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Do We Have the Spark?
Valentina Prevolnik Rupel1,2, Dorijan Marušič3
1Institute for Economic Research, Kardeljeva ploščad 17, 1000 Ljubljana, Slovenia.
Zdravstveno Varstvo
|April 18, 2022
Summary
Slovenia's outpatient services declined due to a focus on productivity over patient needs. Shifting to value-based healthcare, prioritizing patient outcomes and advanced payment models, is essential for improvement.
Area of Science:
- Healthcare Management
- Health Economics
- Public Health Policy
Background:
- Since 2015, outpatient service accessibility in Slovenia has significantly declined.
- This decline is linked to a system prioritizing productivity and increased state funding, rather than patient-centered care.
Purpose of the Study:
- To analyze the factors contributing to the reduced accessibility of outpatient services in Slovenia.
- To advocate for a shift from a fee-for-service model to value-based healthcare strategies.
Main Methods:
- Analysis of healthcare system incentives and funding mechanisms.
- Review of patient access trends and service delivery models.
Main Results:
- The current fee-for-service model incentivizes expensive procedures over essential patient visits.
- A productivity-driven approach has negatively impacted service accessibility and patient-centeredness.
Conclusions:
- A fundamental shift towards patient needs is crucial for improving healthcare.
- Adopting value-based healthcare, incorporating patient participation and advanced payment models like population-based payments, is recommended.
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