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General information

Latest international publications

Statistical data used

Key facts and figures

Additional national statistics

Office(s) in charge of data collection

Overview of main stakeholders

Overview of policies

Specific sources

Disclaimer

General information

COUNTRY: Slovakia
KNOWLEDGE BROKERS

Lubica Löffler, Analyst and Consultant, Pažitný & Kandilaki, Slovakia;

Peter Pažitný, Economist and Healthcare Expert, Managing Director of Central & East European Health Policy Network, Pažitný & Kandilaki, Slovakia;

Daniela Kanilaki, Economist and Healthcare Expert, Pažitný & Kandilaki, Slovakia

SEPEN thanks the knowledge brokers for their contribution in checking and completing the country-information. SEPEN is accountable for the content of the country profiles.

Latest international publications

Statistical data used

Type of information Source Year Remarks
Table 1: Health workforce stock and replacement OECD 2018 Age characteristics of the nursing stock are not reported.
Figure 1: Mobility level in absolute numbers OECD 2018 Only immigration data for OECD countries are available. The data produced are therefore incomplete. Not all OECD-countries register the country of origin of incoming health professionals and some do not register incoming health professionals at all. Emigration data are based on immigration numbers in other OECD-countries, as emigration as such is not registered nor reported.
Figure 2a: Number of practicing physicians per 1000 inhabitants Eurostat 2018 Figure 2a presents regional distribution of physicians. Maps are formatted according to the NUTS classification obtained from Eurostat or recent national data provided by the key country informants. The national average is derived from the OECD/Eurostat databases, and the EU average from the “Health at a Glance: Europe” report published in November 2020.
Figure 2b: Number of practicing nurses and midwives per 1000 inhabitants  Eurostat 2014 Figure 2b presents regional distrubution of nursing and midwifery. Maps are formatted according to the NUTS classification obtained from Eurostat or recent national data provided by the key country informants. The national average is derived from the OECD/Eurostat databases, and the EU average from the “Health at a Glance: Europe” report published in November 2020.

Key facts and figures

OECD and Eurostat STATISTICS

Statistic Number Data Year
Total population 5 450 421 2019
Life expectancy at birth 77,4 2018

Source: Eurostat

  Licensed to practice Practising Professionally active  
Statistic Number Per 1000 inhabitants Number Per 1000 inhabitants Number Per 1000 inhabitants Data year
Physicians Not reported Not reported Not reported Not reported 19 178 3,52 2018
> Generalist Medical Practitioner Not reported Not reported Not reported Not reported Not reported Not reported 2018
> Specialist Medical Practitioner Not reported Not reported Not reported Not reported Not reported Not reported 2018
Nurses Not reported Not reported Not reported Not reported 31 061 5,70 2018
Midwives Not reported Not reported Not reported Not reported 1 742 0,32 2018
Dentists Not reported Not reported Not reported Not reported 2 779 0,51 2018
Pharmacists Not reported Not reported Not reported Not reported 4 354 0,80 2018
Physiotherapists Not reported Not reported 1 955 0,36 Not reported Not reported 2018

Source: OECD

Additional national statistics

Statistic Number per 1000 inhabitants Data Year
Speech therapist 161 2018
Psychologist 637 2018
Physiotherapist 1955 2018

 

Office(s) in charge of data collection

Name Role Website
National Health Information Center  Data collection in health care sector http://www.nczisk.sk/Pages/default.aspx 
Statistical office of Slovakia Data collection (demography, some health indicators as well) https://slovak.statistics.sk/wps/portal/ext/home/!ut/p/z0/04_Sj9CPykssy0xPLMnMz0vMAfIjo8ziA809LZycDB0NLPyCXA08QxwD3IO8TAwNTEz1g1Pz9AuyHRUBtph-Sw!!/ 

Overview of main stakeholders

Public representatives

Name Role Website
Health Ministry Regulation, owns state hospitals, state general HIC https://www.health.gov.sk/Titulka
Institute for Health Policies (under auspices of Health Ministry) Preparation of analysis, recommendations and preparation of policies https://izp.sk/ 
Self-governing regions Regulation (local operative competences), permits for the operation of health care facilities,  8 regions: Trnava, Bratislava, Nitra, Trenčín, Banská Bystrica, Žilina, Košice, Prešov
Health Insurance Companies Contracts with providers (physicians) determine working conditions of providers General HIC. Dôvea HIC, Union HIC

Health profession representatives

Name Role Website
Slovak Medical Chamber To promote and advocate the interests of their members, maintain the register of health professionals and provide continuous education, grant licences, participate in legislation drafting and educational programmes https://old.lekom.sk/en/index.php 
Slovak Chamber of Dental Physicians https://www.skzl.sk/ 
Slovak Pharmaceutical Chamber https://www.slek.sk/ 
Slovak Chamber

of Nurses and Midwives

https://www.sksapa.sk/ 
Association of Hospitals of Slovakia Negotiations with health insurance companies https://www.asociacianemocnic.sk/ 
Association of Private Physicians Participation in legislation drafting http://new.aslsr.sk/#slider 
Slovak Trade Union of Employees in Health and Social Services To protect and ensure that the needs and interests of its members are met (salaries etc.) http://www.szu.sk/index.php?&menu=71&oid= 

