|Implemented in this survey?|
Given that there were very different data concerning effective waiting list periods in different hospitals, a decision was taken that a national waiting list for a number of the most common conditions should be formed. In order to support such an approach, a web-based solution was developed, which should clearly present the up-to-date situation in Slovenia. The National Institute of Public Health was appointed to carry out this task, because of its role in the reporting system in health care.
The main purposes of this health policy tool were to form a national waiting list system, which would:
There would therefore be three types of benefits - for national health policy, for patients and for hospitals as providers of health care. The instrument is intended as a pure orientation tool and does not incur any financial liability or consequences. It is currently a voluntary system with no specific sanctions in place, but it is supposed to become compulsory with possibly some sanctions for extreme 'outliers'. This question, however, is still under discussion.
A web-based solution for a monthly insight into the situation with waiting times for the most common diagnostic and therapeutic procedures.
The main incentive for the providers is currently non-financial and it is the possibility of their patients to have an insight into the situation, thus offering transparency and a certain level of competitiveness.
Hospitals (as providers), patients, Ministry of Health/national health policy makers
|Medienpräsenz||sehr gering||sehr hoch|
Waiting lists in health care have become a very serious political issue and there were a lot of complaints about the lack of transparency in the system. On the one hand, patients had no insight into which hospital would have the shortest waiting times for the treatment they require. On the other hand, patients, striving to overcome the burden of waiting, would sometimes decide to apply for a certain procedure simultaneously in different hospitals.
National health policy aimed at reducing waiting times and to provide more transparency both for patients as well as for health care providers.
|Implemented in this survey?|
The solution proposed is not an authentic Slovenian solution but it builds on the domestic and foreign experience related to the development of centralised support for the waiting list system.
The approach of the idea is described as:
The idea was welcomed both by providers as well as by patient groups. The system will allow for patients to review the situation with waiting lists and to select their potential speediest provider of the services they require.
|Health policy||sehr unterstützend||stark dagegen|
|Hospitals as health care providers||sehr unterstützend||stark dagegen|
|Patients||sehr unterstützend||stark dagegen|
Whether the outcomes of this process would lead to a formal piece of legislation or standing orders by the Minister of Health, it needs to be noted that the pilot implementation and testing of the solution were the most important steps towards its full implementation.
|Health policy||sehr groß||kein|
|Hospitals as health care providers||sehr groß||kein|
Adoption and implementation will be done by the MoH in agreement with the key providers, that is all the hospitals involved. The only tool that is currently missing is the obligation against the contract with the Health Insurance Institute of Slovenia (HIIS) in order to ensure adequate and timely delivery of reports. Patients will be represented by the Consumer Association of Slovenia and will be able to participate in the structuring of the final solution.
In itself the solution is open to continued evaluation and monitoring given that it is a 'live' application. Its correspondence to the real situation on ground is the most important factor in evaluating its success and the quality of the data presented.
Halbzeitevaluation, Abschlussevaluation (intern)
It is expected that there will be better co-ordination of access to certain procedures, which had the longest waiting lists in the past. Also, the waiting times now serve as benchmarks in attracting patients. As these procedures commonly yield decent incomes and are of important volumes even to smaller providers, a certain level of competition is going to be observed. The most important limiting factor to this process is the shortage of health professionals which may have adverse effects on the availability of certain services and procedures.
|Qualität||kaum Einfluss||starker Einfluss|
|Gerechtigkeit||System weniger gerecht||System gerechter|
|Kosteneffizienz||sehr gering||sehr hoch|
Ministry of Health: www.mz.gov.si
Institute of Public Health of Slovenia - online application: http://ivztest.marg.si/Pages/Anonimni_CakalneDobe.aspx