Analysis of informal payments in the health sector in Slovakia identify the specific indicators for the occurrence, symptoms and causes of informal payments in the health sector.
Authors from the Health Policy Institute present the current health care system in Slovakia in prestigious Observatory series Health Systems in Transition.
Salaries of employees of state-owned hospitals and specialized facilities will since the middle of January increase by four percent. The Association of state-owned hospitals and Slovak labor unions of health care and social services have agreed on the addendum to collective agreement of higher level from 2012. According to the data of Ministry of health, the other medical workers earned in teaching hospitals on average 783 euros, the average salary of nurses and delivery assistants was in these facilities 1,016 euros, physicians earned on average 2,500 euros. The increase in salaries will not take into account those workers whose salary was in years 2012 and 2013 increased on the basis of special laws. Addendum to collective agreement at the same time guarantees salaries to nurses at the level of the law about their salaries. Collective agreement including the addendum will be in force till 30th April 2014.
Ministry of health care has announced a tender on 74 licenses for operation of ambulance cars. The reason is that the current licenses are expiring. Last year the first two rounds took place. We are still waiting for the results of the second round. Because of the first round the chief of the resort Zuzana Zvolenská had to face an attempt for removal from the office by the parliament. The new licenses, for which the applicants can ask till 17th of March, should according to new legislation be in force for six years instead of current four years. Amended law about the providers of health care at the same time brought the obligation to submit together with the request for the issuing the permission also the statement about personal ensuring of operation of ambulance and the project of strategy and development of ambulances.
Thanks to statements from accounts of insured the health insurance companies are able to uncover claiming of fictive performances or prescriptions. General health insurance company (VšZP) has noted also a case, when the insured found in his personal account that he was hospitalized even though he was at that time abroad. According to the words of the spokesperson of VšZP Dana Gašparíková, the statement from the account was last year requested from approximately 25,000 insured of VšZP. The insured of Dôvera, according to their PR specialist Monika Šimúnová take advantage mainly of the electronic subsidiary in which they see besides other things their own statement from account. The access to it has 315,000 insured. Health insurance company Union received last year 335 written requests about the statement from account of insured. More than 15,000 other people have the option to access it by means of electronic services of insurance company.
According to the conclusion of the organization Transparency International Slovensko (TIS) which compared nine biggest procurers, one third of the state-owned hospitals was buying the electricity for a higher price than was necessary. TIS declares that three hospitals could have saved 450,000 euros yearly. At the same time they pointed out that Ministry of health, despite the plans, have not realized the central purchase of electricity. There was an estimated saving of 10 % from this step. Among the hospitals with high-priced electricity is Teaching hospital of Bratislava. Last year it purchased electricity by the form of negotiating without making it public. The price should be high also according to the amount of consumption. Stredoslovenský ústav srdcových a cievnych chorôb, which has compared to Teaching hospital in Bratislava consumption lower than one tenth, pays for 1 MWh by 12 euros less.