2.12 HEALTH CARE AND HEALTH INSURANCE
2.12
HEALTH CARE AND HEALTH INSURANCE
CASES CONSIDERED
FIELD OF WORK
12. Health care and health insurance
2014
2015
RESOLVED AND FOUNDED
Index
15/14
NO. OF
RESOLVED
NO. OF
FOUNDED
PERCENTAGE OF
FOUNDED AMONG
RESOLVED
144
152
105.5
121
19
15.7
12.1 Health insurance
59
46
78
35
7
20
12.2 Health care
85
106
124.7
86
12
14
2.12.1 General observations
The number of complaints involving health is approximately the same as in 2014, whereby the number of
complaints concerning health care increased significantly (by 23 per cent), and the number of complaints
referring to compulsory health insurance decreased by almost the same percentage. The fact that as many as
one-fifth of complaints about health insurance were justified may be of some concern. It could be understood
from this fact that the work of the Health Insurance Institute of the Republic of Slovenia must be improved
when making decisions on people’s entitlements.
2.11 PENSION AND DISABILITY INSURANCE
In the 2014 annual report, it was determined that the frequent change of health ministers had a negative
impact on the adoption of urgent amendments in the health-care and health insurance systems; however, this
did not improve significantly in 2015. The Ministry constantly promises the requisite statutory amendments.
At the time of writing this Report, these amendments had not even entered public discussion. Extending
waiting times, certain irregularities when organising work, alleged expert errors and the unwillingness of the
authorities to respond promptly and effectively reduce citizens’ trust in health care and lead to complaints
about corruption, which has a negative impact on the realisation of the principles of the rule of law and the
social state. The problem of a certain group of patients cannot be partially resolved, because comprehensive
solutions are required.
The hope that the long-expected reform would happen in 2016 is due particularly to the drafted Resolution on
the National Health-Care Plan 2015–2025 and the Government’s Legislative Work Programme, which anticipates
the passage of key acts by the end of 2016. The Ministry had obviously changed its decision and would not
amend the Complementary and Alternative Medicine Act, as was stated in the Government’s response report
to the 2014 Ombudsman’s Annual Report.
In the 2014 report, we assessed that the work of the Ministry of Health was not organised well, and that no
one was verifying the responsibility of individual public employees for their lack of performance. It must be
said that the Ministry’s response to our inquiries improved in 2015, whereby the section of the Ministry which
drafted certain new executive acts must be commended. They asked for the Ombudsman’s opinion on the
relevant acts and then informed us to what extent they had observed our comments and proposals. We expect
the Ministry to continue this practice also when drafting new legislation.
126
ANNUAL REPORT OF THE HUMAN RIGHTS OMBUDSMAN OF THE REPUBLIC OF SLOVENIA FOR 2015
ANNUAL REPORT OF THE HUMAN RIGHTS OMBUDSMAN OF THE REPUBLIC OF SLOVENIA FOR 2015
127
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