Speaker of Parliament Boris Kollár (We are a family).
Coalition deputies from the OĽaNO and SaS clubs, as well as some unclassified decidedthat hospital reform will be discussed at second reading.
The We Are Family Club voted with the opposition against the proposal of the Minister of Health Vladimír Lengvarský. 145 deputies presented themselves at the decision, of which 76 were in favor and 68 against.
OĽANO, SaS and For the People welcome the postponement of the hospital reform
Prime Minister Eduard Heger (OĽANO) and Minister of Health Vladimír Lengvarský (OĽAON nominee), together with representatives of SaS and Za lidí, thanked the deputies who postponed the hospital reform to the second reading on Thursday. They talk about a step towards improving health care. He also believes in the success of the reform in the second reading.
“Health is the highest value for each of us,” the prime minister said, adding that it was also the highest priority of his government and this parliament. He called the deputies who supported her heroes. He argues that the legislative change is intended to bring better health care. He also thanked the current Minister of Health, who presented the reform, and ex-Minister Marek Krajčí (OĽANO), who, according to him, started the change.
Lengvarsky promised to continue reform and negotiations with the regions with his team. He declared that they would work to bring people what they promised, better health care. Krajčí is glad that they managed to win money for this purpose from the package of funds from the renewal fund. “We want to invest in every single hospital. We are not going to disrupt hospitals. On the contrary, the reform is to bring better patient care,” he said. Jana Bittó Cigániková (SaS) understands citizens’ concerns about change, but talks about change for the better. Juraj Šeliga (For the People) stated that 76 deputies made the right decision on Thursday when they voted for better health care. He also thanked the unclassified colleagues who were among them.
On the other hand, the leader of the non-parliamentary Voice-SD and non-attached MP Peter Pellegrini thinks that although Slovakia needs reform, the change in government will result in less accessible health care in the regions. He insists that the stratification of hospitals from his government’s workshop should have been different, with the plan being to build and renovate top-quality, high-quality end hospitals. “At the same time, data on regional hospitals were to be evaluated in detail for two years, and not to disrupt beds or entire wards from the Green Table in Bratislava,” he said, adding that it was a dishonest and unfair game with citizens.
What the reform will bring
According to the reform, hospitals should operate at five levels – community, regional, comprehensive, terminal and national. This should create an optimized network of hospitals.
The hospitals that will be on the list should be entitled to reimbursement from public health insurance. The Ministry of Health of the Slovak Republic emphasizes that no hospital will be closed down. The beds, which remained unused before the pandemic, are to be transformed within a few years, based on precise analyzes and data, to another type of care that many patients today lack and therefore find it difficult to return to their normal lives.
According to the ministry, doctors, nurses and other health professionals will work with the new devices in larger teams, where they will be better able to manage the patient’s health complications. The reform should increase the safety and quality of healthcare.
The bill also envisages a new designation of a minimum network of providers of general outpatient care for adults, as well as for children and adolescents. The aim is to improve the situation of shortage of doctors for local residents at district level.
The ministry wants to define an outpatient network on the basis of specified parameters, and should monitor and evaluate the results every year. The parameters for the classification of districts will be the number of inhabitants who do not have local availability, capacity permeability and the demographic structure of doctors. The classification of districts into secured, risky, risky and critically deficient should be established.
The ministry should provide this information to doctors who would be interested in setting up a new practice. This should help you decide where to set up an ambulance. The possibility of financial support for the establishment of ambulances in scarce districts with a one-off contribution of approximately 60,000 euros, which are to go from the recovery and resilience plan, could also be added. Brand new doctors as well as existing providers could apply for a new doctor who is not yet interested in setting up their own practice.
In the next phases, the support of general outpatient clinics for existing providers and the definition of a new concept of general medicine should be addressed. It should bring about an extension of the competencies of general practitioners and nurses, or, for example, a reduction in administrative burdens.
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