FrancophonIA/Publications_Medical_Domain_UE huggingface dataset:
English: Article 8(2)(a) of the Directive allows Member States to use a system of prior authorisation for healthcare that is subject to planning requirements if it involves overnight hospital accommodation or if it requires use of highly specialised and cost-intensive medical infrastructure or medical equipment.
Slovenian: Države članice lahko v skladu s členom 8(2)(a) Direktive uporabljajo sistem predhodne odobritve za zdravstveno varstvo, ki je predmet potreb za načrtovanje, če vključuje prenočitev v bolnišnici ali zahteva uporabo visoko specializirane in drage medicinske infrastrukture ali medicinske opreme.
English: PA for overnight stay and highly specialised care 14
Slovenian: Predhodna odobritev za prenočitev in visoko specializirano oskrbo 14
English: Article 12 of Directive 2011/24/EU concerns the development of European Reference Networks (ERNs).
Slovenian: Člen 12 Direktive 2011/24/EU zadeva oblikovanje evropskih referenčnih mrež.
English: Of the 26 Member States who responded, only 23 were able to provide complete data on reimbursements made for treatment not subject to prior authorisation (Germany and the Netherlands could not provide data; Belgium could not provide complete data).
Slovenian: Od 26 držav članic, ki so se odzvale, jih je samo 23 lahko zagotovilo popolne podatke o povračilih stroškov, ki so jih izvedle za zdravljenje, za katero se ne uporablja predhodna odobritev (Nemčija in Nizozemska nista mogli zagotoviti podatkov; Belgija ni mogla sporočiti popolnih podatkov).
English: Finland reported 17 142 reimbursement claims, France 422 680 and Luxembourg 117 962.
Slovenian: Finska je poročala o 17 142 zahtevkih za povračilo stroškov, Francija o 422 680 in Luksemburg o 117 962.
English: Twelve Member States have used this provision with regard to their ‘gatekeeper' structure, which is a system whereby a referral from a GP or family doctor is required for a patient to access specialist healthcare.
Slovenian: Dvanajst držav članic je uporabilo to določbo v zvezi z njihovo strukturo nadzora, tj. sistema, v okviru katerega mora pacient za dostop do specialističnega zdravstvenega varstva pridobiti napotitev splošnega ali družinskega zdravnika.
English: A total of 26 out of 28 Member States provided data (no returns were received from Latvia or Malta).
Slovenian: Skupno 26 od 28 držav članic je zagotovilo podatke (podatkov nista zagotovili Latvija in Malta).
English: For treatment not subject to prior authorisation, Finland, France and Luxembourg reported considerable activity, with 17142, 422680 and 117962 reimbursements respectively.
Slovenian: Za zdravljenja, za katera se ne uporablja predhodna odobritev, so Finska, Francija in Luksemburg poročali o precejšnji dejavnosti, in sicer o 17 142, 422 680 oziroma 117 962 povračilih stroškov.
English: None of the 14 countries which have used the ‘overnight stay' criterion has specified which treatments are covered by this criterion.
Slovenian: Nobena od 14 držav, ki so uporabile merilo „prenočitev", ni opredelila, katere oblike zdravljenja so s tem merilom zajete.
English: Article 7(7) of the Directive allows Member States to impose the same conditions and formalities on patients seeking cross-border healthcare as they would impose if the healthcare were provided in their territory, provided that these are not discriminatory and do not constitute an unjustified obstacle to free movement.
Slovenian: Države članice lahko v skladu s členom 7(7) Direktive za paciente, ki želijo čezmejno zdravstveno varstvo, uporabijo enake pogoje in formalnosti, ki bi jih naložile, če bi bilo zdravstveno varstvo zagotovljeno na njihovem ozemlju, pod pogojem, da ti niso diskriminatorni in ne predstavljajo neutemeljene ovire za prosti pretok.
English: Infringement proceedings were launched against 26 Member States on the grounds of late or incomplete notification of such measures.
Slovenian: Zaradi poznega ali nepopolnega obvestila o takih ukrepih so bili začeti postopki za ugotavljanje kršitev proti 26 državam članicam.
English: Four Member States made more than 1 000 reimbursements.
Slovenian: Štiri države članice so izvedle več kot 1 000 povračil stroškov.
