engleski

Institutional reform – a necessary condition for health system reform in Croatia

Even before the COVID-19 virus pandemic, the health system of the Republic of Croatia was subject to frequent questions about the effectiveness of its financing, ie the level of health insurance contribution rates that have a direct negative impact on the competitiveness of the national economy and the scope, quality and quantity of health services which are often perceived in a negative context. There are several main reasons why the health care system needs to be thoroughly reformed: fast and intense development of new health services, the possibility of new pandemics such as the current COVID-19 pandemic, life expectancy causing rising costs and very negative demographic trends in Croatia. The current way of financing the health system is less and less efficient, and the new circumstances related to the COVID-19 pandemic further indicate its sensitivity, so it is necessary to reform its financing to achieve two main goals: efficient financing and avoiding further distortions of the economy. The authors conclude that this can be achieved by changing the tax structure in a way that relieves income and shifts the emphasis to consumption taxation

institutional reform ; health system ; tax structure ; demographic trends ; COVID-19 pandemic

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