|Implemented in this survey?|
In October 2004, the newly elected center-right government announced new or changed reforms in health care. While the health care reforms of previous governments will be partly carried on, the overall environment will be more favourable for private provision and for market-oriented reforms in both economics and social affairs.
Several policy documents announce the changes: a more favourable environment for private provision of care, instituting the concept of 'free specialist', introduction of the right to be excluded from co-payments on social status grounds, restructuring of the private insurance market, incentives for more efficient and effective health care. The reform will be marked by the initial changes of the basic health care legislation dating from 1992 and later, by a process of continued changes in financing and organisation of health care.
Some of the main objectives of the health policy changes are summarized in the Program of the Government of Slovenia for 2005:
low income groups, all earning not salaried incomes - financial, real-estate etc., health insurance providers - mandatory and voluntary, injured in non-work related accidents and injuries
|Medienpräsenz||sehr gering||sehr hoch|
There are three main areas of intervention for the present government:
The changes are based on a redefined mandatory health insurance basket of rights, reducing certain rights related to sickness leave financial benefits (lowering percentages of reimbursement for salaries during absence for injury-related conditions), introduction of a lower margin of income as the base for transfer of such insurees into mandatory health insurance instead of voluntary health insurance schemes.
A significant change of government with introduction of a more liberal approach to organisation, delivery and financing of health care.
|Implemented in this survey?|
The main reason and the essential shift in the plans for reforming health care lies in the new government formed at the end of 2004, following a changed structure of the political arena.
The former opposition parties (Slovene Democratic Party - SDS and Nova Slovenija - NSi) obtained the biggest number of votes, forming a coalition with two smaller political parties - Slovene People's Party - SLS and the Democratic Pensioners' Party - DeSUS. Despite the fact that the latter two parties formed the outgoing coalition, it is an important change of government.
Health care is dealt within the coalition contract signed at the end of November 2004 and includes the topics discussed under the previous heading.
The approach of the idea is described as:
renewed: Some of the concepts were in debate at the time of introduction of the existing health care and health insurance legislation. Later some of those (like liberalisation, opening the door to private provision and delivery of health care) were abandonned.
There are clear indications of developments towards a more liberal and market-oriented reform of the economical space as well as the social services. The private sector will be gaining more space but at the same time more supervision, quality assurance and supervision is to be introduced.
|Qualität||kaum Einfluss||starker Einfluss|
|Gerechtigkeit||System weniger gerecht||System gerechter|
|Kosteneffizienz||sehr gering||sehr hoch|
Tit Albreht, IVZ