English: Of the 19 responding Member States that actually received claims (and were able to provide the requested figures) for reimbursement for treatment not subject to prior authorisation, 15 were able to provide data on the average times for processing claims (Belgium, Lithuania, Greece and Romania were not able to provide this data).
Slovenian: Od 19 držav članic, ki so dejansko prejele zahtevke (in so lahko zagotovile zahtevane podatke) za povračilo stroškov za zdravljenje, za katero se ne uporablja predhodna odobritev, jih je 15 lahko zagotovilo podatke o povprečnem času za obravnavo zahtevkov (Belgija, Litva, Grčija in Romunija niso mogle zagotoviti teh podatkov).
English: Three Member States appear to require any patient seeking reimbursement for cross-border healthcare to demonstrate why it is medically necessary for the particular episode of healthcare to be received in another country.
Slovenian: Videti je, da tri države članice zahtevajo, da vsi pacienti, ki uveljavljajo povračilo stroškov čezmejnega zdravstvenega varstva, dokažejo, zakaj je z zdravstvenega vidika treba zagotoviti to določeno zdravstveno varstvo v drugi državi.
English: Chapter 6: Exercise of the power to adopt delegated acts conferred on the Commission pursuant to Article 17 of Directive 2011/24/EU on the application of patients' rights in cross-border healthcare
Slovenian: Poglavje 6: Izvajanje pooblastila za sprejemanje delegiranih aktov, ki je bilo v skladu s členom 17 Direktive 2011/24/EU o uveljavljanju pravic pacientov pri čezmejnem zdravstvenem varstvu preneseno na Komisijo
English: Of the 16 responding Member States that had a system of prior authorisation and received requests for prior authorisation, nine (Bulgaria, Croatia, Denmark, Ireland, France, Luxembourg, Slovakia, Spain, and the UK) reported average times to process requests as 20 days or fewer.
Slovenian: Od 16 držav članic, ki so se odzvale ter ki so imele sistem predhodne odobritve in prejele zahtevke za predhodno odobritev, jih je devet (Bolgarija, Hrvaška, Danska, Irska, Francija, Luksemburg, Slovaška, Španija in Združeno kraljestvo) poročalo o povprečnem času za obravnavo zahtevkov, ki je znašal 20 dni ali manj.
English: Building on previous research efforts, a website analysis was carried out on all the websites of the 32 NCPs (32 countries or territories as Scotland, Wales, England, Northern Ireland and Gibraltar were analysed for the UK).
Slovenian: Analiza spletišča, ki je temeljila na prejšnjih raziskavah, je bila izvedena za vsa spletišča 32 nacionalnih kontaktnih točk (32 držav ali ozemelj, saj so bili za Združeno kraljestvo analizirani Škotska, Wales, Anglija, Severna Irska in Gibraltar).
English: According to Article 7(4) of the Directive, the reference point for reimbursement for cross-border healthcare should be the amount borne by the system when that particular healthcare is provided by a public or contracted healthcare provider (depending on the way a given health system is organised) in the Member State of affiliation.
Slovenian: V skladu s členom 7(4) Direktive bi morala biti referenčna točka za povračilo stroškov čezmejnega zdravstvenega varstva znesek, ki ga je kril sistem, če je to določeno zdravstveno varstvo zagotovil javni ali pogodbeni izvajalec zdravstvenega varstva (glede na to, kako je organiziran zadevni zdravstveni sistem) v državi članici zdravstvenega zavarovanja.
English: In the other 20 Member States, a total of 39 826 reimbursements were made specifically under the Directive: of this total Denmark alone accounted for 31 032.
Slovenian: V drugih 20 državah članicah je bilo izvedenih skupno 39 826 povračil stroškov izključno v okviru Direktive; od teh samo na Danskem 31 032.
English: 6.3 Conclusion
Slovenian: 6.3 Sklep
English: Directive 2011/24/EU​[1]​ (hereafter ‘the Directive') on the application of patients' rights in cross-border healthcare came into force on 24 April 2011.
Slovenian: Direktiva 2011/24/EU​[1]​ (v nadaljnjem besedilu: Direktiva) o uveljavljanju pravic pacientov pri čezmejnem zdravstvenem varstvu je začela veljati 24. aprila 2011.