Academic representatives

Name Role Website
Comenius University in Bratislava  Education of the health workforce (undergraduate, postgraduate training, CPD) https://www.fmed.uniba.sk/en/ 
Slovak medical University in Bratislava http://eng.szu.sk/ 
Pavol Jozef Šafárik University in Košice https://www.upjs.sk/lekarska-fakulta/ 
St. Elisabeth University of health care and social work http://www.vssvalzbety.sk/english-info 
Trnava University http://fzsp.truni.sk/en 
Constantine the Philosopher University in Nitra https://www.ukf.sk/en/university
Catholic University in Ružomberok http://www.ku.sk/en/
Prešov University https://www.unipo.sk/en/
Alexander Dubcek University of Trencin https://tnuni.sk/univerzita/historia/historia/
Faculty and university hospitals Education of the health workforce – practice https://infomedica.sk/zoznam-nemocnic/ 

Overview of policies

Manage shortages and maldistribution of skills

Original name Stabilizačné štipendium
Name in English Stabilisation scholarship
Short description

Incentive policy to study nursing and stay in Slovakia and work in the system. Stabilisation scholarship of €2,000 is granted per year to nursing students. Graduated students are obliged to stay and practice in the national health system for at least 2 years of every paid year; if not, the same amount has to be paid back to the state. A total of 2,758 million EUR were earmarked for the scholarship of nursing students from the state budget.

Publication date 18 September 2018 
Link to full text https://rokovania.gov.sk/RVL/Material/23194/1 (Návrh „uznesenia”)

Improving performance

Not reported

Address outflow mobility

Original name Inštitút dočasnej odbornej stáže
Name in English Temporary internship
Short description

The Ministry of Health has introduced the concept of temporary internship. It allows doctors from the non-EU countries (for example, Serbia, Romania) to work in hospitals (1 year at most) before passing the compulsory exams and recognition of their qualification. 

Publication date 2019
Link to full text https://spravy.pravda.sk/domace/clanok/516721-stat-pootvoril-dvere-lekarom-z-ukrajiny-ci-srbska/ [23 June 2019]

Education, enrolment and recruitment

Original name Rezidentské štúdium
Name in English Residency programme
Short description A residency programme was started in 2014 (financed from EU funds, currently it is paid from the state budget) with the aim of reducing the vacancies in GP positions by subsidising students who wish to specialise in general medicine or paediatrics, but do not have the financial means and a practice to carry on with the necessary studies. In 2018, the programme was extended to several new specialisations (e.g. radiology, geriatrics, gynaecology), and expanded to include specialisations for nurses: anaesthesia and intensive care, surgical instrumentation and nursing care in psychiatry. 
Publication date 2014
Link to full text https://www.health.gov.sk/?rezidenti

Education staff & infrastructure

Not reported

Continuous professional development (CPD)

Original name Sústavné vzdelávanie zdravotníckych pracovníkov
Name in English Continuous education of health professionals
Short description

In accordance with § 42 of Act 578/2004 Coll. on healthcare providers, health workers and professional organisations in the health and amending certain laws, each health professional is obliged to register in the relevant professional chamber and regularly update their occupational and educational activities. Every physician is obliged to attend continuous professional development programmes. Professional chambers are responsible for monitoring fulfilment of mandatory CPD requirements.

Publication date 2004
Link to full text §42 of Act 578/2004 https://www.zakonypreludi.sk/zz/2004-578

Regulation of private sector

Not reported

Working conditions

Original name Platový automat
Name in English Payroll automat
Short description

In 2011, the government adopted a memorandum that legally declared the minimum threshold of salaries for hospital physicians. The wages are defined as multipliers of the national wage average and range from factor 1.3 up to 2.3, according to the level of specialisation. The memorandum was enhanced to nurses and midwives. Complying with the new legislation, wages have been gradually increasing.

Publication date 2011 (increase started)
Link to full text §80 of Act 578/2004, https://www.zakonypreludi.sk/zz/2012-62

Others

Not reported

Specific sources

List of sources specific to this country:

 

Last updated: 10 October 2020

Disclaimer

The country fiches are produced under the EU Health Programme 2014-2020 under a service contract with the Consumers, Health, Agriculture and Food Executive Agency (Chafea) acting under the mandate from the European Commission. The information and views set out in the country sheets are those of the author(s) and do not necessarily reflect the official opinion of the Commission/Executive Agency. The Commission/Executive Agency does not guarantee the accuracy of the data included in this study.

Neither the Commission/Executive Agency nor any person acting on the Commission’s/Executive Agency’s behalf may be held responsible for the use which may be made of the information contained therein.