ANALIZA SISTEMA FINANCIRANJA ZDRAVSTVA V SLOVENIJI S POUDARKOM NA PRIMARNI DEJAVNOSTI

Markuš, Erntruda

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Naslov:	ANALIZA SISTEMA FINANCIRANJA ZDRAVSTVA V SLOVENIJI S POUDARKOM NA PRIMARNI DEJAVNOSTI
Avtorji:	ID Markuš, Erntruda (Avtor) ID Festić, Mejra (Mentor) Več o mentorju...
Datoteke:	MAG_Markus_Erntruda_2011.pdf (2,86 MB) MD5: 1EF7D97384F38D7538D0CA517DFDFFD5 PID: 20.500.12556/dkum/11ecb33c-31bc-4516-a095-abfdf5768ae3
Jezik:	Slovenski jezik
Vrsta gradiva:	Magistrsko delo/naloga
Organizacija:	EPF - Ekonomsko-poslovna fakulteta
Opis:	Problematika financiranja zdravstva postaja zadnje čase problem večine držav. Naloga obravnava sisteme financiranje zdravstva v Republiki Sloveniji in v nekaterih izbranih državah. S pomočjo teoretičnih izhodišč, strokovne literature in statističnih podatkov poskuša potrditi na začetku zastavljene hipoteze. Namen naloge je proučiti sistem financiranja zdravstva v Republiki Sloveniji in v nekaterih drugih izbranih državah ter na osnovi njihovih prednosti in slabosti predlagati spremembe sistema financiranja slovenskega zdravstva, ki bi vodile v finančno vzdržen in učinkovit sistem. Namen naloge je tudi opredeliti sedanji položaj zdravstvenega doma v primarnem zdravstvu ter proučiti smernice za njegovo mesto in pomen v prihodnosti. Z nalogo smo potrdili hipotezo, da se izdatki za zdravstvo povečujejo v večini držav. Vzrok za to je v daljši življenjski dobi, velikem napredku tehnologije, ki daje v zdravstvu veliko več možnosti zdravljenja kot pred leti, v samem načinu življenja in v miselnosti ter zahtevnosti sedanje družbe. Zaradi tega denarja v zdravstvu ni nikoli dovolj in mnoge države iščejo ter proučujejo nove modele financiranja zdravstva, ki bi bili finančno vzdržni in učinkoviti ter ne bi negativno vplivali na kakovost. Ugotovili smo tudi, da najdražji sistemi nujno ne nudijo tudi najvišje kakovosti, vsekakor pa sta višina izdatkov namenjenih za zdravstvo in kakovost pozitivno povezana. Potrjuje se tudi predpostavka, da število zdravnikov z leti ne narašča skladno s povečevanjem izdatkov za zdravstvo. Vzroki so predvsem v dolgotrajnem in dragem študiju ter v samih kapacitetah učnih bolnišnic, potrebnih za izvajanje praktičnih vaj. Povečuje se število prebivalstva in daljša njihova življenjska doba, kar prinaša nove bolezni, kronična obolenja in starostne zdravstvene težave ljudi. Vse to pa povečuje potrebe po večjem številu zdravnikov in višjih sredstvih za zdravstvo. V nalogi smo prišli do zaključka, da bo v prihodnje potrebno vzpostaviti tak sistem financiranja zdravstva, ki bo finančno vzdržen, hkrati pa bo nudil visoko kakovost in možnost usmerjenosti posameznih zdravstvenih ustanov na tiste skupine ljudi, ki so v določenem območju najbolj rizične in izpostavljene največjemu tveganju za zdravje. Usmeriti se bo potrebno v preventivne dejavnosti, ki bolezni preprečujejo in jih izvajamo predvsem na primarni ravni. Za tak način dela pa je zdravstveni dom eden najprimernejših in najcenejših oblik organizacije primarnega zdravstva. Potrebno bo le, da postane fleksibilnejši in se sproti prilagaja potrebam družbe. Potrebno bi bilo razmisliti tudi o sistemu dogovarjanja z ZZZS in prenosa nekaterih specialističnih dejavnosti v ambulantno dejavnost zdravstvenih domov.
Ključne besede:	financiranje zdravstva, zdravstveni sistemi, zdravstvena ekonomika, zdravstveni dom, primarno zdravstveno varstvo, obvezno zdravstveno zavarovanje, javno in zasebno zdravstvo
Kraj izida:	[Maribor
Založnik:	E. Markuš
Leto izida:	2011
PID:	20.500.12556/DKUM-17392
UDK:	614
COBISS.SI-ID:	10644764
NUK URN:	URN:SI:UM:DK:ZH6DRKQR
Datum objave v DKUM:	11.05.2011
Število ogledov:	5761
Število prenosov:	990
Metapodatki:
Področja:	EPF
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Sekundarni jezik

Jezik:	Angleški jezik
Naslov:	THE ANALYSIS OF SLOVENIAN HEALTH CARE FINANCING SYSTEM WITH THE EMPHASIS ON PRIMARY HEALTH CARE
Opis:	Health care financing is becoming a problem in most countries these days. The master thesis deals with health care financing system in the Republic of Slovenia and some other chosen countries. On the basis of theoretical starting points, expert literature and statistical data it tries to confirm initially set up hypotheses. The purpose of the thesis is to examine health care financing system in the Republic of Slovenia and some other chosen countries, and on the basis of their advantages and disadvantages propose changes of Slovenian health care financing system which would lead to a financially sustainable and effective health system. In addition to this, the purpose of the thesis is also to define the current position of health center in primary health care and examine the guidelines for its position and importance in the future. Firstly, the thesis has confirmed the hypothesis that health expenditure is increasing in most countries. This is due to the longer life expectancy, big technological progress which provides the health care system with more treatment possibilities than years before, lifestyle, mentality and complexity of today’s society. Therefore, there is always lack of funds in health care and many countries seek and examine new models of health care financing which would be financially sustainable and effective and would not have negative impacts on quality. In addition to this, we have determined that the most expensive systems do not necessarily provide the highest quality; however, the amount of funds intended for health care and quality are positively linked. Secondly, the hypothesis that the number of doctors does not increase in accordance with the enlargement of health care funds has also been confirmed. The reasons for it are mostly in the long-lasting and expensive study and capacities of learning hospitals which are necessary for the implementation of practice. Furthermore, the number of population is growing and life expectancy is increasing which causes new diseases, chronic illnesses and old age health problems. Finally, this leads to the increase of needs for more doctors and more funds for health care. In the thesis we have come to the conclusion that in the future it will be necessary to establish such a health care financing system which will be financially sustainable and will at the same time provide high quality and the possibility for individual health care institutions to concentrate on those groups of people which are the most at risk and the most exposed to the highest health risks on certain areas. There will be a need for focusing attention on preventive activities which prevent diseases and are implemented mostly on primary level. Certainly, health care center is one the most appropriate and the cheapest forms of primary health care organization to implement the above mentioned type of work. Nevertheless, it will need to become more flexible as far as society needs are concerned. In addition to this, the system of negotiation with the Health Insurance Institute of Slovenia and the transfer of some specialist activities into ambulance activity of health care centers should also be taken into consideration.
Ključne besede:	health care financing system, health care systems, health care economics, health center, primary health care, compulsory health insurance, private and public health care

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