Ostojić Rajko, Bilas Vlatka, Franc Sanja
University of Zagreb, School of Medicine, Zagreb, Croatia.
Coll Antropol. 2012 Sep;36(3):717-27.
The Republic of Croatia's accession to the European Union (EU) will affect all segments of economy and society, including the health care system. The aim of this paper is to establish the potential effects of joining the EU on Croatian health care, as well as to assess its readiness to enter this regional economic integration. The paper identifies potential areas of impact of EU accession on Croatian health care and analyzes the results of the conducted empirical research. In this research, a method of in-depth interviews was applied on a sample of 49 subjects; health professionals from public and private sectors, health insurance companies, pharmaceutical companies, drug wholesalers, and non-governmental organisations (patient associations). Once Croatia joins the EU, it will face: new rules and priorities in line with the current European health strategy; the possibilities of drawing funds from European cohesion funds; labour migrations; new guidelines on patient safety and mobility. From the aspect of harmonising national regulations with EU regulations in the area of health care, Croatian system can be assessed as ready to enter the EU. Croatia's accession to the EU can result in a better information flow, growth of competitiveness of Croatian health care system, enhanced quality, inflow of EU funds, development of health tourism, but also in increased migration of health care professionals, and potential increase in the cost of health care services. Functioning within the EU framework might result in adaptation to the EU standards, but it could also result in the concentration of staff and institutions in larger cities.
克罗地亚共和国加入欧盟将影响经济和社会的各个领域,包括医疗保健系统。本文旨在确定加入欧盟对克罗地亚医疗保健的潜在影响,并评估其融入这一区域经济一体化的准备情况。本文确定了欧盟入盟对克罗地亚医疗保健的潜在影响领域,并分析了所开展实证研究的结果。在这项研究中,对49名受试者采用了深度访谈方法;这些受试者来自公共和私营部门的卫生专业人员、健康保险公司、制药公司、药品批发商以及非政府组织(患者协会)。一旦克罗地亚加入欧盟,它将面临:符合当前欧洲卫生战略的新规则和优先事项;从欧洲凝聚基金获取资金的可能性;劳动力迁移;关于患者安全和流动的新指南。从医疗保健领域将国家法规与欧盟法规相协调的方面来看,克罗地亚的体系可以被评估为已准备好加入欧盟。克罗地亚加入欧盟可能会带来更好的信息流、克罗地亚医疗保健系统竞争力的提升、质量的提高、欧盟资金的流入、健康旅游业的发展,但也会导致医疗保健专业人员的迁移增加,以及医疗保健服务成本的潜在上升。在欧盟框架内运作可能会导致适应欧盟标准,但也可能导致人员和机构集中在大城市。