Suselj Marjan
Health Insurance Institute of Slovenia, Ljubljana, Slovenia.
Stud Health Technol Inform. 2004;100:174-81.
The paper outlines a case of an implemented modern IT solution in the health care, that is, the Slovene health insurance card system. The system is in full operation nation-wide and covers all the aspects of health care and health insurance operations. The system allows reliable identification of patients and service providers and, with its design open to enhancements, is a major breakthrough in the process of transition to e-health. The paper addresses both the national and international perspective of such IT solutions, with the main issues and goals being the quality of services to the citizen, the health care system economics and management, and the free movement of people and services in the internal market. Special consideration is devoted to the compatibility and interoperability of national systems with the emerging European health insurance card. Furthermore, the paper outlines the main financial dimensions of the development to date and the changes achieved through the intensive development in terms of quality and accessibility of health care services.
本文概述了医疗保健领域中一个已实施的现代信息技术解决方案案例,即斯洛文尼亚健康保险卡系统。该系统在全国范围内全面运行,涵盖了医疗保健和健康保险业务的各个方面。该系统能够可靠地识别患者和服务提供者,并且其设计易于改进,是向电子健康转型过程中的一项重大突破。本文从国内和国际两个角度探讨了此类信息技术解决方案,主要问题和目标包括为公民提供的服务质量、医疗保健系统的经济和管理,以及内部市场中人员和服务的自由流动。特别关注国家系统与新兴的欧洲健康保险卡的兼容性和互操作性。此外,本文还概述了迄今为止发展的主要财务层面,以及通过密集发展在医疗保健服务质量和可及性方面所取得的变化。