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Pregledni rad

The Health Privatization Pendulum


Puni tekst: hrvatski pdf 17.288 Kb

str. 601-621

preuzimanja: 934



The European model of competitiveness in health
protection implies private initiative and private ownership
on all levels of the health system, but under the condition
of achieving a balance among the elements of equity,
efficiency and accessibility of the health protection system.
The balancing of these three principles presents a safe
barrier against the uncontrolled growth of costs,
medicalization and hypertechnologization of the treatment
process and ethically unfounded exclusion of large groups of
the population from the protection system. In countries in
which competitiveness is particularly expressed (e.g. in the
USA), it produces excellent results in clinical medicine.
However, if professional, individual and institutional
competition is not followed by a greater scope of
insurance, then the population’s state of health, in spite
of high investment (much higher than in other industrially
developed countries of the world), can result in a low level
of health standard compared to the level of investment.
The countries of the CCEE approached privatization with
the presupposition that a privatizational “big bang” was
possible as the only path towards market economy. The
consequences, almost in all transitional countries without
exception, have been huge problems in financing health
services and an institutional collapse in certain stages of
reform or health sectors. How has this process evolved in
Croatia in the past eight years? What are its legal
prerequisites, which economic instruments and
consequences has this process produced for the
professional organization and status of doctors? To what
extent have two determinants of the social system proclaimed
by the Croatian Constitution (the principle of market
economy and entrepreneurship as well as the principle of the
social state) been reflected in the new health system? These
questions are answered by the authors in the final part of the

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