English: In addition to these 17 Member States, France reported granting 57 000 authorisations; however, this is an aggregate figure combining authorisations under both the Social Security Regulations​[3]​ and the Directive.
Slovenian: Poleg teh 17 držav članic je Francija poročala o odobritvi 57 000 zahtevkov, vendar ta skupna številka zajema odobritve v okviru uredb o socialni varnosti​[3]​ in Direktive.
English: Therefore such referrals are also required in order for patients to be reimbursed when they access such specialist healthcare in another Member State.
Slovenian: Take napotitve se tudi zahtevajo, če želijo pacienti uveljavljati povračilo stroškov, ko uporabijo tako specialistično zdravstveno varstvo v drugi državi članici.
English: 6.2 Exercise of the delegation
Slovenian: 6.2 Izvajanje pooblastila
English: Member States have introduced prior authorisation systems as follows.
Slovenian: Sistemi predhodne odobritve, ki so jih uvedle države članice, so opisani v nadaljevanju.
English: NCPs in 12 EU Member States (Austria, Belgium, France, Germany, Hungary, Italy, Lithuania, Malta, the Netherlands, Slovenia, Spain, and Sweden) were approached in November 2014 by both email and telephone using three different pre-designed scenarios.
Slovenian: Novembra 2014 je bil navezan stik z nacionalnimi kontaktnimi točkami v 12 državah članicah EU (Avstrija, Belgija, Francija, Nemčija, Madžarska, Italija, Litva, Malta, Nizozemska, Slovenija, Španija in Švedska) prek e-pošte in telefona, uporabili pa so se trije vnaprej pripravljeni scenariji.
English: The timeframe covered by the exercise was the calendar year 2014.
Slovenian: Časovni okvir zbiranja podatkov je bilo koledarsko leto 2014.
English: Commission Report on the operation of Directive 2011/24/EU on the application of patients' rights in cross-border healthcare
Slovenian: Poročilo Komisije o izvajanju Direktive 2011/24/EU o uveljavljanju pravic pacientov pri čezmejnem zdravstvenem varstvu
English: ^10 Commission Implementing Decision 2014/287/EU setting out criteria for establishing and evaluating European Reference Networks and their Members and for facilitating the exchange of information and expertise on establishing and evaluating such Networks (OJ L 147, 17.5.2014, p. 79).
Slovenian: ^10 Izvedbeni sklep Komisije 2014/287/EU o določitvi meril za ustanavljanje in vrednotenje evropskih referenčnih mrež in njihovih članov ter za lažjo izmenjavo informacij in strokovnega znanja o ustanavljanju in vrednotenju takih mrež (UL L 147, 17.5.2014, str. 79).
English: The Commission is of the view that the delegated powers conferred by Directive 2011/24/EU should remain in force.
Slovenian: Komisija meni, da bi še naprej morala imeti pooblastilo, ki ji je bilo preneseno z Direktivo 2011/24/EU.
English: 4.4 Health Technology Assessment (HTA)
Slovenian: 4.4 Ocenjevanje zdravstvene tehnologije
English: ^14 Commission Implementing Decision 2013/329/EU of 26 June 2013 providing the rules for the establishment, management and transparent functioning of the network of national authorities or bodies responsible for health technology assessment (OJ L 175, 27.6.2013, p. 71).
Slovenian: ^14 Izvedbeni sklep Komisije 2013/329/EU z dne 26. junija 2013 o pravilih za vzpostavitev, upravljanje in pregledno delovanje mreže nacionalnih organov ali teles, pristojnih za ocenjevanje zdravstvene tehnologije (UL L 175, 27.6.2013, str. 71).
English: For these, a total of 39 826 reimbursements were made, of which 31 032 were reported by Denmark alone.
Slovenian: V teh državah je bilo izvedenih 39 826 povračil stroškov, od tega 31 032 samo na Danskem.
English: ^9 Commission Delegated Decision 2014/286/EU of 10 March 2014 setting out criteria and conditions that European Reference Networks and healthcare providers wishing to join a European Reference Network must fulfil (OJ L 147, 17.5.2014, p. 71).
Slovenian: ^9 Delegirani sklep Komisije 2014/286/EU z dne 10. marca 2014 o določitvi meril in pogojev, ki jih morajo izpolnjevati evropske referenčne mreže in izvajalci zdravstvenega varstva, ki se želijo pridružiti evropski referenčni mreži (UL L 147, 17.5.2014, str. 71).
