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This analysis of the Slovak health system reviews recent developments in organization and governance, health financing, health-care provision, health reforms and health system performance. The health care system in Slovakia is based on universal coverage, compulsory health insurance, a basic benefit package and a competitive insurance model with selective contracting of health care providers. Containment of health spending became a major policy goal after the 2008 financial crisis. Health spending stabilized after 2010 but remains well below European averages. Some health indicators, such as life expectancy, healthy life years and avoidable deaths are worrisome. Furthermore, weak hospital management, high numbers of unused acute beds, overprescribing pharmaceuticals, and poor gatekeeping of the system all lead to over-utilization of services and system inefficiency. This suggests substantial room for improvement in delivery of care, especially for primary and long-term care. Additionally, there is inequity in the distribution of health providers, resulting in lengthy travelling distances and waiting times for patients. Given the ageing workforce, this trend is likely to continue. Current strategic documents and reform efforts aim to address the lack of efficiency and accountability. There has been a strong will to tackle these challenges but this has often been hindered by a lack of political consensus over issues such as the role of the state, the appropriate role of market mechanisms and profits, as well as the extent of out-of-pocket payments. Successive governments have taken different positions on these issues since the establishment of the current health system in 2002, and major reforms remain to be implemented.

MeSH
dlouhodobá péče organizace a řízení MeSH
financování zdravotní péče * MeSH
kvalita zdravotní péče MeSH
lidé MeSH
poskytování zdravotní péče ekonomika zákonodárství a právo organizace a řízení MeSH
primární zdravotní péče organizace a řízení MeSH
všeobecné zdravotní pojištění MeSH
výdaje na zdravotnictví MeSH
zdravotní pojištění MeSH
zdravotní politika * MeSH
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lidé MeSH
Publikační typ
časopisecké články MeSH
Geografické názvy
Slovenská republika MeSH

Článek online

Low socioeconomic status and unhealthy lifestyle lead to high morbidity in young Roma of East Slovakia

Sedláková, Darina
Autor Sedláková, Darina WHO Country Office, Slovakia

Central European Journal of Public Health. 2014 ; 22 (Suppl.) : S3-S5.

Cent. Eur. J. Public Health
ISSN 1210-7778
Medvik
Zdroj

HepaMeta - prevalence of hepatitis B/C and metabolic syndrome in population living in separated and segregated Roma settlements. 2014 ; 22 (Suppl.) : S3-S5.

ISSN 1210-7778
Medvik
Zdroj

MeSH
dospělí MeSH
hepatitida B etnologie MeSH
hepatitida C etnologie MeSH
lidé středního věku MeSH
lidé MeSH
metabolický syndrom etnologie MeSH
mladiství MeSH
mladý dospělý MeSH
Romové etnologie statistika a číselné údaje MeSH
socioekonomické faktory MeSH
venkovské obyvatelstvo statistika a číselné údaje MeSH
zdravé chování etnologie MeSH
zdravotní stav * MeSH
zdravotnické přehledy metody MeSH
životní styl etnologie MeSH
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dospělí MeSH
lidé středního věku MeSH
lidé MeSH
mladiství MeSH
mladý dospělý MeSH
mužské pohlaví MeSH
ženské pohlaví MeSH
Publikační typ
úvodníky MeSH
Geografické názvy
Slovenská republika MeSH

Článek online

Historical mining areas and their influence on human health [Historické banské oblasti a ich vplyv na ľudské zdravie]

European Journal for Biomedical Informatics. 2014 ; 10 (1) : e24-e34.

Eur. J. Biomed. Inform. (Praha)
ISSN 1801-5603
Medvik
Zdroj

Aims: Impact of potentially toxic elements (PTE) on the health status of population of the Slovak Republic has been studied in two historical mining areas with ore extraction from Middle Ages (the Middle Slovak Neovolcanics, the Slovak Ore Mts.) and one historical mining area with more than hundred years brown coal mining (Upper Nitra region). Methods: The contents of PTE were analysed in groundwater/ drinking water and soils. The health status of resident population was evaluated based on 43 health indicators classified according to the international classi- fication of diseases (ICD, 10th revision), including mainly those indicators characterizing mortality on cardiovascular and oncological diseases. In these areas the health status of population living in municipalities with increased PTE contents (As, Pb, Zn, Cu, Cd, Hg and Sb) was compared with that in adjacent municipalities showing low PTE contents.