"The increasing presence of the private sector in public health care systems has made social partners question the effectiveness of existing national social dialogue arrangements. The emergence of issues such as patient mobility, workers' mobility and cross-border health care, which all required action at European level, led social partners at European level to build an informal process of social dialogue. This article examines the process of developing an informal sectoral social dialogue committee for the hospital sector at EU level, from 2000 until 2006, drawing on an analysis of documents, key informant interviews and participant-observer reflections. The findings show that developing the content of social dialogue is as important as the process itself and adequate representation is central to success. The most outstanding achievement of the informal process of social dialogue was that partners became more articulate about developing shared positions and gradually gained access to European institutions."

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