- citati u SCIndeksu: [6]
- citati u CrossRef-u:[5]
- citati u Google Scholaru:[
 ]
- posete u poslednjih 30 dana:174
- preuzimanja u poslednjih 30 dana:136
|
|
|
2015, vol. 37, br. 1, str. 75-82
|
|
Sistemi zdravstvene zaštite
Health care systems
aUniverzitet u Beogradu, Stomatološki fakultet, Srbija bUniverzitet u Beogradu, Medicinski fakultet, Srbija + Klinički centar Srbije, Klinika za psihijatriju, Beograd, Srbija cZdravstveni centar 'Marinko Marin', Loznica
e-adresa: svetlanajr@ptt.rs
Sažetak
Zdravstveni sistem predstavlja jedan od najsloženijih sistema u bilo kojoj državi. Svaka država ima obavezu da vodi računa i brine o zdravstvenom stanju svog stanovništva. Sistem zdravstvene zaštite obuhvata zdravstvenu infrastrukturu koja obezbeđuje spektar programa i usluga i pruža zdravstvenu zaštitu pojedincima, porodicama i zajednici. Zdravstveni sistem mora da osigura fizički, geografski i ekonomski dostupnu i pristupačnu, integrisanu i kvalitetnu zdravstvenu zaštitu. Takođe, treba da obezbedi razvoj zdravstvenih kadrova, održivost finansiranja, decentralizaciju upravljanja i finansiranja zdravstvene zaštite i postavljanje građanina u centar zdravstvenog sistema. Svrha sistema zdravstvene zaštite je očuvanje i unapređenje zdravlja ljudi obezbeđivanjem zdravstvenih usluga stanovništvu kako moderne, tako i tradicionalne medicine na efikasan način, a koje su u isto vreme dostupne i prihvatljive ljudima. S obzirom na njegov značaj i uticaj na zdravstveno stanje stanovništva svake države, kao i zbog velikog ekonomskog uticaja, država sprovodi niz mera u planiranju i upravljanju zdravstvenim sistemom kako bi obezbedila stabilno finansiranje i racionalan i kvalitetan sistem pružanja zdravstvene zaštite, a sve to u cilju da se u okviru raspoloživih sredstava stanovništvu obezbedi osnovna zdravstvena zaštita. U svim zemljama je zbog starenja stanovništva i uvođenja novih i skupih tehnologija prisutno stalno povećanje troškova pružanja zdravstvene zaštite. Savremeni sistemi zdravstvene zaštite razlikuju se međusobno najviše u metodama prikupljanja sredstava za zdravstvenu zaštitu, kao i u načinima plaćanja davaoca usluga u zdravstvu. Problemi sistema zdravstvene zaštite retko, ili nikada, ne mogu se rešiti zauvek. Kako se zemlje razvijaju, tako i njihovi sistemi zdravstvene zaštite moraju da odgovore na nove izazove.
Abstract
The health system is one of the most complex systems in any country. Each state has an obligation to take care and care about the health of its population. The health care system includes the health infrastructure that provides a range of programs and services, and provides health care to individuals, families and communities. The health system must ensure the physical, geographical and economical accessiblity and affordability of integrated and quality health care. It should also provide for the development of health personnel, finance sustainability, decentralization of management and financing of health care and placing the citizens at the centers of the health system. The purpose of the health care system is the preservation and improvement of human health by providing health services, modern as well as traditional medicine, in an efficient manner and at the same time accessible and acceptable to the people. Due to its importance and impact on the population of each country, as well as its large economic impact, the government implemented a series of measures in planning and managing the health care system to ensure stable funding and rational and a quality health care delivery system, and all this in order to provide within the available resources a basic health care. In all the countries, the aging of the population and the introduction of new and expensive technologies present a constantly increasing cost of health care delivery. Modern health care systems differ from each other mainly in the methods of raising funds for health care, as well as in methods of payment for the service providers in the health sector. Problems of health care systems rarely, if ever, can be solved forever. As countries develop, their health care systems must respond to new challenges.
|
|
|
|
Reference
|
|
|
*** (2005) Zakon o zdravstvenom osiguranju. Službeni glasnik RS, Beograd, br 107
|
|
|
*** (2013) Zakon o doprinosima za obavezno socijalno osiguranje. Službeni glasnik RS, Beograd, br. 47
|
|
|
*** (2010) Plan razvoja zdravstvene zaštite Republike Srbije. Službeni glasnik RS, Beograd, br. 34
|
|
|
*** (2005/2013) Zakon o zdravstvenoj zaštiti. Službeni glasnik RS, Beograd, br.107, 72/2009, 88/2010, 99/2010, 57/2011, 119/2012 i 45
|
|
26 
|
Cucić, V., Simić, S., Bjegović, V., Živković, M., Doknić-Stefanović, D. (2000) Socijalna medicina. Beograd: Savremena administracija
|
|
|
Evans, D.E., Tandon, A., Murray, C.J.L., et al. (2000) The comparative efficiency of national health systems in producing health: An analysis of 191 countries. u: Global Programme on Evidence for Health Policy, Geneva, Switzerland: World Health Organization, Discussion Paper No. 29
|
|
4 
|
Jacobs, R., Godarrd, M. (2002) Trade-offs in social health insurance systems. International Journal of Social Economics, Nov Volume: 29 Issue: 11 Page: 861-875
|
|
4
|
Joksimović, O. (2005) Osiguranje i zdravstveno osiguranje. Beograd: Megatrend
|
|
|
Joksimović, Z., Joksimović, M. (2007) Prikaz najznačajnijih sistema zdravstvenih osiguranja. Timočki medicinski glasnik, vol. 32, br. 4, str. 183-188
|
|
2 
|
Milovanović, D., Milovanović, S. (2005) Etika savremenog sveta na početku XXI veka. Srpski arhiv za celokupno lekarstvo, vol. 133, br. 1-2, str. 111-114
|
|
|
OECD Organization for Economic Cooperation and Development (1987) The health system of OECD countries: Financing and delivering health care: A comparative analysis of OECD countries. u: Social Policy Studies, Paris, No4, 24-32
|
|
2
|
Saltman, R.B., Dubois, H.F.W. (2005) Current reform proposals in social health insurance countries. Eurohealth, 11(1), str. 10-14
|
|
4
|
Saltman, R.B., Figueras, J. (1997) European health care reform: Analysis of current strategies. Copenhagen: World Health Organization / WHO - Regional Office for Europe, str 277
|
|
|
World Health Organization (2000) World health report 2000. Geneva, Switzerland, World Health Organization
|
|
|
|
|