ceni vo zdravstvo ok

Click here to load reader

Post on 24-Nov-2014

285 views

Category:

Documents

0 download

Embed Size (px)

TRANSCRIPT

2007

Karl Karol

1.1.1.

, . : 1. - , ( ) 2. : , . 3. - / , . - . . 4. - , .

1.2.

:

1 : 21 24 2 : 6 and 23 3 : 6 10 . 1 : 12 2 : 21 - .

1.3.

, () Kees Schaapveld . : 21 : - , - 22 : - , . 23 : - -

2.2.1.

2,06 8,200 $ (PPP). 36% 30% 1. , 2003 6.8%. 85% 15% . . () 90% . 35% . 9.2% ( 0.5% ), . . . . , . . . Kees Schaapveld, , , .

1

CIA

2.2.

2.2.1.

. . . . .

2.2.2.

-

. - . , , , . - . . - . .

2.2.3.

, - ( ). / . .

2.2.4.

. . . , - . . .

2.3.

, : - , , , . 1 - 20 6.7% 40 8.0% 60 8.6% 80 8.0% 150 7.5% 250 8.3% 350 8.8% 450 9.0% 550 9.2% 700 8.8%

() 100.00 101.00 300.00 301.00 500.00 501.00 700.00 701.00 1,000.00 1,001.00 2,000.00 2,001.00 3,000.00 3,001.00 4,000.00 4,001.00 5,000.00 5,001.00 6,000.00 6,001.00 8,000.00

8,001.00 10,000.00 10,001.00 15,000.00 15,001.00 20,000.00 20,001.00 25,000.00 25,001.00 30,000.00 30,001.00 35,000.00 35,001.00 40,000.00 40,001.00 45,000.00 45,001.00 50,000.00 50,001.00 55,000.00 55,001.00 60,000.00 60,000.00 :

900 1,250.00 1,700.00 2,200.00 2,700.00 3,200.00 3,700.00 4,200.00 4,700.00 5,200.00 5,700.00 6,000.00

9.0% 8.3% 8.5% 8.8% 9.0% 9.1% 9.3% 9.3% 9.4% 9.5% 9.5% 10.0%

2

( ) ( 1 ) ( ) 25.00 0 0.0% 26.00 50.00 5 10.0% 51.00 75.00 10 13.3% 76.00 100.00 15 15.0% 101.00 150.00 20 13.3% 151.00 200.00 25 12.5% 201.00 300.00 40 13.3% 301.00 400.00 50 12.5% 401.00 500.00 70 14.0% 501.00 700.00 90 12.9% 701.00 1,000.00 120 12.0% 1,001.00 1,500.00 160 10.7% 1,501.00 2,000.00 240 12.0% 2,001.00 2,700.00 280 10.4% 2,701.00 3,000.00 300 10.0% 3,001.00 3,500.00 340 9.7% 3,501.00 4,000.00 390 9.8%

4,001.00 4,500.00 4,501.00 5,000.00 5,000.00 :

500 550 600

11.1% 11.0% 12.0%

3

100

, ; 50 50

50 200 500 20% 2,000 10 200

( 5360-5366 ) :

2.4

, 85 2007 :

4

-

:

2,493,915,995 143,716,047 5.76% 138,537,974 96.4% 11,641,363 8.1%

, . , . 1 2008 , .

2.4.

. .

2.4.1.

:

1 - 10 ( ) ,

2.4.2.

: , , , , 18 ,

( ), . , : , : - , - , - - - - -

- ; () pemfigus lupus epitematodes , ( ) : /; (Lyssa); ; ; ; (poliomyelitis anterior acuta); ; ; ; ; ; ; ; (pertussis); ; ; ; ; ; (parotitis epidemica); ; ; ; ( , , ); Q - ; .

, . , , .

2.5.

. . , ( ) 70% , , . ( ) 40% , , . 60% ( ) 20% ,

. , ( ) 1-5 20% , . , ( ) 5 18 65 40% , , . 1 5 5 18 18 65 65 20% 40% 70% 40% 60% 20% 40% 40% 40% 60% 20% 20% 20% 20%

5

:

. , ( 5) . , 2006, 9063 .

