Posebnosti pri izvajanju zdravstvene dejavnosti v mreži javne zdravstvene službe

slovenian

2024

volume 50, issue 6/7

Narodna in univerzitetna knjižnica
(Obvezni izvod spletne publikacije)

In the public healthcare network, providers act to the benefit of mandatorily insured persons. It is subject to a different legal regime than for providers who deliver market healthcare. Slovenian Constitution distinguishes provision of healthcare from public and private funds. The problem is that we have not been able to agree on such network yet. It must be based on the health needs of the population and not the ability (desire) of individual providers. Integration into the network occurs with the conclusion of a contract with the Health Insurance Institute of Slovenia (ZZZS), not with the granting of a concession. In addition to the general conditions, providers in the public network must also meet special conditions. These can include admission, staff employed for the full implementation (including complications) of the undivided programme, competence and education about the public network, departments of good quality can be rewarded and patients informed, separate accounts must be kept, emphasised are solidarity and non-profitability (considering the nature of activity, not legal form). Payment models need to be updated.

08.12.2025