OECD: V maďarskom zdravotníctve budú potrebné veľké zmeny | Medicínske právo
              

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OECD: V maďarskom zdravotníctve budú potrebné veľké zmeny


 | 18.10.2011 | komentárov: 378

13. októbra 2011 sa u našich južných susedov konala medzinárodná konferencia HEALTH 2.0 o nových smeroch v zdravotnej politike, ktorú organizovalo maďarské Economic Daily. V nasledujúcich riadkoch prinášame zopár postrehov.

Obrazok Podľa dát OECD, dlhodobé náklady na zdravotnú starostlivosť sa môžu v nasledujúcich desaťročiach viac než zdvojnásobiť, a preto budú v tejto oblasti nevyhnutné zásadné zmeny – povedal na konferencii Health 2.0 o hospodárení a nových smeroch v zdravotnej politike Hidvéghi Balázs, námestník Ministra hospodárstva pre medzinárodné a európske záležitosti a predseda maďarského zastúpenia v OECD.

Na základe prieskumov OECD, zaoberajúcich sa rizikovými faktormi, ako je napr. fajčenie – možno v členských krajinách EÚ pozorovať zlepšenie, no obezita je naďalej problémom. Vo viacerých krajinách však spôsobuje ťažkosti aj odchod a migrácia lekárov, z toho všetkého samozrejme pramenia aj finančné problémy, dodal Hidvéghi.

Štúdie preukázali, že k zlepšeniu výkonov je dôležité zvýšenie efektívnosti v zdravotníctve, na posilnenie prevencie je potrebné vhodné zoskupenie zdrojov, v prípade výskytu stimulov – napr. formou daní. Popritom však treba posilniť aj medicínu založenú na dôkazoch. Výskum ukázal, že zlepšenie koordinácie výrazne zlepšuje vnímanie kvality zdravotnej starostlivosti, avšak to priamo nevyplýva zo zníženia nákladov.

Závery prieskumov farmaceutických spoločností ukazujú, že výrobcovia zavádzajú výrobky na trh najmä v tých krajinách, kde sa čo najslobodnejšie stanovujú ceny. Tretina krajín OECD určitým spôsobom monitoruje ceny liekov, pričom skúsenosti dokazujú, že to prispieva k zlepšovaniu rovnováhy cien.

Prioritnou oblasťou bude v budúcnosti dlhodobá starostlivosť. OECD predpokladá, že do roku 2050 sa  v sledovaných krajinách s ňou spojené náklady minimálne zdvojnásobia, ale nie je vylúčené, že možno očakávať ešte vyššiu dynamiku. Preto by mali vlády preskúmať tieto systémy. K tomu, aby si táto oblasť udržala krok so zmenami, bude potrebná zásadná reštrukturalizácia. Stav ukazuje, že podľa údajov u 70% prijímateľov zdravotnej starostlivosti je ošetrenie poskytnuté doma, ale 60% výdavkov ostáva v zdravotníckom zariadení. Výskumy ukázali, že ešte aj u tých, ktorí majú nadpriemerné príjmy až vyše 60%  miery príjmu pohlcujú náklady na ošetrenie.

V niektorých krajinách – aj v Maďarsku – znamená migrácia pracovnej sily v zdravotníctve vážny problém. Minuloročná OECD-WHO štúdia zistila, že slabá retenčná schopnosť systému nie je dôsledkom iba situácie v oblasti príjmov. Problém má globálny charakter. Svoju úlohu okrem miezd zohrávajú aj pracovné podmienky a dodatočné sústavné vzdelávanie, dodal Hidvéghi.


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Preklad: Norbert Ostró



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