On 1 January 2025, the legislation defining the new public optimal network of specialist outpatient care providers (SAS) and the new public network ofSAS providers came into force. The public optimal network of SARS providers is established annually and the results of its assessment are published by the Health Care Supervisory Authority for 42 specialised offices in the respective territory (cover/country) as defined in the Decree. The Ministry of Health of the Slovak Republic No.. 42/2025 Coll. on the public optimal network of general outpatient care providers, primary specialist gynaecological outpatient care providers and specialist outpatient care providers provided in a specialised office. The first evaluation was carried out on 1 September 2025, with the public optimal network of AAS providers being published on 30 December 2025.
The core unit of the public optimal network of AAS providers and the public network of AAS providers is the ambulance defined by 30 hours of surgery per week. The public network ofSAS providers is made up of an active publicly available practice with a healthcare contract with a health insurance company.
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State of the public optimal network on 1.9. 2025
State of the public optimal network on 1. 1. 2026
A total of 3,444 providers operating 6,673 specialised offices were made up of the public network ofSAS providers on 1.1.2026, which, taking into account the actual scope of their office hours and converting them into a standardised practice (30 hours per week), corresponded to 6,778 standardised offices. In the case of any type of specialised office, the optimal capacity was not ensured in all districts or regions of the Slovak Republic in either of the health insurance companies. The largest number of missing ambulances (more than 100) for all health insurance companies was recorded in the following offices:
- physiatry, balneology and medical rehabilitation ambulance,
- Psychiatric emergency,
- clinical psychology ambulance,
- neurological ambulance.
It was not possible to comprehensively evaluate the staff composition of the public network of SOS providers throughout the whole Slovak Republic due to insufficient reporting of staffing arrangements by providers (obligation pursuant to § 79 §18 and § 102az §. 4).
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Results of the evaluation of the state of the public optimal network of AAS providers: xlsx (sk) xlsx (eng).
Source: TERRITORY