Реформи во здравството - приватизација на примарната здравствена заштита и други модели за подобрување на ефективноста и ефикасноста во користењето на здравствените ресурси
Healthcare reforms – privatization of primary healthcare and other models for improvement of the efficiency and effectiveness of the use of healthcare resources

Summary/Abstract: Since the independence in 1991, Republic of Macedonia, in parallel with the transition from agreed to market economy and political pluralism, has been going through a phase of elaborate reforms in the healthcare system. In 2005, the reform of the primary healthcare has been undertaken intensively, through its transformation from the public into private sector, using the concession approach of public services provision by private healthcare providers. This process which has been completed in 2007, involved the Ministry of Health of the Republic of Macedonia, health Insurance Fund of the Republic of Macedonia and through HIF – the users of healthcare services, as well as the public healthcare settings in primary healthcare. Almost three years later, some of the effects of this transformation can be evaluated, and can serve as good experience for the upcoming reforms of the other segments of the healthcare system – secondary and tertiary healthcare. However, due to the specificity of the secondary and tertiary healthcare, these two segments cannot be transformed using the exact same model, therefore, this paper reviews the possible models for reforming in the direction of improvement of the utilization of the healthcare resources. At the same time, besides the economics aspects, the principles of solidarity, equal access to healthcare, quality of care and patient safety are taken into consideration.

• Details
• Contents