Mobility and health - regional services in the enlarged EU | TSI

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Mobility and health - regional services in the enlarged EU

Head of the Project from TSI:

Igor Kabashkin, Dr., Prof.

Building network and exchanging experience between European Regions

The barriers that national borders impose on balanced and sustainable development within the EU shall be overcome by transnational co-operation on topics of mutual interest, starting from exchange of experience and knowledge in many fields of regional development. The enlargement of the EU generates more trade, more transnational transport of goods and persons, a more dynamic development of tourism as well as a growing demand for more effective co-operation and exchange on policies and measures. National and regional governments within the EU must anticipate these developments. New policies and services are needed.

PROJECT A04 Mobility and Health - Regional Services in the Enlarged EU


The main objective is to help policy-makers and other participants at the regional level to develop regional policy strategies responding the challenges in two relevant task fields: local transport and stationary medical care. In both task fields we will initiate a dialog between local and regional policy-makers, experts and other participants.


The project 'Mobility and Health' contributes to the Cluster A within the Regional Framework Operation 'Hanse-Passage' mainly by creating new approaches for improved public service provision at the local and regional level and by encouraging the co-operation between the different political levels and between the different regions.

The project will try to pay major attention to the specific political and cultural background in each region, including the role of the various constitutional constellations. Therefore the project should consider the responsibilities of the local and regional level, the interplay between the local authorities, the region, the national state and the European Union, the tension between economic efficiency and fulfilment of public service obligations, the participation of the citizen. Simultaneously the project deals with new forms and possibilities of co-operation between the public and the private sector.

Stationary medical care

The project intends to initiate an exchange of practical experiences in overcoming comparable challenges. It will generate a mutual learning process based on the existing policies strategies. In this context the following main questions were adressed to compare the local and regional situation in this task field:

  1. How is the stationary-medical-care-system organized. Which role does the politcal levels play in this system. Do the local and/or regional level need more planing and steering competences.
  2. To which extent can the implementation of Diagnosis Related Groups (DRGs) improve the efficiency of hospitals. Does the DRGs respect the general public interests. What kind of experience or what kind of expectations do you have.
  3. Which new forms and possibilities of co-operation between the public and the private sector could be established. To which extent should private actors provide 'services on general interest' in the field of stationary medical care.
  4. Which possibilities of political participation are available for citizens and how can the participation be improved.

Local public transport

The project includes the provision of an updated view of the different forms that regions and local authorities have adopted to handle the implementation of strategic decision, the evolutionary stages of the their legal and organisational settings, focussing as well as on the need to improve performance of local transport. The following questions will support the analysis of the different systems:

  1. Who are the key actors in the local transport sector, what are their roles and which competences are allocated on the local or regional level.
  2. How is the mobility sector organized and what kind of co-operations are possible between the public authorities and the private actors. What are the main issues in the discussion.
  3. What kind of financial systems does exist in the different regions. Should we create a proper sustainable financial framework in relation to the use of public funds.
  4. How can we monitor and adapt the mobility system to meet the citizens' needs. Should we enforce the position of the customers and the employees by giving them influence in the organisation of public transport.


Comparing the different systems in the public transport sector and creating innovative solutions to improve the effectiveness of the regions policies and their instruments are one of the main aspects of the project.

On April 6th / 7th 2006, the Project A04 had its Kick Off Meeting in Bremen.

The objectives of this meeting were to develop the working periode April 2006 - September 2007, to prepare the time schedule, to organize the three workshops in Rouen, Sheffield and Hanover and to review the project financies.

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