2.6.

, 150,000 200,000 . , - . , . 2, : , ; . , , . .

2.7.

. , , .

2.8.

:2

, 2020, , , , 2007

-

. ( ) , .

3.3.1.

, .. 3. , 4 , 5. Figueras et al6 . , . , , 3 Barer, M., Evans, R.G., Hertzman, C. Johri, M. (1998) , : . HPI #10 (). Texas: Health Policy Institute, University of Texas Houston Health Science Center. 4 Kutzin, J. (1998) , R.B. Saltman, J. Figueras C. Sakellarides (eds) , . 78112.Buckingham: Open University Press. 5 Rice, T. (1998) Chicago: Health Administration Press. 6 Figueras,J., Saltman,R.,Reinhard Busse, R Hans F.W. Dubois, H., , European Observatory on Health Systems and Policies Series

, . , 1997 . 8 % , . 2004 . 2004 , 10 . , . , 7. Busse et al8, - 90 . , 4 10 . . 9 10, . 15 .11. : 1990 6 , 28 ; 1997 3.6 ; 2001 18.17

Grabka MM, Schreyogg J, Busse R. : , Med Klin (). 2006 15;101(6):476-83. http://www.ncbi.nlm.nih.gov 8 Busse R., Saltman R. Duboi H., (2004) : , European Observatory on Health Systems and Policies Series 9 Evans, R.G. (2002) : , E.A. Mossialos, A. Dixon, J. Figueras J. Kutzin (eds) : , . 3158. Buckingham: Open University Press. 10 Robinson, R. (2002) , E.A. Mossialos, A. Dixon, J. Figueras J. Kutzin (eds) : , . 16183. Buckingham: Open University Press. 11 Busse R., Saltman R. Duboi H., (2004) : , European Observatory on Health Systems and Policies Series

7

10.90 72.67 1993 1997 1998. 1996, . - 16 1993-1997 , ( ). 1997, .

3.2.

-

, , . ( 6) . () , ( 2000 7.1% 33.3% ) ( 2000 11.0% 20.6% ). 1990 2000, - ( 7.0%) (1.5% ). 5% , 20.6 - , , 33.3 %. ( ), , 15 % , .

6

1990 2000: : 1990 14.6 (1995) 11.5 11.1 5.5 33.0 (1995) 2000 18.6 10.2 12.8 (1998) 7.1 (1999) 33.3 (1999) 16.4 20.6 11.0 15.7 (1999) 11.0 (1996) 22.9 26.4 (1999) 16.4 14.9 17.7

- : : 16.0 15.5 18.0 14.6 10.6 - : : 15.3 19.8 (1991) .-. .-. 15.1 14.9 15.7

: Figueras,J., Saltman,R.,Reinhard Busse, R and Hans F.W. Dubois, H., , the European Observatory on Health Systems and Policies Series

3.3.

- 12

2002 , . 2002 . , , . 2002 , (), .

Adrija Stamper (2007)

12

3.3.1.

1. : , , , 18 , , 18 , ( ) ( ) ( , ) ( ) " "

2. 15 %: ( ) ( )

3. 25 % : ; 65

4. 30% ; -

5. 50%:

3.3.2.

2005 , " " ( ). 18 , 80 . 10 (1.4 ) : -

5 (0.7 ) . . 370 (50 ). . .

3.3.3.

2004 , () . 80 (11 ) (50 )13. , 2005, 15% . . , 1,258,886 (28% ) : , - ( ) ; , , . 2007 . .

3.4.

-

1. : a) 70% 75 13

2005, 4,376 (600 )

) , ) - ) ) , , ) ,

) , ) , , , , , , , , , ) ) ) , ) , 2. 5% :

a) , ) ) , , , 3. 15 % : a) , ) , , ) , - ) 1, - ) , , 3. 25 % : a) ,