General difficulties in cross border cooperation between health care institutions (Spain)

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What was the core OBSTACLE in undertaking the activity?	Reimbursement of cross-border health care costs; Differing regulations; Scarcity of doctors in cross-border areas.
Which were the main CAUSES of the OBSTACLE?
Which were the main EFFECTS of the OBSTACLE?
Please, describe briefly the factor(s) which mostly (3-4) aggravated the persistence of the Obstacle
Institution	Sub-Directorate General for Cooperation Relations with the Autonomous Communities
Contact details	José Elías Díaz Sub-Directorate General for Cooperation Relations with the Autonomous Communities Directorate General for Territorial Cooperation Ministry of Territorial Policy and Public Administration (+34) 912734615 joseelias.diaz@mpt.es
Year of record	2012