Naslov
Health care reforms in Croatia from the perspective of users

Autori
Mastilica, Miroslav

Vrsta, podvrsta i kategorija rada
Poglavlja u knjigama, stručni

Knjiga
Health Reforms in South-East Europe

Urednik/ci
Bartlett, Will ; Božikov, Jadranka ; Rechel, Bernd

Izdavač
Palgrave Macmillan

Grad
Basingstoke : New York (NY)

Godina
2012

Raspon stranica
31-48

ISBN
978-1-137-26477-0

Ključne riječi
healthcare ; reforms users' attitudes

Sažetak
Apart from the general changes in Croatia’s political system and economy, a principal motive for health reforms in Croatia was a prevalent dissatisfaction with the functioning of the previous health system. All the main actors of the system were dissatisfied: the government was dissatisfied with the economic inefficiency of the system, physicians were dissatisfied with their income, and citizens were dissatisfied with access (long waiting times), the behaviour of health personnel, and periodic shortages of medicines (Oreskovic 1995 ; Šarić and Rodwin VG. 1993) Changes in Croatia’s health system, which began in 1990 with the introduction of a new system of social health insurance, and have continued in various forms ever since, were primarily oriented towards solving the problem of financing the health system, rationing health services, and introducing private incentives for the provision of services. Health reforms started with changes and amendments to health legislation which led to two new acts: the Health Care Act and the Health Insurance Act, both passed in August 1993. The ultimate goal of the reforms was to reduce health expenditure without jeopardizing the health status of the population. In the situation of economic decline which characterised the early 1990s, public investment in health services fell to just two-fifths of the level achieved in 1990, with gross domestic product (GDP) at only half the level of 1990 (Hebrang, 1994). Under these circumstances, most reforms aimed at restricting spending and controlling the cost of providing health services. In 1994, government expenditure on health services amounted to 7.3% of GDP, increasing only slightly to 7.8% in 2008 (WHO 2011a).

Izvorni jezik
Engleski

Znanstvena područja
Javno zdravstvo i zdravstvena zaštita

POVEZANOST RADA