6. www.hpi.sk Healthcare Surveillance Authority Healthcare Insurance company Healthcare providers Ministry of Health Municipalities Government Professional Associations admission licence admission Insured person payer Healthcare provided Payment of insurance application inspection inspection contract
7. 1 HIC 2 HIC www.hpi.sk 67% 33% Healthcare insurance companies Healthcare providers Ministry of Health Gov. Municipalities Ministry of Transportation, Post and Telecommunication Private owners Common HIC Healthcare Surveillance Authority Departmental healthcare facilities Pharmacies Outpatient rooms Hospitals Emergency services Specialized hospitals University and faculty hospitals Ministry of Defense Ministry of Interior Affairs General HIC hospitals Outpatient clinics Emergency services Outpatient clinics Private HIC inspection inspection
8.
9.
10.
11. NCHI, 2010 23 Košice 25 Prešov 25 Banská Bystrica 13 Ĺ˝ilina 16 Nitra 12 TrenÄŤĂn 9 Trnava 24 Bratislava 147 Slovakia In-patient Hospitals Area 2009
12. Physicians and nurses World Health Statistics WHO,2010) 67245 (158) 13141 (31) Ireland 35757 (66) 16868 (31) Slovakia Nurses and midwifes (per 10 000 population) Physicians (per 10 000 population) 2000-2009
14. Health expenditure as a share (%) of GDP in the WHO European Region, 2008, WHO estimates Slovakia 7,8% Ireland 8,7%
15. Health expenditure in US$PPP per capita in the WHO European Region, 2008, WHO estimates Source: WHO, Health for All Database, updated July 2010 Slovakia 1717 USD Ireland 3676 USD
24. Next steps for further improvements Report on Current Healthcare in Slovakia, in process GP - Payments per capita Outpatient specialists – DRG Inpatient healthcare - DRG Payment mechanisms University hospital in Bratislava Hospitals Reform of Funds Basic benefit package Financing Future options Area