HEALTH CARE SYSTEM IN THE FUNCTION OF POVERTY REDUCTION

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HEALTH CARE SYSTEM IN THE FUNCTION OF POVERTY
REDUCTION
Ministry of Health Special Advisor for Organizing
Health Service and Health Inspection Nebojsa
Jokic M.d.
Belgrade, March 2009
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Healthcare in the PRS Document

• G o a l s
• Equality and equal access to health care for all
  citizens of the Republic of Serbia
• Reduction of inequality and access to health care
  especially for vulnerable groups
• To ensure financially affordable health service
  for these groups with an improvement of their
  quality
• To increase the efficiency and effectiveness in
  the use of resources

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Life expectancy at birth (EU)
80
EU
Total - 73 years ? - 70 years F
75 years
Serbia
70

• Estimated loss of healthy years due to poor
  health

? - 7 years F -10 years
Source Federal Statistical Office (FSO)
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Predominant Causes of Death among Serbian Citizens
Injuries, poisoning and other external factors
3.76
Symptoms, signs and abnormal clinical and
laboratory findings 4.82
Diseases of the respiratory system 3.92
56.04 Circulatory system diseases
20,19 Malignant tumors
Source Public Health Institute Health
Statistics Yearbook 2007
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Causes of Diseases in Serbia
Malignant diseases 13
Infectious diseases 2
Cardiovascular diseases 29
Noninfectious respiratory diseases 4
Injuries 5
Neuropsychiatry diseases 20
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Economic Indicators

• Expenditures on healthcare per capita
• - RZZO 336 USD in 2007
• own resources 219 USD in 2006
• Sources
• RZZO, RSO

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Prevention-related Activities 1
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Prevention-related Activities 2
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Particularly Vulnerable Groups of Population

• Children under 15 years of age, school children,
  students in the course of regular schooling
• Women planning their family, in the course of
  pregnancy, after child-birth and during maternity
  period
• Elderly over 65 years of age
• Persons with disability
• Persons with diseases of higher social and
  medical importance contagious diseases,
  malignant diseases, diabetes, HBI, multiple
  sclerosis, psychoses...
• unemployed registered with the employment agency,
  beneficiaries of continuous allowances, war
  veterans...

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National programs directed towards especially
vulnerable groups
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SZO Response of the Healthcare System to the
Financial Crisis 1

• Social equity and solidarity
• Equal accessibility to healthcare
• Universal scope of healthcare and insurance
• Identification of vulnerable groups of population
  specific allocations for these groups
• Increase in allocations on account of healthcare
  finances economic gains from investing into
  health
• Investments into infrastructure
• Effectiveness and efficiency of healthcare

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Ministry of Health - Activities 1

• Tenets of liability, solidarity and reciprocity
• Just and equal accessibility and universal scope
  of healthcare and insurance
• Continued increase in allocations on account of
  healthcare
• Development and permanent increase in the based
  package of healthcare services
• Development and implementation of programs
  targeting the most vulnerable population
• Reconstruction and equipment for health centers
  and hospitals
• Rationalization of staff in the healthcare system
• Promotion of management in healthcare institutes
• Assessment of healthcare technologies promotion
  of effectiveness and efficiency of healthcare
• Promotion of the public procurement system for
  equipment, medicaments and medical resources

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SZO Response of the Healthcare System to the
Financial Crisis 2

• Opportunity for reform of the healthcare system
• Adequate response to increased needs of the
  population
• Strengthening the primary level of healthcare
• Support for prevention, optimum balance of
  preventions curatives
• Leadership, resolving issues based on evidence
• Monitoring and analysis
• Multi-sector approach, Government and
  non-government sectors
• Avoiding fragmentation and overlapping by
  ensuring synergies between programs

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Ministry of Health - Activities 2

• Status transformation and restructuring of
  healthcare institutes
• Plan of network according to the number of
  inhabitants, distribution and healthcare needs
• Increase in the number of services,
  implementation measures increase in efficiency
• Promotion of the quality of healthcare
  licensing and accreditation
• Monitoring satisfaction of beneficiaries and
  providers of healthcare services
• Specific projects for promoting the primary level
  of healthcare selected doctor
• Special programs of prevention and early
  diagnostics of diseases
• Leadership, healthcare based on evidence
• Analysis of the health status of the population
• Cooperation with other ministries, private
  sector, NGOs
• Coordination of donor projects by the Ministry of
  Health

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THANK YOU FOR YOUR ATTENTION
www.zdravlje.gov.rs nebojsa.jokic_at_zdravlje.gov.r
s
Belgrade, March 09