face-to-face interviews with policy makers, consultant pediatricians from Mater Dei Hospital in Malta, the Royal Marsden Hospital and Great Ormond Street Hospital in England and the parents of a random sample of children referred for treatment abroad in 2011. We conducted qualitative thematic analysis of the data. Results: Respondents viewed the collaboration as successful in providing timely access to high quality specialist care. Four factors facilitated implementation: long established personal relationships; communication and data sharing; shared care approach; and well established support systems. The key challenges are logistical, financial, communication and cultural and psychological. Conclusion: Cross-border care pathways can successfully support access to high quality specialized care that is acceptable to health professionals and patients.