Author/Editor		Košir, Franc
Title		Interesi javnega zdravstvenega zavarovanja v odnosu med bolnikom in zdravnikom
Type		članek
Source		Zdrav Vestn
Vol. and No.		Letnik 67, št. 11
Publication year		1998
Volume		str. 655-7
Language		slo
Abstract		Background. One of the governing principles in the health care sector is the principle of a doctor's sovereignty in directing the process of treatment and in takin such professional medical decisions which, in his professional opinion, lead in the fastest and most effective way to the patient's convalescence. In his direct, market relationship with the patient, the doctor should enjoy unlimited professional freedom - clinical sovereignty. The doctor should implement, free of any economic constraints, the optimal professional medical doctrine. A doctor, providing health care services on the account of a public health insurance fund, should, opposite to the above, respect the agreed and feasible professional medical doctrine, remunerable from public funds. Conclusions. This contribution discusses certain limitations to the professional sovereignty and the division of the responsibility for a successful medical treatment of an individual patient, and for the citizens' health among the state, which determines the scope and contents of the public health insurance, the sponsor, who faciliates the health insurance scheme, and the doctor, who is responsible for the delivery of health care services in agreed extent and quality to all insured persons.
Summary		Izhodišča. V zdravstvu velja praviloma načelo, da zdravnik suvereno vodi proces zdravljenja in sprejema strokovno medicinske odločitve, ki po njegovem strokovnem prepričanju najhitreje in najbolj uspešno vodijo k ozdravitvi bolnikov. Zdravnik naj bi tako imel v nepostrednem, tržnem odnosu med njim in bolnikom neomejeno poklicno prostost - klinično svobodo. Brez ekonomskih omejitev naj bi uporabljal optimalno strokovno medicinsko doktrino. Zdravnik, ki opravlja zdravstveno dejavnost na račun javnega zdravstvenega zavarovanja, pa mora upoštevati dogovorjeno, dosegljivo, na javni račun plačljivo strokovno medicinsko doktrino. Zključki. Vprispevku obravnavamo nekatere omejitve poklicne prostosti in porazdelitve odgovornosti za uspeh zdravljenja posameznega bolnika in zdravje prebivalstva med državi ki določa obseg in vsebino javnega zdravstvenega zavarovanja, plačnikom, ki takšno zavarovanje izvaja in zdravnikom, ki mora nuditi zdravstveno dejavnost v dogovorjenem obsegu in kakovosti vsem zavarovanim osebam.
Descriptors		HEALTH CARE COSTS INSURANCE, HEALTH HEALTH SERVICES PHYSICIAN-PATIENT RELATIONS