English: ^5 http://eur-lex.europa.eu/legal-content/EN/TXT/PDF/?uri=CELEX:52014DC0044&from=EN.
Slovenian: ^5 http://eur-lex.europa.eu/legal-content/SL/TXT/PDF/?uri=CELEX:52014DC0044&from=EN.
English: A SWOT analysis focusing on the services provided to the patients complements the conclusions of the study.
Slovenian: Sklepne ugotovitve študije dopolnjuje analiza SWOT, ki je usmerjena v storitve, zagotovljene pacientom.
English: On the one hand, reimbursement for cross-border healthcare is to be provided if such healthcare is among the benefits to which the insured person is entitled in the Member State of affiliation (Article 7(1)) and the Member State of affiliation may impose, including in case of healthcare received through telemedicine, the same conditions and criteria of eligibility as for healthcare provided in its territory.
Slovenian: Po eni strani se stroški čezmejnega zdravstvenega varstva morajo povrniti, če tako zdravstveno varstvo sodi med storitve, do katerih je zavarovana oseba upravičena v državi članici zdravstvenega zavarovanja (člen 7(1)), in država članica zdravstvenega zavarovanja lahko zahteva enake pogoje in merila upravičenosti, kot veljajo za zdravstveno varstvo na njenem ozemlju, vključno z zdravstvenim varstvom v okviru telemedicine.
English: Of the 18 Member States who provided data, France was a clear outlier with 57 000 authorisations granted; however, this is an aggregate figure for authorisation granted under both the Social Security Regulations and the Directive.
Slovenian: Od 18 držav članic, ki so zagotovile podatke, je najbolj izstopala Francija s 57 000 odobritvami, vendar je to skupna številka za odobritev v okviru tako uredb za socialno varnost kot Direktive.
English: Whilst only one in ten knew about the existence of NCPs:
Slovenian: Samo en od desetih pa je vedel, da obstajajo nacionalne kontaktne točke.
English: Chapter 1: State of play of transposition
Slovenian: Poglavje 1: Trenutno stanje prenosa
English: Twenty-six Member States provided responses, covering the calendar year 2014.
Slovenian: Odgovore za koledarsko leto 2014 je zagotovilo 26 držav članic.
English: ^13 http://eur-lex.europa.eu/legal-content/EN/ALL/?uri=CELEX:52012DC0736.
Slovenian: ^13 http://eur-lex.europa.eu/legal-content/SL/ALL/?uri=CELEX:52012DC0736.
English: Fourteen countries therefore use both the "overnight stay" and the "highly specialised" care criteria for requiring prior authorisation.
Slovenian: Obe merili oskrbe, tj. „prenočitev" in „visoka specializiranost", na podlagi katerih se zahteva predhodna odobritev, torej uporablja 14 držav.
English: It has proved difficult for many Member States to provide data concerning information requests to NCPs broken down by medium and issue.
Slovenian: Mnogim državam članicam je bilo težko zagotoviti podatke, razčlenjene glede na medij in vrsto vprašanja, o zahtevkih za informacije, ki so jih prejele nacionalne kontaktne točke.
English: Twenty Member States reported data on reimbursement made exclusively under the Directive.
Slovenian: Podatke o povračilih stroškov izključno v okviru Direktive je sporočilo 20 držav članic.
English: ^11 http://ec.europa.eu/health/ehealth/docs/decision_ehealth_network_en.pdf.
Slovenian: ^11 http://ec.europa.eu/health/ehealth/docs/decision_ehealth_network_sl.pdf.
English: Twenty-one Member States either failed to make the deadline, or transposed the Implementing Directive incompletely, leading to infringement proceedings.
Slovenian: Rok za prenos izvedbene direktive je bil enak kot za prenos Direktive 2011/24/EU, tj. 25. oktober 2013. 21 državam članicam se ni uspelo držati roka ali pa izvedbene direktive niso prenesle v celoti, zato so bili začeti postopki za ugotavljanje kršitev.
English: ^12 http://eur-lex.europa.eu/legal-content/EN/TXT/?uri=uriserv:OJ.L_.2014.086.01.0001.01.ENG.
Slovenian: ^12 http://eur-lex.europa.eu/legal-content/SL/TXT/?uri=CELEX:32014R0282.
