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ANALYSIS OF THE HEALTH SYSTEM IN SLOVENIA

The Government of Slovenia is implementing a fiscal consolidation package aimed at controlling and restructuring general government expenditure through structural reforms to improve efficiency and performance. In parallel, in 2014 the European Commission released Country Specific Recommendations (CSRs) for Slovenia in respect of macroeconomic imbalances, sustainability of the health system and regulating long-term care. During this process, the European Commission presented the need for an analysis of expenditure on health care in order to inform changes and reform processes.


Domestically, pressures on the health system will continue to grow as demand and costs for health care pick up with the stabilization of the economy, continuous introduction of new technologies, a growing burden of non-communicable diseases and a rapidly ageing population. Indeed, Slovenia is among the European Union (EU) member states projected to sustain one of the largest increases in aging-related public spending by 2060. Health spending is projected to rise by between 0.5 to 2.6 percentage points of GDP over the period 2010-2060, while long-term care is set to rise from 1.4 percent of GDP in 2010 to between 2.8 and 5.6 percent of GDP in 2060.  

 

In response to these challenges, the Ministry of Health of the Republic of Slovenia commissioned a team of international exerts from the WHO Regional Office for Europe and the European Observatory on Health Systems and Policies, to work in conjunction with national experts from a variety of government and stakeholder bodies to complete a Health System Review of Slovenia. The objectives of the Review were to address European Commission concerns about sustainability raised in its CSRs and to inform the Minister on the performance of the health system. A new Health System in Transition profile of Slovenia, which provides a comprehensive description and analysis of the way the current health system is governed and financed, forms part of the package of work undertaken for the Health System Review. It will be published in the Spring of 2016 and provides the organizational context from which future reform proposals depart. 

 

The other major components of the Review include reports on:

Aided by the results of the Health System Review the government aims to develop, seek parliamentary approval and implement reform measures to improve service delivery and efficiency in the health sector and to enhance the fiscal sustainability of the health system given growing costs and aging demographics, while preserving and continuing to improve health outcomes.