University of Twente Student Theses


Bachelor report

Heilmann, Robin (2006) Bachelor report.

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Abstract:All sectors in Slovakia are changing ever since the fall of Communism in 1989 and so did its health care sector. Just like the country, this sector has been changing from a communistic system towards a market system and tries to approach or realise the Western standards. As part of a main research project at the University of Matej Bel is the aim of this report to give insight into the development of the Slovak health care sector between 1989 and 2003 and to provide a solid basis for further research and advice. By means of a literature study, this report attempts to answer the following main research question: How has the shift, from a communistic- towards a market system, influenced the Slovak health care sector? On the basis of a system-theoretical scheme (also known as the input/ output model) the development of the health care sector in this period is described. This scheme consists of the following components; successively the outcome, input, supporting system and governing system. First the outcome of the scheme in both years is investigated, after which the differences are explained by looking to the other components. Because it would be too extensive to specify all the reforms of the Slovak health care sector of this period in this report, the situation in 1898 and 2003 is compared. A factor that influenced the research is that there is no functioning or existing standardisation in the Slovak health care sector at this moment, which indirectly hampers the availability of data. The transition from a tax-based to a social insurance-based system changed a lot in the Slovak health care sector. For example, it became under less state influence and instead of the federal government, five insurance companies provide the health care services. Contrary to the Communist habits, these insurance companies are able to control the health delivery and health quality. However bribes have become more important, because the patients themselves insure care by means of under table payments. During the Communism there were no economical incentives to improve the efficiency or deal with the excess demand of services. Political, administrative and economical decisions were most important, instead of the patient’s needs. Now Slovakia has a more market based system, a patient’s needs can be recognised more effectively and care can be provided appropriately, although the patient is far from being the central object of health care. Waiting lists indicate limited capacities and the general high needs of patients. In the transition towards a more market oriented system has efficiency become more important in the Slovak health care sector.
Item Type:Essay (Bachelor)
Faculty:BMS: Behavioural, Management and Social Sciences
Subject:85 business administration, organizational science
Programme:Industrial Engineering and Management BSc (56994)
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