Croatia : Health Finance Study
The health system in Croatia developed relatively well among the countries in the region: the system has a well-trained health workforce, a well-established system of public health and health delivery programs, and good health outcomes in relation...
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| Format: | Other Health Study |
| Language: | English en_US |
| Published: |
Washington, DC
2013
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| Subjects: | |
| Online Access: | http://documents.worldbank.org/curated/en/2004/04/4291360/croatia-health-finance-study http://hdl.handle.net/10986/15670 |
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okr-10986-15670 |
|---|---|
| recordtype |
oai_dc |
| repository_type |
Digital Repository |
| institution_category |
Foreign Institution |
| institution |
Digital Repositories |
| building |
World Bank Open Knowledge Repository |
| collection |
World Bank |
| language |
English en_US |
| topic |
ABILITY TO PAY ACCOUNTING ADVERSE SELECTION BASIC HEALTH SERVICES CLINICS DEATHS DEBT FINANCING DEBT MANAGEMENT DEFICITS DENTAL SERVICES DISPENSARIES EXPENDITURES FINANCIAL MANAGEMENT FISCAL DECENTRALIZATION FISCAL DISCIPLINE GENERAL PRACTITIONERS GOVERNMENT SPENDING GROSS DOMESTIC PRODUCT HEALTH CARE HEALTH CARE PROVIDERS HEALTH CARE SERVICES HEALTH DELIVERY HEALTH DELIVERY SYSTEM HEALTH EXPENDITURE HEALTH EXPENDITURES HEALTH FINANCE HEALTH FINANCING HEALTH INSURANCE HEALTH OUTCOMES HEALTH PROFESSIONALS HEALTH PROGRAMS HEALTH PROMOTION HEALTH REFORM HEALTH SECTOR HEALTH SPENDING HEALTH SYSTEM HEALTH WORKFORCE HOSPITAL ADMISSION HOSPITAL SERVICES INCOME INFANT MORTALITY INFANT MORTALITY RATE INSURERS INTERVENTION LIFE EXPECTANCY MEDICAL CARE MEDICAL TECHNOLOGIES MORAL HAZARD OCCUPATIONAL HEALTH PATIENT CARE PATIENT CHOICE PATIENTS PRESCRIPTION DRUGS PRIMARY CARE PRIVATE INSURANCE PRIVATE SECTOR PROFESSIONAL ASSOCIATIONS PUBLIC DEBT PUBLIC EXPENDITURE PUBLIC EXPENDITURES PUBLIC FUNDS PUBLIC HEALTH PUBLIC OWNERSHIP PUBLIC SPENDING REFORM PROGRAMS SAFETY SAVINGS SCREENING SOCIAL INSURANCE SOCIAL WELFARE SURGERY TAX TRANSPARENCY TREASURY HEALTH ADMINISTRATION TRANSITION ECONOMIES HEALTH CARE FINANCING HEALTH CARE PLANNING HEALTH REFORM HEALTH DELIVERY HEALTH ECONOMICS SUBSIDIES AGING PERSONS LEGAL & REGULATORY FRAMEWORK BUDGET PROCESS PLANNING PROGRAMMING & BUDGETING SYSTEMS FUNDS FINANCIAL MANAGEMENT TARGETED ASSISTANCE ADMINISTRATIVE CAPABILITY CAPACITY BUILDING LOCAL GOVERNMENT REFORM IMPLEMENTATION DECENTRALIZATION |
| spellingShingle |
ABILITY TO PAY ACCOUNTING ADVERSE SELECTION BASIC HEALTH SERVICES CLINICS DEATHS DEBT FINANCING DEBT MANAGEMENT DEFICITS DENTAL SERVICES DISPENSARIES EXPENDITURES FINANCIAL MANAGEMENT FISCAL DECENTRALIZATION FISCAL DISCIPLINE GENERAL PRACTITIONERS GOVERNMENT SPENDING GROSS DOMESTIC PRODUCT HEALTH CARE HEALTH CARE PROVIDERS HEALTH CARE SERVICES HEALTH DELIVERY HEALTH DELIVERY SYSTEM HEALTH EXPENDITURE HEALTH EXPENDITURES HEALTH FINANCE HEALTH FINANCING HEALTH INSURANCE HEALTH OUTCOMES HEALTH PROFESSIONALS HEALTH PROGRAMS HEALTH PROMOTION HEALTH REFORM HEALTH SECTOR HEALTH SPENDING HEALTH SYSTEM HEALTH WORKFORCE HOSPITAL ADMISSION HOSPITAL SERVICES INCOME INFANT MORTALITY INFANT MORTALITY RATE INSURERS INTERVENTION LIFE EXPECTANCY MEDICAL CARE MEDICAL TECHNOLOGIES MORAL HAZARD OCCUPATIONAL HEALTH PATIENT CARE PATIENT CHOICE PATIENTS PRESCRIPTION DRUGS PRIMARY CARE PRIVATE INSURANCE PRIVATE SECTOR PROFESSIONAL ASSOCIATIONS PUBLIC DEBT PUBLIC EXPENDITURE PUBLIC EXPENDITURES PUBLIC FUNDS PUBLIC HEALTH PUBLIC OWNERSHIP PUBLIC SPENDING REFORM PROGRAMS SAFETY SAVINGS SCREENING SOCIAL INSURANCE SOCIAL WELFARE SURGERY TAX TRANSPARENCY TREASURY HEALTH ADMINISTRATION TRANSITION ECONOMIES HEALTH CARE FINANCING HEALTH CARE PLANNING HEALTH REFORM HEALTH DELIVERY HEALTH ECONOMICS SUBSIDIES AGING PERSONS LEGAL & REGULATORY FRAMEWORK BUDGET PROCESS PLANNING PROGRAMMING & BUDGETING SYSTEMS FUNDS FINANCIAL MANAGEMENT TARGETED ASSISTANCE ADMINISTRATIVE CAPABILITY CAPACITY BUILDING LOCAL GOVERNMENT REFORM IMPLEMENTATION DECENTRALIZATION World Bank Croatia : Health Finance Study |