English: Others have regional NCPs under one ‘umbrella' NCP.
Slovenian: Druge imajo regionalne kontaktne točke, ki delujejo pod okriljem „krovne" nacionalne kontaktne točke.
English: The rules concerning the HTA Network envisaged by article 15 of the Directive are set out in Commission Implementing Decision 2013/329/EU​[14]​ The HTA Network aims to support cooperation between national authorities, including on the relative efficacy and short-/long-term effectiveness of health technologies.
Slovenian: Cilj mreže za ocenjevanje zdravstvene tehnologije je podpirati sodelovanje med nacionalnimi organi, vključno s kratko- in dolgoročno učinkovitostjo zdravstvenih tehnologij.
English: The proposal has been sent to the Council and the European Parliament.
Slovenian: Predlog je bil poslan Svetu in Evropskemu parlamentu.
English: This is true for all countries, no matter whether they introduced prior authorisation or not.
Slovenian: To velja za vse države, ne glede na to, ali so uvedle predhodno odobritev ali ne.
English: The European Reference Networks
Slovenian: Evropske referenčne mreže
English: "(European Patients' Forum - October 2016)
Slovenian: (Evropski forum pacientov, oktober 2016)
English: The Commission is continuing its intensive dialogues with the Member States to achieve the best possible transposition of the Directive.
Slovenian: Komisija nadaljuje intenzivne dialoge z državami članicami, da bi se dosegel čim boljši prenos Direktive.
English: Should such a need arise in the future, it would be necessary to deal with it swiftly via a delegated act.
Slovenian: Če bi bilo to potrebno v prihodnosti, bi bilo treba hitro ukrepati z delegiranim aktom.
English: In practice, prior authorisation systems are based almost entirely on the said Article 8(2)(a) on which this report will therefore focus.
Slovenian: V praksi sistemi predhodne odobritve skoraj v celoti temeljijo na navedenem členu 8(2)(a), na katerega se bo zato osredotočilo to poročilo.
English: The proposed legislation aims at ensuring a better functioning of the internal market, while contributing to a high level of human health protection.
Slovenian: Cilj predlagane zakonodaje je zagotoviti boljše delovanje notranjega trga in hkrati prispevati k visoki ravni varovanja zdravja ljudi.
English: In addition, a number of additional strategic documents are planned in its Multi-Annual Work Programme 2016-2020.
Slovenian: Poleg tega je v njenem večletnem delovnem programu za obdobje 2016-2020 načrtovanih več dodatnih strateških dokumentov.
English: Other issues
Slovenian: Druga vprašanja
English: It is important that information on cross-border healthcare should be easily available to those patients and families who need or want it.
Slovenian: Pomembno je, da bi morale biti informacije o čezmejnem zdravstvenem varstvu enostavno dostopne tistim pacientom in družinam, ki jih potrebujejo ali želijo.
English: Mapping and building cross-border and regional cooperation
Slovenian: Vzporejanje in krepitev čezmejnega in regionalnega sodelovanja
English: More than five hundred national measures transposing the Directive were notified to the Commission.
Slovenian: Komisiji je bilo priglašenih več kot petsto nacionalnih ukrepov za prenos Direktive.
English: However, the few people who did exercise their rights under the Directive were mostly satisfied, had their expenses fully or partially covered and would consider using this mechanism again.
Slovenian: Vendar je bilo tistih nekaj ljudi, ki so uveljavljali svoje pravice na podlagi Direktive, večinoma zadovoljnih, njihovi stroški so bili v celoti ali delno kriti, sami pa bi tudi naslednjič razmislili o uporabi tega mehanizma.
English: The Commission worked closely with the Member States on the content of the delegated act before adopting it on 10 March 2014, for entry into force on 27 May 2014.
Slovenian: Komisija je tesno sodelovala z državami članicami glede vsebine delegiranega akta, preden ga je 10. marca 2014 sprejela, veljati pa je začel 27. maja 2014.
English: Annex A provides a detailed list of further studies in support of good implementation.
Slovenian: Priloga A vsebuje podroben seznam nadaljnjih študij v podporo dobremu izvajanju.
English: There are several scenarios for developing cooperation, one of the most realistic ones being one which builds regional networks oriented towards addressing local and regional needs, as already indicated by previous studies.
