1 / 12

CROATIAN HEALTH CARE SYSTEM IN TRANSITION

CROATIAN HEALTH CARE SYSTEM IN TRANSITION. Miroslav Mastilica ‘Andrija Stampar’ School of Public Health Medical School, University of Zagreb, Croatia. CROATIAN HEALTH CARE REFORM: PRIVATISATION RATIONING MARKETISATION. 1. PHASE - PROVIDERS ORIENTED

cathal
Télécharger la présentation

CROATIAN HEALTH CARE SYSTEM IN TRANSITION

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. CROATIAN HEALTH CARE SYSTEMIN TRANSITION Miroslav Mastilica ‘Andrija Stampar’ School of Public Health Medical School, University of Zagreb, Croatia

  2. CROATIAN HEALTH CARE REFORM: • PRIVATISATION • RATIONING • MARKETISATION

  3. 1. PHASE - PROVIDERS ORIENTED • Centralization of financing ("Croatian Institute for Health Insurance ") • Control of provision of services

  4. 2. PHASE - CONSUMERS ORIENTED • Voluntary health insurance • supplementary insurance • private insurance • Co-payments • Private practice • a) full private • - with or without contract with • insurance fund • b) in PHC in rented offices / contracted

  5. DEVELOPMENT OF MARKET • PROVIDERS • public (still dominant) • private (growing) • SERVICES OFFERED • public providers - services covered by compulsory health insurance (all what is available) • private providers – services covered by supplemental insurance • amenities • OTC medicaments • alternative medicine

  6. CONSUMERS • GDP per capita 5000 US$ (2002) • Average income 480 US$ • HCE per capita 400 US$ • THIRD PARTY - 2002 • COMPULSORY BASIC HEALTH INSURANCE • covers 85% - 25% of total price of services or drugs • co-payments from the insured 15% - 75% of the cost for most health care services or drugs

  7. VOLUNTARY HEALTH INSURANCE • 50% of the population • SUPPLEMENTARY HEALTH INSURANCE • covers the difference between the basic insurance and the total service or drug cost • greater scope of rights or standard for contracted health services • amenities PRIVATE HEALTH INSURANCE • full coverage of contracted health care services

  8. Health care providers in public (or state owned) institutions and in private sector (Croatia 2000-2004)

  9. … in percentages (2000-2004)

  10. CURRENT SITUATION • reductions in the right to health care within the mandatory health insurance system • introduction of market mechanisms into the health care and health insurance system • citizens as patients are paying a growing share of health services transforming them into consumers

  11. INCREASE OF DIRECT PAYMENTS • reduced access / utilization of services and medicaments • PRIVATISATION AND MARKETISATION • two-tiered system for necessary health services • new inequalities / inequities in access / utilization / quality of services • low income persons in disadvantaged position in access to quality services

  12. HEALTH CARE REFORM IN CROATIA transformation of health services from SOCIAL GOODS to COMMODITIES from PUBLIC to MARKET

More Related