B. Lisak firsthand - how the healthcare Croatia
- Date of the news:
- Component:
- Subproject:
B. Lisak firsthand -
HOW DOES HEALTH CROATIA
Director of Health Poltava Regional State Administration Viktor Lisak held a meeting with experts of the Department.
He described the results of a study tour to the Republic of Croatia in the delegation of experts from the Ministry of Health of Ukraine, directors of departments and departments of health regions of our country that are involved in the implementation of sub-projects of the World Bank Project "Improving health in the service people. "
Viktor Petrovich told about the features of the health care system of the Republic of Croatia, which consists of 21 regions with a total population of almost 4.5 million residents. He drew attention to the fact that the average life expectancy in the country is 86 years old!
Despite the fact that in the 1990s the country the privatization of medical institutions, their activities are controlled by the state. Most medical facilities are private primary care, but some of them are owned by municipalities. All institutions of secondary level (hospitals and hospitals) are in municipal ownership, and high-tech health care institutions are public. Since 2009, the country allowed public-private partnership, in which municipal and district authorities to conduct private medical facilities tenders for the provision of certain types of primary health care services. This enhanced the quality of services and strengthen the role of municipalities in primary health care.
Currently, the Ministry of Health and Social Welfare of the Republic of Croatia has 13 units. Operates Institute of Public Health, which includes 21 regional centers of public health. Croats medical care is provided in 61 hospitals and 49 primary health centers you care.
The delegation from Ukraine, visiting medical institutions Croatia had become acquainted with the peculiarities of the implementation of related clinical and statistical groups, work centers of primary health care.
There was a detailed description of the principles of financing in local health care. Members of the delegation learned that since the 2000s, health care spending in the country increases annually. In 2012, they amounted to 6.8% of GDP - is less than in many other European countries. In 2013, for health care was spent 17.6% of the state budget, and 91% of these funds were directed to financing of health services provided under the mandatory health insurance. The structure of health spending public funds constitute 82.32% - more than in many other European countries. In terms of per capita health care costs in Croatia are $ 1,410 per year (for comparison: Europe's largest medical expenses in Luxembourg - $ 6340 per year).
Basis of Health of Croatia is a system of compulsory medical insurance (MHI), all nationals and foreigners (including all family members) living in the country for more than 3 months are required to have a policy CBOs. In 1993 the country was created by Croatian Health Insurance Fund (CHIF), which is the only insurer in the system of compulsory medical insurance and basic health care purchasers.
For the unemployed and pensioners with an income less than the average wage paid MHI contributions from the state budget.
In addition, the Ukrainian experts were able to see firsthand how the private practitioners and conventional doctors. The feature of both types of medical services is a significant development of electronic document distribution and IT technology. This is one of the undoubted advantages of Croatian medicine. The current E-Health program saves money and paper, and most importantly - the time a doctor can spend to the reception the next patient. Besides the obvious advantages (such as reducing waiting times to medical care), this system improves the financial performance of hospitals and reduces red tape to much lower figures. In the center of the country's health system tied not only to hospitals and clinics, but the pharmacy. Maintenance is carried out by each patient plastic card health insurance. It features multifaceted - it stores data about the patient, prescription and even the option to pay for drugs in pharmacies. Pharmacist sees through the map discharged patient a prescription from a doctor, and payment, made using the card, is insured under the drug provision (ie get the medicine by the state can be if the drug is in the list of legislation adopted free or preferential medicines). In pharmacies medicines dispensed only by prescription.
If the patient is in the hospital, the 43 days it pays for the company or institution where he works.
In the outpatient family medicine are 3 doctors and 3 nurses. In the centers of primary health care nurses working patronage.
Visiting a number of hospitals cities in Croatia, the delegation learned about the peculiarities of physicians in the treatment of patients, in particular - the "hospital one day."
To sum up the story, the director DOSES V.Lysak colleagues focused on the possibility of using some positive and effective elements of the Croatian Health to Poltava realities.
Press Room DOSES Poltava Regional State Administration
Foto
