PRAVNI ZAPISI • Year VIII • No. 2 • pp. 283-295
EXERCISING MANDATORY HEALTH INSURANCE RIGHTS IN A COMBINED FINANCING SYSTEM IN REPUBLIC OF SERBIA
Dr Miroslava M. Krstić
Pomoćnik direktora Sektora za kontrolu ugovornih obaveza,
Republički fond za zdravstveno osiguranje, Beograd
e-mail: miroslavakrstic@hotmail.com
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Pravni zapisi, No. 2/2017, pp. 283-295
Review Article
KEY WORDS
rights from mandatory health insurance, system of health care, providers of health services, quality of healthcare, combined system of financing
ABSTRACT
The right to health insurance represents one of basic human rights. The system of health care cannot meet all the wants and needs of the patients, because the needs and wants of the patients have a continuous growth and the means of financing are becoming smaller. The purpose of the work is to show a combined system of financing (capitation and diagnostic groups) is financially sustainable, ensures an increase of physical and effective availability of health care, leading to an advance of quality of health care as an increase of effectiveness and efficiency in providing health services. Methods that have been used are: comparative law method, deductive method based on the method of abstraction, the statistical method, an inductive method, comparison method and methods of exemplary analysis of problems of public financing. It is impossible to define adequate health standards and the most functional model of financing health care with the purpose of a wholesome and total achievement of rights coming from mandatory health insurance.