期刊名称：Drustvena istrazivanja. Journal for General Social Issues
印刷版ISSN：1330-0288
出版年度：1999
卷号：8
期号：4 (42)
页码：601-621
出版社：Institute of Social Sciences IVO PILAR
摘要：The European model of competitiveness in health protection implies private initiative and private ownership on all levels of the health system, but under the condition of achieving a balance among the elements of equity, efficiency and accessibility of the health protection system. The balancing of these three principles presents a safe barrier against the uncontrolled growth of costs, medicalization and hypertechnologization of the treatment process and ethically unfounded exclusion of large groups of the population from the protection system. In countries in which competitiveness is particularly expressed (e.g. in the USA), it produces excellent results in clinical medicine. However, if professional, individual and institutional competition is not followed by a greater scope of insurance, then the population’s state of health, in spite of high investment (much higher than in other industrially developed countries of the world), can result in a low level of health standard compared to the level of investment. The countries of the CCEE approached privatization with the presupposition that a privatizational “big bang” was possible as the only path towards market economy. The consequences, almost in all transitional countries without exception, have been huge problems in financing health services and an institutional collapse in certain stages of reform or health sectors. How has this process evolved in Croatia in the past eight years? What are its legal prerequisites, which economic instruments and consequences has this process produced for the professional organization and status of doctors? To what extent have two determinants of the social system proclaimed by the Croatian Constitution (the principle of market economy and entrepreneurship as well as the principle of the social state) been reflected in the new health system? These questions are answered by the authors in the final part of the paper.
