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SEECP Health Ministerial Meeting

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Achievements and challenges of strenghtening health ... and regulations based thereon. include the rights to: primary health care. emergency medical care ... – PowerPoint PPT presentation

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Title: SEECP Health Ministerial Meeting


1
The Republic of Croatia Ministry of Health and
Social Welfare
SEECP Health Ministerial Meeting
Achievements and challenges of strenghtening
health system performance through addressing
inequalities in health services in Croatia
Chisinau, November 7, 2008
2
Basic documents proclaiming the right to health
  • Constitution of the Republic of Croatia
  • Health Care Act
  • Compulsory Health Insurance Act
  • Communicable Disease Control Act
  • Occupational Health and Safety Health Insurance
    Act

3
Basic health rightsEvery citizen has health
insurance
Structure of ensurees
4
Basic health rights
  • Every citizen has
  • chosen family physician
  • chosen stomatologist
  • women chosen gynecologist
  • preschool children chosen pediatrician or
    family physician

5
Basic health protection rights
  • At population level
  • epidemiological care through the public health
    institutes network
  • preventive care of school children and youth -
    through the public health institutes network
  • prevention and treatment of occupational diseases
    and injuries (according to the Act)
  • health safety monitoring for foods, other object
    of common use and drinking water

6
Compulsory Health Insurance Actand regulations
based thereon include the rights to
  • primary health care
  • emergency medical care
  • specialist health care
  • hospital health care
  • drugs administration
  • dental-prosthetic care and substitutes
  • orthopedic and other aids
  • health care abroad

7
Plan and programme of health care measures
resulting from Compulsory Health Insurance Act
includes
  • Health care measures provided by
  • primary health care
  • specialistic and hospital care
  • county public health institutes and Croatian
    National Institute of Public Health
  • transfusion medicine
  • Health care measures for priority health problems
    (cardiovascular diseases, malignant diseases,
    mental disorders, injuries etc.)

8
Monitoring the implementation of Plan and
Programme
  • Example preventive examinations for age groupe
    50
  • GOAL
  • Early detection of illnesses and risk factors
  • TARGET POPULATION
  • Insurees aged 50 who had no clinical
    examination or dg procedure for a minimum of two
    years
  • METHODOLOGY
  • General check-up and basic diagnostic procedures
  • INDICATOR
  • of persons in need covered by preventive
    examinations

9
NATIONAL PROGRAMMES
10
National Breast Cancer Screening Programme
  • STARTED
  • October 2006
  • TARGET POPULATION
  • women aged 50-69 (covered 586,912 women ni
    Croatia)
  • GOAL
  • to reduce breast cancer mortality by 25 within 5
    years of the beginning of the programme and to
    increase the proportion of breast cancers
    detected in initial stage
  • SCREENING TEST
  • mammography (double-reading)
  • SCREENING INTERVAL
  • 2 years
  • SCREEN-DETECTED CANCERS
  • About 900 /October 2008/

11
Colorectal Cancer Screening Programme
  • STARTED
  • November 2007
  • TARGET POPULATION
  • men and women aged 50-74 (about 1,200,000
    Croatian citizens)
  • GOALS
  • to reduce colorectal cancer mortality by 15
    within 5 years of the beginning of the programme
  • SCREENING TEST
  • Fecal occult blood testing (FOBT) followed by
    colonoscopy
  • SCREENING INTERVAL
  • 2 years
  • SCREEN-DETECTED CANCERS
  • 77 cancers, 421 polyps /October 2008/

12
National Diabetes Programme
  • STARTED
  • 2008
  • TARGET POPULATION
  • adults aged 50 and younger with risk factors,
    pregnant women
  • diabetic patients
  • GOALS
  • increase the number of new diagnosed cases at
    early stage
  • reduce the number of complications
  • SCREENING TEST
  • Fasting plasma glucose OGTT
  • SCREENING INTERVAL
  • 2 years / 1year
  • ESTIMATED PREVALENCE
  • 8,9 adults (18)

13
HIV/AIDS Prevention Programme 2005-2010.
  • Diagnostics and treatment of HIV positive person
    and AIDS patients free of charge, including HAART
    therapy
  • Educational programmes
  • Widening of voluntary counselling and HIV testing
    services (VCT) through the network of centers for
    voluntary, anonimous, free of charge testing
  • Second generation surveillance including not only
    surveillance of HIV prevalence and AIDS
    incidence and mortality but also other STDs and
    risk behaviour
  • Seroprevallence investigation in most at risk
    populations
  • Harm reduction and outreach programmes in
    population subgroups with risk behaviour

14
SPECIAL PROGRAMMES
15
Prevention of overweight and obesity in childhood
  • Co-operation project between
  • Flanders, Croatia and Slovenia
  • Implementation of a
  • methodology for the development
  • of evidence-based
  • guidelines in school health care
  • Started in 2005
  • .

  • Phases
  • Developing guidelines applicable in daily
    practice
  • Disemination of the guidelines to authorities and
    target
  • professional groups
  • Implementation of the guidelines at the national
    level

16
Thank you for your attention!
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