20.500.12556/DKUM-94679 Raziskava divergence manifestacij korupcije zdravstvenega sistema v Sloveniji z vidika centralizacije proti decentralizaciji diplomsko delo visokošolskega študijskega programa Informacijska varnost Exploring the divergent manifestation of corruption within the slovenian healthcare system with regards to centralisation versus decentralisation To diplomsko delo prispeva k dosedanji znanstveni literaturi o vplivu centralizacije in decentralizacije na koruptivna tveganja, z primerjavo zdravstvenega sistema Slovenije na strukturni ravni, z zdravstvom Avstrije in Švice. Različnim dimenzijam decentralizacije v praksi (Freille, Haque in Kneller, 2007), predstavimo pravokotni pojav (de)koncentracije (Haček, 2001), za preglednejše orodje pri lociranju koruptivnih tveganj. Decentralizacija se ponovno izkaže za bolj kompleksno kot avtomatski spust koruptivnih aktivnosti. Aplikacija zgornjega orodja, na dosedanjo literaturo o korupciji v slovenskem zdravstvu (Slak, Loknar, Behram in Dobovšek, 2023), nam prikaže mračno sliko, s katero potrdimo, da nepopolna decentralizacija, ki izpusti ključno fiskalno dimenzijo, le oslabi elemente unitarne ureditve, ki so po naravi le te, bolj odporni korupciji (Freille, Haque in Kneller, 2007). Centralizacija namreč ni vedno le objektivno zlo, zato naj rušenje hierarhij nikoli ni odločeno z lahkim srcem. Naša glavna kontribucija boju proti korupciji, pa je pregledna komparativna analiza, ki obsega vse tri države, razločene na organe njihovega zdravstvenega sistema, z ogledom na stopnjo centralizacije vseh (prirejeno po Bachner, Bobek, Habimana, Ladurner, Lepuschütz, Ostermann in Winkelmann, 2018). Transparenca namreč preostaja primarno orodje pri izkoreninjanju koruptivnih akterjev, kar je kritičnega pomena, ko obravnavamo kritično infrastrukturo. This thesis adds to the expanding knowledge base regarding the dynamic link between (de)centralization and corruption, via comparative analysis between healthcare structures of Slovenia, Austria and Switzerland. We recognize the practical dimensions of decentralization set forth by Freille, Haque in Kneller (2007), however we expand on the framework by acknowledging a perpendicular force of concentration and deconcentration (Haček, 2001), hoping to create a broader view of an institution, to accommodate easier pinpointing of corruption risks. From this expanded field-of-view we can corroborate the inadequacy of the once held bilateral view of (de)centralisation as an easy means to reduce corruption. Henceforth, this combined framework functioned as a lens to (re)interpret the extensive documentation, compilation and presentation of corruption within Slovenian healthcare by Slak, Loknar, Behram in Dobovšek (2023), resulting in a grim image, that corroborates former research, linking inadequate decentralization, to increased corruption. As Freille, Haque & Kneller (2007) elaborated, their empirical analysis suggests unitarism occasionally proves more resilient to certain forms of corruption, but decentralization, if lacking the crucial fiscal dimension, instead weakened those benefits. The main contribution we hope to provide, is a comparative analysis of structural elements comprising the Slovenian, Austrian and Swiss healthcare, with regards to their level of centralization (adapted from Bachner et al., 2018). Transparency, after all, remains the primary tool in unearthing, and uprooting corrupt elements, which remains of critical importance, especially when dealing with critical infrastructure. zdravstveni sistem centralizacija decentralizacija diplomske naloge corruption centralization decentralization healthcare true true false P. Zupan Slovenski jezik Angleški jezik Diplomsko delo/naloga 2025-08-25 12:23:33 2025-11-13 13:52:06 2025-11-14 03:10:57 0000-00-00 00:00:00 2025 0 Ljubljana 2025 Ljubljana VII f., 21 str. 0000-00-00 Zaloznikova Objavljeno NiDoloceno 0000-00-00 0000-00-00 0000-00-00 343.352:61(043.2) 257101571 VS_Zupan_Paskal_2025.pdf VS_Zupan_Paskal_2025.pdf 1 7537199E654AA511B7D519F5383481EB 69d1a8aaf65adf9e20cb5d624f27d86f9fa9d2e0d63e16f929dd658e7b43c8af 5ae39ec3-87d6-11f0-96a7-00155d000105 https://dk.um.si/Dokument.php?lang=slv&id=197300 Fakulteta za varnostne vede 0 0 0