At today's meeting, the Slovak Government approved two proposals for regulations to systematically improve the availability of outpatient care, which will in future improve the availability of outpatient care in the regions. Contrary to the previous situation, the network is dynamically defined on the basis of defined parameters, with annual network evaluation, network monitoring and district classification as secured, deficient, risky and critically deficient, thus identifying clear parameters.
The intention of the first proposed regulation is to define the procedure and details of a new way of defining the public minimum network of general outpatient care providers operating a general practice, taking into account the necessary capacity - so that there are enough general practitioners as well as local availability, taking into account the time of commuting at district level.
Defines also parameters necessary for the annual assessment of network status, such as: maximum roll-out time, method of calculating local availability, the method of calculating the necessary capacity, the normative number of capitalised insured persons, the way in which national migration values are determined, the parameters of district classification and details of the procedure, the obliged entities, the data made available and the results of the assessment of the state of the public minimum network of general outpatient care providers.
Introduces New tool to identify risk districtswhere general outpatient care is not sufficiently provided. The parameters for the classification of districts are: the number of district policyholders who are not assured of local availability, the level of capacity needed and the demographic structure of general practitioners.
The consequence of this legislative amendment resulting from the government's draft law, and thus the consequence of the formation of a new public minimum network of general outpatient care, had to be reflected in Decree-Law No 640/2008. Z. z., which so far determined the minimum numbers of general practitioners in the counties and did not take into account any other parameters for the definition of the public minimum network specified in the government bill.
Approved Regulations Possible consider it the beginning of the reform of the outpatient sector in Slovakia, which aims to ensure enough general doctors for citizens across the Slovak Republicand thus increase the quality and availability of healthcare provision in my country.
Complex material is available here: https://nec.gov.sk/RVL/Material/26819/1; https://nec.gov.sk/RVL/Material/26820/1