Specific country information sheet – Slovenia

Stock data retrieved from: Slovenian Health Statistics Yearbook, 2018

Age characteristics of the nursing stock are not reported.

Provide to users statistical data on the status and trends in the economic, demographic and social fields, as well as in the field of environment and natural resources.

NKT-Z consults patient organisations, providers and health insurance holders, cooperates with national contact points in other member States and with the European Commission. NKT-Z provides information exchange between national contact points in other EU Member States.

budgets of local authorities, mandatory health insurance and mandatory pension

and disability insurance are approved through the “budget memorandum” by

the Ministry of Finance and Parliament each year

Republic of Slovenia

and postgraduate education of junior researchers. It also administers certain

health promotion programmes. Its mandate extends to the area of science, and

it thus (co-)finances different research activities, including those in the area of

medicine, health sciences and public health.

for reviewing proposals for the development of health policy, as well as questions

regarding ethics and doctrine.

planning, monitoring and supervising internships, specialisations and other forms of professional training of its members by evaluating their competence and setting the criteria for appointing supervisors and appointing them, carrying out professional supervision and counselling,

maintaining a registry of physicians.

• adopts codes of ethic of pharmacy workers and rules of good pharmacy practice
• takes part in the preparation of legal regulations which relate to pharmacy activities, medicine products, planning of the network of pharmacies and planning personnel needs
• gives opinion on appropriateness of the granting of a concession for performing pharmacy activities
• concludes agreements on behalf of its members on the price of pharmacy services remunerated by Health Insurance Institute plans and monitors apprenticeship, continuous professional development and specialisations of pharmacists
• carries out professional supervision.

https://www.uni-lj.si/academies_and_faculties/faculties/2013071111494637/

University of Maribor – Faculty of Medicine

https://www.mf.um.si/en/

Medical posts in the public health service network are broken down by fields of expertise: […]

Healthcare services can also be carried out by private healthcare providers, but only on the basis of a licence or a decision regarding entry into a register of private healthcare workers issued by the Ministry of Health. Private healthcare providers can be given a concession at the primary or secondary level, but such a concession is only granted if a public healthcare institute cannot provide sufficient access to healthcare services. At the primary level, it is granted by the municipality with the consent of the Ministry of Health, and at the secondary level it is granted by the Ministry of Health. 

Reasons for a new national health plan

Changing health needs of the population due to a long-lived society, increasing health inequalities, expensive healthcare technologies, threats to health and patient mobility are all major challenges facing most European countries. Since the economic crisis began in 2009, the financial sustainability of health systems has also become more challenging in this part of the world than before.

The resolution forms the basis for the development of health care in Slovenia in the next ten years and for the preparation and adoption of relevant laws in the field of health insurance and health care, and preserves the vision of quality and accessible public health care. It puts the user and the contractor at the center and takes the following measures in the envisaged measures:

·           Promoting and protecting health and preventing disease;

·           Optimization of health care;

·           Increasing the effectiveness of the healthcare system;

·           Equitable, joint and several financing of healthcare.

VISION :

Strengthening primary health care will further improve access to comprehensive, high-quality, safe patient care and establish conditions for their empowerment and their expectations.

evaluation, data and recommendations

The Medical Chamber of Slovenia publishes public tender for medical residencie

reimbursement schemes – particularly at the primary care level – used by the HIIS. This process was then harmonized with the Ministry of Higher Education and the different representative professional chambers (in particular

the Medical Chamber, the Pharmaceutical Chamber and the Nursing Chamber).

The Health Council, in cooperation with the Medical Faculty, professional colleges and other institutions, proposes and monitors the implementation of health-related professional education. The Health Council issues recommendations on the number of health professionals, and decisions to adjust enrollment figures are made by the relevant medical and health-related faculties at various universities across the country. Through these mechanisms, the state exerts rather tight control and containment of educational posts.

This law regulates the status issues of higher education institutions, the conditions for pursuing higher education activities, defines public service in higher education and regulates the manner of its financing.

This law also regulates the status issues of libraries and institutes and other institutions whose activity is required for the pursuit of higher education, if they are established within universities (hereinafter: other institutions – members of universities) and student dormitories.

http://pisrs.si/Pis.web/pregledPredpisa?id=ZAKO172#

In order to renew their license, every physician or dentist needs to provide proof of professional competences over the last seven years by collecting at least 75 credits (CME, CPD). Of those, at least 50 credits (CME, CPD) need to have been acquired in the specialist field for which the practitioner was licensed, and at least 5 credits (CME, CPD) must be obtained in the areas of patient safety and the quality of medical treatment, ethics and communication. 

Supplementary insurance is a public interest of the Republic of Slovenia and is implemented according to the principles of intergenerational reciprocity and gender reciprocity among all supplementary insurance policyholders.

Three private companies provide

voluntary health insurance (VHI), which is mainly used by patients to cover co-payments.

Health care personnel in primary and secondary care may practise based on an employment contract (as salaried employees of a public provider), by means of a concession (as a private provider within the public health care network, payment depending on the contract) or as a private provider (outside the public health care network, paid directly by patients or by VHI). Combining employment in a public provider with purely private practice is not allowed.

 fact, the highest proportion of all private practices comes from the dental field

ZZVZZ. Zakon o zdravstvenem varstvu in zdravstvenem zavarovanju [Health Care and Health Insurance Act]. Ljubljana: Government of Slovenia; 1992. Official Gazette of the Republic of Slovenia no. 9/92.

https://www.paragraf.rs/propisi/zakon-o-medicinskim-sredstvima.html

• The relative increase in the number of publicly financed residency places that have been made available in the area of family medicine.
• Development of Human Resources
• Prepare a long-term (at least 10-year) plan for the allocation of new specializations, which will ensure an even distribution of specialists across Slovenia and the timely replacement of doctors by retirement.