Slovenian: Scenarijev za razvoj sodelovanja je več, eden od najbolj realističnih pa je tisti, ki gradi regionalne mreže, usmerjene v obravnavanje lokalnih in regionalnih potreb, kot je bilo navedeno že v prejšnjih študijah.
English: So far, 16 Member States have received EUR 10.6 million of CEF funding to make the necessary technical preparations for this cross-border exchange.
Slovenian: Do zdaj je 16 držav članic iz Instrumenta za povezovanje Evrope prejelo sredstva v višini 10,6 milijona EUR za potrebne tehnične priprave za to čezmejno izmenjavo.
English: Article 20(1) of the Directive requires the Commission to 'draw up a report on the operation of this Directive and submit it to the European Parliament and to the Council' by 25 October 2015, and every three years thereafter.
Slovenian: Člen 20(1) Direktive določa, da Komisija „pripravi poročilo o izvajanju te direktive ter ga predloži Evropskemu parlamentu in Svetu" do 25. oktobra 2015, nato pa vsaka tri leta.
English: The Directive was due to be transposed by Member States by 25 October 2013.
Slovenian: Države članice so morale Direktivo v nacionalno zakonodajo prenesti do 25. oktobra 2013.
English: Compliance checks and dialogues with Member States will continue over the next reporting period and more use will be made of mobility data.
Slovenian: Pregledi skladnosti in dialogi z državami članicami se bodo nadaljevali v naslednjem obdobju poročanja, ko se bodo bolje izkoristili podatki o mobilnosti.
English: ][13: Seven countries (Czech Republic, Estonia, Finland, Lithuania, The Netherlands, Sweden and Norway) did not choose to introduce a prior authorisation system.]
Slovenian: ][13: Sedem držav (Češka, Estonija, Finska, Litva, Nizozemska, Švedska in Norveška) se ni odločilo za uvedbo sistema predhodne odobritve.]
English: Additionally, transposition of the Directive was discussed with Member States within committees chaired by the Commission.
Slovenian: Poleg tega se je o prenosu Direktive z državami članicami razpravljalo v okviru odborov, ki jima predseduje Komisija.
English: Member States agreed that no exclusion is needed; therefore, the Commission has not used the delegated power.
Slovenian: Države članice so se strinjale, da ni potrebna nobena izključitev, zato Komisija pooblastila še ni uporabila.
English: The first is that over the last three years the majority of patient mobility has been between neighbouring countries.
Slovenian: Prvi je, da je v zadnjih treh letih mobilnost pacientov večinoma potekala med sosednjimi državami.
English: It has been confirmed that structured bilateral meetings with Member States give the possibility to explain remaining concerns and find acceptable solutions for the benefit of EU citizens.
Slovenian: Potrjeno je bilo, da se lahko na strukturiranih dvostranskih srečanjih z državami članicami pojasnijo preostali pomisleki in najdejo sprejemljive rešitve v korist državljanov EU.
English: Similarly, the term "completeness check" is equivalent to "transposition check" in the terminology used in the Communication.
Slovenian: Podobno je izraz „preverjanje popolnosti" enakovreden izrazu „preverjanje prenosa" v terminologiji, ki se uporablja v Sporočilu.
English: This reflection process culminated in the Commission's adoption of a legislative proposal on 31 January 2018.
Slovenian: Ta razmislek je privedel do zakonodajnega predloga, ki ga je Komisija sprejela 31. januarja 2018.
English: Following discussions with the Member States on the proportionality and necessity of all the requirements referred to above, these were lifted in the interest of patients.
Slovenian: Po razpravah z državami članicami o sorazmernosti in nujnosti vseh navedenih zahtev so bile v interesu pacientov te odpravljene.
English: The second phase of the compliance assessment started right after the national measure were notified.
Slovenian: Druga faza ocenjevanja skladnosti se je začela takoj po priglasitvi nacionalnih ukrepov.
English: The data excluding France are represented in darker shade in the lower part of the column.]
Slovenian: Podatki brez Francije so predstavljeni v temnejšem odtenku v spodnjem delu stolpca.]
English: d) Fees for patients from other Member States
Slovenian: (d) Cene za paciente iz drugih držav članic
English: Once defined, fees and tariffs must be applied equally to both nationals and non-nationals.
