DataSheet1_Health Outcomes in EU Cross-Border Regions: A Scoping Review.docx

ObjectiveThis scoping review examines health outcome trends in European cross-border regions, identifies available evidence, and highlights research gaps. The European Union’s integration efforts aim to harmonise living standards and healthcare access. Removed border controls and freedom of movement enhanced service availability, benefiting populations in border regions with cross-border healthcare access. However, these populations are exposed to different institutional settings, highlighting health differences worth studying. MethodsWe employed the Joanna Briggs Institute methodology, using the PCC (Population-Concept-Context) framework to set eligibility criteria. The search covered literature databases and international governmental institution websites, yielding 785 studies, with 24 included in the final analysis. ResultsNo comprehensive studies investigating longitudinal population health patterns were found. Instead, there are studies on specific diseases or health outcomes in particular border regions, especially around Germany. Most of these studies were cross-sectional. Five key research themes emerged: antibiotic resistance, COVID-19/SARS-CoV-2, other infectious diseases, cancer survival, and additional health outcomes. ConclusionThe findings suggest that cross-border contexts have predominantly been used to study infectious disease spread, with little attention given to the broader impact of European integration on long-term health trends.研究目的 本次范围综述（scoping review）旨在考察欧洲跨境地区的健康结局趋势，梳理现有相关研究证据，并明确当前存在的研究空白。欧盟一体化进程的核心目标之一是协调各成员国的生活水准与医疗服务可及性。边境管控的取消与人员自由流动提升了跨境医疗服务的可及性，惠及了边境地区可获取跨境医疗服务的民众。然而，这类群体身处不同的制度环境之中，其健康差异值得开展系统性研究。 研究方法 本研究采用乔安娜·布里格斯研究所（Joanna Briggs Institute）的方法体系，运用PCC（Population-Concept-Context，即人群-概念-场景）框架制定纳入与排除标准。检索范围覆盖学术文献数据库与国际政府机构官方网站，初筛共获取785篇研究文献，最终纳入24篇进行分析。 研究结果 本研究未发现针对人群健康模式的纵向综合研究。现有研究多聚焦于特定边境地区（尤以德国周边地区为多）的特定疾病或健康结局，且绝大多数为横断面研究。最终归纳出5个核心研究主题：抗生素耐药性、新冠病毒感染（COVID-19/SARS-CoV-2）、其他传染病、癌症生存情况，以及其他健康结局。 研究结论 本次研究结果表明，现有跨境背景相关研究多围绕传染病传播展开，针对欧洲一体化对人群长期健康趋势的广泛影响，相关研究仍较为匮乏。