Dr Adriana liptokova The Slovak way on how to improve the Healthcare system efficiency

The Slovak W ay on how to I mprove the H ealthcare S ystem E fficiency Adriana Liptakova, MD, PhD Ministry of Health Slovakia

Country facts ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Government Type Multiparty democracy ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

The Slovak health system is a system in progress ,[object Object],[object Object],[object Object]

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

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

The Ministry of Health ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Health Indicators in Slovakia ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Self-Governing Regions ,[object Object],[object Object],[object Object],[object Object]

NCHI, 2010 23 Košice 25 Prešov 25 Banská Bystrica 13 Žilina 16 Nitra 12 Trenčín 9 Trnava 24 Bratislava 147 Slovakia In-patient Hospitals Area 2009

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

Health expenditure as a share (%) of GDP in the WHO European Region, 2008, WHO estimates Slovakia 7,8% Ireland 8,7%

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

Total Expenditure on Health (% of GDP) in 2007(2009) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],portal.statistics.sk

Healthcare expenditure (2009) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Elections in June 2010 ,[object Object],[object Object],[object Object]

Main challenges ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Government Manifesto

Main challenges for providers ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Government Manifesto

Main challenges for HIC ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Government Manifesto

What we have done? ,[object Object],[object Object],[object Object],[object Object],[object Object]

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

Our strategy is well known but... ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

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Dr Adriana liptokova The Slovak way on how to improve the Healthcare system efficiency

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Dr Adriana liptokova The Slovak way on how to improve the Healthcare system efficiency