Minimum Network of Providing Inpatient Health Care

Authors

NEMEC Juraj

Year of publication 2013
Type Article in Proceedings
Conference Coordination in the Public Sector: Case study catalogue
MU Faculty or unit

Faculty of Economics and Administration

Citation
Field Management and administrative
Keywords health care; Slovakia; health insurance companies
Description The coordination practice deals with the issue of the physical access of patients to health services. In the Slovak system where most of the health-care providers are privately owned establishments and most of the health-care finances are in the hands of a network of competing (at least formally) public and private health insurance companies, the guarantee of physical access can be achieved only by high-quality coordination activities of state bodies on all levels. The Slovak solution to the issue of minimum physical access is to a large extent based on an interesting coordination tool – “the minimum network of providers”. This study investigates how such a minimum network is defined from the central level and how its existence is achieved on the level of self-governing regions in Slovakia. The results provide several important policy lessons with regard to the policy-making and implementation capacity of the Slovak government, complexity of coordinating pluralistic service - delivery system and pros and cons of intervention in the short-term perspective.

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