|Implemented in this survey?|
In contrast with the former planning processes in health care, Slovenia remained without a valid health plan since 2004. The lack of direction, strategical guidance and consistency in the decision making process resulted in several shortcomings. Most notable would be lack of strategy for the expenditure side of health care consumption, no uniform policy on health workforce planning and no clear-cut policy on approaching the challenges posed by privatisation in health care and demographic change.
The preparation of the Resolution for the national health care plan arose from the need for a strategic document in health care to be adopted, regardless of the close end of this government's term.
The main objectives were:
The proposed Resolution is a strategic and planning document, which is supposed to provide guidance for the development of health care delivery in Slovenia over the period of the next six years. It provides the following elements:
General population and (chronic) patients, Health care providers, Health professionals and their associations
|Medienpräsenz||sehr gering||sehr hoch|
The most important factor that determined the pace of the preparation of the proposed Resolution was the need to adopt a national health plan, incorporating the national strategy for health and health care. The process under the previous minister for health, dr Brucan, was very lengthy and it did not yield positive outcomes. Furthermore, the proposal of a draft national health plan had been rejected after an open public debate. Soon after that, the minister resigned.
The incoming minister, Mrs Mazej-Kukovic took up the task to prepare a national health plan quickly and seriously. In view of the several hot topics, such as investments in public hospitals, she was unable to launch specific activities on the preparation of the plan before Christmas 2007. Then it was decided that the new health plan would be given the highest priority in the present government. The main principle was in implementing the EU principles and in defining some of the outstanding tasks in the strategy and planning of the national health care system.
Change of minister and the need to have the national health plan ready for adoption.
|Implemented in this survey?|
The strategy or indeed the resolution was started after the failure of the previous national health plan and strategy. The main idea of the resolution was to make an outline for the national health strategy, define the principles of the future development of health care in Slovenia and to list the priority area in the domains of: health care delivery, health information systems, quality assurance in health care, etc.
The main driving force was the minister, Mrs Zofija Mazej Kukovic, who decided to push strongly for the national health plan to be adopted during her short term (1 year) in office. The approach to the preparation of the document was completely new , but some aspects were borrowed from earlier discussions. There was much less stress on privatisation than in the previous document.
The approach of the idea is described as:
renewed: It was first voiced in 2005 when the previous minister started the work on a new health plan.
There was a lot of criticism directed at the Ministry of Health (MoH), as the process of the public debate took a very short time at first and it was found necessary that more substantial evidence needs to be presented in view of the statements and decisions that were to be taken by the MoH with respect to health workforce planning, distribution and organisation of health care.
New Minister taking the lead
The leadership stayed with the MoH, while there was strong opposition by the Health Insurance Institute (HIIS). The minister herself felt very assertive in this matter and she managed to minimise the existing porter.
|Ministry of Health||sehr unterstützend||stark dagegen|
|Public providers||sehr unterstützend||stark dagegen|
|Private physicians||sehr unterstützend||stark dagegen|
|Health Insurance Institute||sehr unterstützend||stark dagegen|
|Mutual insurance companies||sehr unterstützend||stark dagegen|
|Coalition||sehr unterstützend||stark dagegen|
|Opposition||sehr unterstützend||stark dagegen|
|Ministry of Health||sehr groß||kein|
|Public providers||sehr groß||kein|
|Private physicians||sehr groß||kein|
|Health Insurance Institute||sehr groß||kein|
|Mutual insurance companies||sehr groß||kein|
The document will now enter into open parliamentary debate, which means that disputes over some aspects of the plan will remain high on the agenda. This applies in the first place on the following topics:
|Qualität||kaum Einfluss||starker Einfluss|
|Gerechtigkeit||System weniger gerecht||System gerechter|
|Kosteneffizienz||sehr gering||sehr hoch|