Slovakia’s pharmaceutical expenditure accounts for one-third of public expenditures on health care, the highest share in all OECD countries. The provision of pharmaceutical care is monitored by the SIDC. Distributors and pharmacies are virtually all private.
Rehabilitation facilities provide professional physiotherapy services as well as various therapeutic procedures and techniques. Balneotherapy, a regional tradition that combines spa visits with various therapeutic treatments, is provided in natural healing spas or balneal facilities. In 2009, balneal treatment was provided in 20 natural healing spas and 10 balneal facilities.
There is a lack of coordination between the health care and social care frameworks in the long-term care sector. Similar services provided in health care facilities and in social care facilities are subject to different regulations and financing arrangements.
Palliative care is covered by SHI. The amount reimbursed by health insurance is often insufficient and additional financing from sponsors or donations is necessary. In 2008, hospice care was provided in 9 facilities with 120 beds in hospices, 269 beds in hospital-based departments of palliative care and 4 mobile hospices.