On September 3, 2015, the European Commission published its report on the operation of Directive 2011/24/EU on the application of patients' rights in cross-border health care ("CBHC Directive"). The "state of play" report of the CBHC Directive highlights legislative advances at the EU level in the past two years coupled with genuine efforts at national level. The document reports that the CBHC Directive has improved transparency and patient mobility throughout the EU and enabled progress on Health Technology Assessment, e-Health cooperation, and European Reference Networks. However, the report also shows that European citizens' awareness about their right to choose health care in another EU country remains low.

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