斯洛文尼亚家庭医生公共资金的公共政策变化

Q3 Social Sciences
Katja Triller Vrtovec
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引用次数: 0

摘要

在斯洛文尼亚,即使在人口密集的城市地区,患者也报告很难在家庭医生(FD)那里注册,因为患者与FD的比率远低于欧盟平均水平,而且没有改善。此外,公共初级卫生保健提供者(PCP)报告说,资金流动性困难,危及在职医务人员的正常工资支付,并不断呼吁为卫生保健部门提供额外的预算资金,特别是在2019冠状病毒病大流行危机之后。因此,按照欧盟标准开展经济活动的PCP是否尊重医疗保健部门所有利益攸关方的人权是值得怀疑的。因此,在本文中,我分析了斯洛文尼亚fd公共融资的现有法规,这些法规似乎对患者及时获得医疗保健构成重大问题,并且不利于fd提供患者宪法权利的目标保健服务。我讨论了一些更好的替代解决方案,这些解决方案将促进患者获得有效的初级医疗保健的权利,吸引更多的医科学生专攻家庭医学,并巩固初级医疗保健部门的财政可持续性,由于医疗支付和提供系统功能失调,初级医疗保健部门面临着严重的崩溃风险。版权所有©2022 Inderscience Enterprises Ltd。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Public policy changes in public funding of family doctors in Slovenia
In Slovenia, patients report difficulties registering with a family doctor (FD), even in dense urban areas, since the patient-to-FD ratio is well below the EU average and not improving. Moreover, public primary healthcare providers (PCP) report difficulties with the financial liquidity that endangers the regular payment of employed FDs' salaries and constantly call for additional budget funding in the healthcare sector, especially after the COVID-19 pandemic crisis. It is therefore questionable, whether or not the PCP, which perform economic activity under the EU standards, respect human rights of all the stakeholders in the healthcare sector. Therefore, in this paper, I analyse the existing regulations on the public financing of FDs in Slovenia that seems to pose significant problems to patients' timely access to health care and does not facilitate the FDs' goal of delivering the patients' constitutional right to healthcare services. I discuss some better alternative solutions that would promote the patients' right to effective primary healthcare, attract more medical students to specialise in family medicine and consolidate the fiscal sustainability of the primary healthcare sector, which is at grave risk of collapse due to a dysfunctional healthcare payment and delivery system. Copyright © 2022 Inderscience Enterprises Ltd.
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来源期刊
CiteScore
0.90
自引率
0.00%
发文量
56
期刊介绍: IJPSPM fosters discussion on performance management in the public sector, with an emphasis on the implementation of performance management technologies. It acknowledges the complexity of public sector performance management as an interface between the values placed upon public sector activities and their implementation. This gap between what is desirable and what is feasible stands at the crossing of many public sector issues such as cultural and ideological processes as well as regulation and economic processes operating over different space-time scales.
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