| geographic_facet |
Europe and Central Asia Croatia |
| description |
The health system in Croatia developed
relatively well among the countries in the region: the
system has a well-trained health workforce, a
well-established system of public health and health delivery
programs, and good health outcomes in relation to countries
at comparable income levels. However, these results have
been achieved at a high cost, and the growing deficits in
the social health insurance fund is a major concern.
Croatia's challenge is to channel its already
substantial public spending on health care, towards
cost-effective services, targeting public subsidies to
protect the most vulnerable groups. The Government is
currently engaged in a new round of reforms, aimed at
improving the performance of the health system. The report
reviews the 2000-2002 health reform initiatives, examines
the high cost of care (attributed to its aging population),
and focuses on the 2002 health insurance law and the reforms
in the revenue base for health insurance. Legislation
established the principals of central and local government
responsibilities for subsidizing the premium and co-payments
for special categories of population, such as the
unemployed, war veterans and disabled. Central government
transfers were made retroactively to cover the shortfalls,
or to cover deficits accumulated by the health care
providers. In 2002, actual government transfers to the
Croatian Health Insurance Institute (HZZO) showed a
significant decrease over the previous year, with debt
financing still being used to cover the shortfall in budget.
This suggests that the cost of financing the subsidies, has
not yet been fully evaluated, or included in the budget
plan. The parameters for determining subsidy levels will
need to be defined, for transparency, and for planning
purposes. Recommendations suggested include: improvements to
budget planning and fund management, with full accrual
accounting established at all levels of Government, and the
cost of subsidies evaluated, and included in the budget;
subsidies and social protection should be targeted, but with
greater administrative simplicity and transparency;
improvements to the quality and efficiency of health
services, strengthened by building on the ongoing reforms in
the provider payment system; decentralization, including
stronger local government capacity building; and,
strengthening policy, planning, and monitoring and evaluation. |
| format |
Economic & Sector Work :: Other Health Study |
| author |
World Bank |
| author_facet |
World Bank |
| author_sort |
World Bank |
| title |
Croatia : Health Finance Study |
| title_short |
Croatia : Health Finance Study |
| title_full |
Croatia : Health Finance Study |
| title_fullStr |
Croatia : Health Finance Study |
| title_full_unstemmed |
Croatia : Health Finance Study |
| title_sort |
croatia : health finance study |
| publisher |
Washington, DC |
| publishDate |
2013 |
| url |
http://documents.worldbank.org/curated/en/2004/04/4291360/croatia-health-finance-study http://hdl.handle.net/10986/15670 |
| _version_ |
1764428600826658816 |
| spelling |
