Author/Editor		Košir, Franc
Title		Primerjava zasebnega in javnega zdravstva v razvitih državah in državah tranzicije
Translated title		Comparation of private and public health care services in the developed countries and in countries in transition
Type		članek
Source		Zdrav Vestn
Vol. and No.		Letnik 68, št. 11
Publication year		1999
Volume		str. 681-4
Language		slo
Abstract		Background. This paper relates and compares private and public health care services in selected countries in transition and in the developed European countries on one side, and Slovenia. In the countries enjoying well established health care regulation with considerable tradition, the prevailing system is the state-sponsored public health care services engaging both private practitioners and employed physicians. Private health care practice is present in notable scales, financed, by sectors, primarily from private funds, a further important factor is the extent of health care capacities privatised. Conclusions. The countries in transition have embarked on a headlong (rampant) uncontrolled privatisation and promotion of private practice, which has resulted in surpluses of supply of health care services in the environment of scarce public funds and low citizens' purchasing power. In Slovenia, we have bounded these trends to instating private practice chiefly associated with a scheme of concessions while we have also retained the scope of programmes; furthermore, by means of voluntary health insurance, we have managed to provide the health care sector with considerable financial resources and thus stabilised the financing and operation of the public health care service. In the coming decade, Slovenia, likewise, envisages a progressive growth of the volume of private practice and voluntary health insurance policies.
Summary		Izhodišča. V prispevku so prikazana razmerja in primerjave med zasebnim in javnim zdravstvom v nekaterih državah v tranziciji in v razvitih državah Evrope s Slovenijo. V državah, kjer je zdravstvena ureditev dobro zasidrana in ima dolgoletno tradicijo, v pretežni meri država organizira javne zdravstvene službe, v katerih delajo tako zdravniki zasebniki kot zaposleni. Več je zasebnega zdravstva, kjer se financira po posameznih področjih v pretežni meri iz zasebnih sredstev, prav tako je pomembno, kolikšen obseg zdravstvenih zmogljivosti je privatiziranih. Zaključki. Države v tranziciji so šle v prehitro (pretežno) nekontrolirano privatizacijo in zasebno delo, kar je povzročilo preveliko ponudbo zdravstvenih storitev ob skromnih javnih sredstvih in majhni kupni moči prebivalstva. V Sloveniji smo pretežno uvedli le zasebno delo s koncesijo in zadržali obseg programov, sprostovoljnim zavarovanjem zdravstvu zagotovili znatna sredstva in s tem stabilizirali financiranje in poslovanje javne zdravstvene mreže. V naslednjem desetletju je pričakovati tudi v Sloveniji večanje obsega zasebnega dela in prostovoljnih zdravstvenih zavarovanj.
Descriptors		DELIVERY OF HEALTH CARE HEALTH SERVICES PRIVATIZATION INSURANCE, HEALTH DEVELOPED COUNTRIES SLOVENIA EUROPE HEALTH SYSTEMS PLANS