Author/Editor		Ferk, Jože
Title		Oblike sodelovanja zasebne prakse in javnega zavoda
Type		članek
Source		In: Rijavec V, Reberšek Gorišek J, Flis V, et al, editors. Medicina in pravo: sodobne dileme II. Maribor: Pravna fakulteta,
Publication year		2010
Volume		str. 13-22
Language		slo
Abstract		Stable funding for health is one of the key problems of European and other countries around the world because of the increasing financial burden on health systems. We are seeking new models of financing, organizing and delivering health services. Strategists and analysts of health systems see an important role in the privatization of health care and in a mixed form of privatization (quasi-privatization), which establishes a partnership between the private sector, the state, providers and users, while maintaining the state an important role. In Slovenia we have in health care privatization in the form of concessions and full privacy since 1993. This is followed by the insurance system that provides mandatory health insurance, 76 % of the rest being funded from the pockets of insured directly or through additional types of insurance. With this organization we follow the organization of health care in the developed world. Current practice in this area but also shows some weaknesses of the participation of the private and public sector, as both inherently different objectives. The role of government in creating thesereciprocal relationships is not efficient enough and insufficiently detailed. This results in certain problems.
Summary		Stabilno financiranje zdravstva je eden ključnih problemov vseh evropskih in tudi drugih držav širom po svetu zaradi vse večje finančne obremenitve zdravtsvenih sistemov. Iščejo se novi modeli financiranja, organiziranja in izvajanja zdravstvenih storitev. Strategi in analitiki zdravstvenih sistemov vidijo pomembno vlogo v privatizaciji zdravstva in to v mešani obliki privatizacije (kvaziprivatizacija), s katero se vzpostavlja partnerski odnos med zasebnim sektorjem, državo, izvajalci in uporabniki, pri čemer ohranja država pomembno vlogo. V Sloveniji imamo v zdravstvu privatizacijo v obliki koncesije in čiisto zasebništvo od leta 1993 dalje. Temu sledi tudi zavarovalniški sistem, ki zagotavlja z obveznim zdravstvenim zavarovanjem 76 % sredstev, ostalo pa se financira iz žepa zavarovancev neposredno ali preko dodatnih oblik zavarovanja. S takšno organizacijo sledimo organiziranosti zdravstva v razvitem svetu. Dosedanja praksa na tem področju pa kaže tudi določene pomanjkljivosti med sodelovanjem zasebnega in javnega sektorja, ker imata oba po naravi drugačne cilje. Vloga države pri oblikovanju teh medsebojnih razmerij ni dovolj učinkovita in ne dovolj natančno opredeljena. Zato prihaja do določenih problemov.
Descriptors		PUBLIC HEALTH PRIVATIZATION