okr-10986-156702021-04-23T14:03:17Z Croatia : Health Finance Study World Bank ABILITY TO PAY ACCOUNTING ADVERSE SELECTION BASIC HEALTH SERVICES CLINICS DEATHS DEBT FINANCING DEBT MANAGEMENT DEFICITS DENTAL SERVICES DISPENSARIES EXPENDITURES FINANCIAL MANAGEMENT FISCAL DECENTRALIZATION FISCAL DISCIPLINE GENERAL PRACTITIONERS GOVERNMENT SPENDING GROSS DOMESTIC PRODUCT HEALTH CARE HEALTH CARE PROVIDERS HEALTH CARE SERVICES HEALTH DELIVERY HEALTH DELIVERY SYSTEM HEALTH EXPENDITURE HEALTH EXPENDITURES HEALTH FINANCE HEALTH FINANCING HEALTH INSURANCE HEALTH OUTCOMES HEALTH PROFESSIONALS HEALTH PROGRAMS HEALTH PROMOTION HEALTH REFORM HEALTH SECTOR HEALTH SPENDING HEALTH SYSTEM HEALTH WORKFORCE HOSPITAL ADMISSION HOSPITAL SERVICES INCOME INFANT MORTALITY INFANT MORTALITY RATE INSURERS INTERVENTION LIFE EXPECTANCY MEDICAL CARE MEDICAL TECHNOLOGIES MORAL HAZARD OCCUPATIONAL HEALTH PATIENT CARE PATIENT CHOICE PATIENTS PRESCRIPTION DRUGS PRIMARY CARE PRIVATE INSURANCE PRIVATE SECTOR PROFESSIONAL ASSOCIATIONS PUBLIC DEBT PUBLIC EXPENDITURE PUBLIC EXPENDITURES PUBLIC FUNDS PUBLIC HEALTH PUBLIC OWNERSHIP PUBLIC SPENDING REFORM PROGRAMS SAFETY SAVINGS SCREENING SOCIAL INSURANCE SOCIAL WELFARE SURGERY TAX TRANSPARENCY TREASURY HEALTH ADMINISTRATION TRANSITION ECONOMIES HEALTH CARE FINANCING HEALTH CARE PLANNING HEALTH REFORM HEALTH DELIVERY HEALTH ECONOMICS SUBSIDIES AGING PERSONS LEGAL & REGULATORY FRAMEWORK BUDGET PROCESS PLANNING PROGRAMMING & BUDGETING SYSTEMS FUNDS FINANCIAL MANAGEMENT TARGETED ASSISTANCE ADMINISTRATIVE CAPABILITY CAPACITY BUILDING LOCAL GOVERNMENT REFORM IMPLEMENTATION DECENTRALIZATION The health system in Croatia developed relatively well among the countries in the region: the system has a well-trained health workforce, a well-established system of public health and health delivery programs, and good health outcomes in relation to countries at comparable income levels. However, these results have been achieved at a high cost, and the growing deficits in the social health insurance fund is a major concern. Croatia's challenge is to channel its already substantial public spending on health care, towards cost-effective services, targeting public subsidies to protect the most vulnerable groups. The Government is currently engaged in a new round of reforms, aimed at improving the performance of the health system. The report reviews the 2000-2002 health reform initiatives, examines the high cost of care (attributed to its aging population), and focuses on the 2002 health insurance law and the reforms in the revenue base for health insurance. Legislation established the principals of central and local government responsibilities for subsidizing the premium and co-payments for special categories of population, such as the unemployed, war veterans and disabled. Central government transfers were made retroactively to cover the shortfalls, or to cover deficits accumulated by the health care providers. In 2002, actual government transfers to the Croatian Health Insurance Institute (HZZO) showed a significant decrease over the previous year, with debt financing still being used to cover the shortfall in budget. This suggests that the cost of financing the subsidies, has not yet been fully evaluated, or included in the budget plan. The parameters for determining subsidy levels will need to be defined, for transparency, and for planning purposes. Recommendations suggested include: improvements to budget planning and fund management, with full accrual accounting established at all levels of Government, and the cost of subsidies evaluated, and included in the budget; subsidies and social protection should be targeted, but with greater administrative simplicity and transparency; improvements to the quality and efficiency of health services, strengthened by building on the ongoing reforms in the provider payment system; decentralization, including stronger local government capacity building; and, strengthening policy, planning, and monitoring and evaluation. 2013-09-05T16:36:18Z 2013-09-05T16:36:18Z 2004-04-25 http://documents.worldbank.org/curated/en/2004/04/4291360/croatia-health-finance-study http://hdl.handle.net/10986/15670 English en_US CC BY 3.0 IGO http://creativecommons.org/licenses/by/3.0/igo/ World Bank Washington, DC Economic & Sector Work :: Other Health Study Economic & Sector Work Europe and Central Asia Croatia |