magistrsko delo
Martina Copot (Author), Žan Oplotnik (Mentor)

Abstract

Zdravstveni sistem je pomemben del socialne varnosti in ima več funkcij, in sicer financiranje, pobiranje prihodkov, združevanje skladov, nabava, opravljanje zdravstvenih storitev, generiranje virov in skrbništvo. Del evropskih držav ima javno financiran nacionalni zdravstveni sistem, drugi del držav pa je razvil mešani sistem zdravstvenega zavarovanja z javnim in zasebnim zdravstvenim zavarovanjem. Evropska unija, države Evropskega gospodarskega prostora in Švica uporabljajo skupna pravila za zaščito socialnih pravic med gibanjem in delom ljudi v Evropi. Pomembna dejavnika stabilnosti zdravstvenega sistema sta tudi uvoz in izvoz zdravstvenih storitev. Obstaja šibka korelacija med celotnimi izdatki za zdravstvo na prebivalca in deležem uvoza zdravstvenih storitev v celotnih izdatkih za zdravstvo. Direktiva 2011/24/EU Evropskega parlamenta in Sveta o uveljavljanju pravic pacientov pri čezmejnem zdravstvenem varstvu je odziv na več sodb Sodišča Evropske unije. Državljani EU so dobili pravico do načrtovanega zdravstvenega varstva za določene storitve brez predhodne odobritve. Zaradi Direktive se povečuje število zahtevkov za povračilo in stroški za načrtovano čezmejno zdravstveno varstvo, čeprav ostajajo sorazmerno nizki in bodo imeli majhen vpliv na stabilnost zdravstvenega sistema. Direktiva prinaša možnosti za dodatne zaslužke slovenskih ponudnikov zdravstvenih storitev, razvoj medicinskega turizma in nove produkte zasebnih zavarovalnic.

Keywords

zdravstveni sistem;zdravstveno zavarovanje;zdravstveno varstvo;čezmejno zdravstveno varstvo;pravice pacientov;direktive;Evropska unija;

Data

Language: Slovenian
Year of publishing:
Typology: 2.09 - Master's Thesis
Organization: UM EPF - Faculty of Economics and Business
Publisher: M. Copot
UDC: 364-787.9(043.2)
COBISS: 12479772 Link will open in a new window
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Downloads: 165
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Other data

Secondary language: English
Secondary title: ECONOMIC IMPACTS OF THE CROSS BORDER HEALTHCARE DIRECTIVE
Secondary abstract: Health system is a very important part of social security and has more functions: financing, revenue collection, fund pooling, purchasing, provision of health services, resource generation in stewardship. One part of European countries has public financed national health system, while the other part of countries has developed mixed health insurance system with public and private health insurance. European Union, member States of the European Economic Area and Switzerland are using common rules to protect social security rights when people are moving and working in Europe. Important factors of health system stability are imports and exports of health care services. There is a weak correlation between total health expenditures per capita and imports of health services as a share of total health expenditures. Directive 2011/24/EU of the European Parliament and of the Council on the application of patients' rights in cross-border healthcare is the response to the rulings of the Court of Justice of the European Union. The EU citizens have become right on planned cross-border healthcare for certain services without prior authorisation. Because of the Directive, the reimbursement claims and costs for planed cross-border healthcare are rising, although they are staying relatively low and will have low impact on health system stability. The Directive brings opportunity for additional revenue for Slovenian health care providers, development of medical tourism and new products of private insurance companies.
Secondary keywords: Directive 2011/24/EU;health system;health insurance;cross-border healthcare;
URN: URN:SI:UM:
Type (COBISS): Master's thesis
Thesis comment: Univ. v Mariboru, Ekonomsko-poslovna fak.
Pages: IV, 96 str., II str. pril.
ID: 9140087