Slovenian: Ko so cene in tarife določene, se morajo enako uporabljati za državljane in nedržavljane.
English: Systematic checks of Member States' transposition measures
Slovenian: Sistematična preverjanja ukrepov držav članic za prenos
English: To this end, patients are reimbursed for healthcare in accordance with the principles established by the European Court of Justice of the European Union and codified by the Directive.
Slovenian: V ta namen se pacientom povrnejo stroški zdravstvenega varstva v skladu z načeli, ki jih je določilo Sodišče Evropske unije in so kodificirana z Direktivo.
English: The interpretation of the Directive has not been subject to a review by the Court of Justice of the European Union.
Slovenian: Sodišče Evropske unije ni pregledalo razlage Direktive.
English: [4: The Committee under Article 16 of the Directive and the Cross-border Healthcare Expert Group. ]
Slovenian: [4: Odbor na podlagi člena 16 Direktive in skupina strokovnjakov za čezmejno zdravstveno varstvo. ]
English: Interaction with the social security coordination Regulations
Slovenian: Interakcija z uredbama o koordinaciji sistemov socialne varnosti
English: This report also includes a chapter on the use of delegated powers pursuant to Article 17(1) of the Directive.
Slovenian: To poročilo zajema tudi poglavje o uporabi prenosa pooblastil v skladu s členom 17(1) Direktive.
English: Even if healthcare providers de facto have liability insurance, in practice, there was often a lack of legislation requiring such systems to be in place.
Slovenian: Tudi če so izvajalci zdravstvenega varstva dejansko zavarovani za odgovornost, v praksi pogosto zakonodaja, v skladu s katero bi taki sistemi morali biti vzpostavljeni, ni obstajala.
English: The dialogues provided for a good proactive mechanism to trigger positive effects for patients.
Slovenian: Rezultat dialogov je dober proaktivni mehanizem s pozitivnimi učinki za paciente.
English: Such an option is by no means intended to be overused, as this would be regarded as restriction of the free movement of services.
Slovenian: Taka možnost se nikakor ne bi smela čezmerno uporabljati, saj bi se to štelo za omejevanje prostega pretoka storitev.
English: As stated before (see Chapter 1.2.1.b), the Directive allows on certain conditions the Member States to set up a system of prior authorisation (PA).
Slovenian: Kot je bilo že navedeno (glej poglavje 1.2.1.b), Direktiva državam članicam pod nekaterimi pogoji omogoča vzpostavitev sistema predhodne odobritve.
English: At the same time, it may be concluded that the Directive has improved the legal certainty and clarity for cross-border as well as for domestic patients over their rights.
Slovenian: Hkrati je mogoče skleniti, da sta se z Direktivo izboljšali pravna varnost in jasnost za čezmejne in domače paciente glede njihovih pravic.
English: The Commission is also empowered under the Directive to adopt, by means of delegated acts, a list of the specific criteria and conditions that the European Reference Networks must fulfil, and the conditions and criteria required from healthcare providers wishing to join such Networks.
Slovenian: Komisija je na podlagi Direktive pooblaščena tudi, da z delegiranimi akti sprejme seznam posebnih meril in pogojev, ki jih morajo izpolnjevati evropske referenčne mreže, ter pogoje in merila, ki jih morajo izpolnjevati izvajalci zdravstvenega varstva, ki se želijo pridružiti takim mrežam.
English: The Communication proposes a set of actions to enhance the competitive situation of border regions by showcasing successful practices.
Slovenian: V sporočilu je predlagana vrsta ukrepov za povečanje konkurenčnosti v obmejnih regijah s predstavljanjem uspešnih praks.
English: The Network provides strategic guidance and policy orientation for scientific and technical cooperation.
Slovenian: Mreža zagotavlja strateške smernice in usmerjenost politike za znanstveno in tehnično sodelovanje.
English: Following this process, all Member States finally notified their complete transposition measures.
Slovenian: Po tem so vse države članice končno priglasile popolne ukrepe za prenos.
English: Health Technology Assessment
Slovenian: Ocenjevanje zdravstvene tehnologije
English: Cooperation between Health Systems
Slovenian: Sodelovanje med zdravstvenimi sistemi
English: Overall, patient mobility and its financial dimension within the EU remain relatively low and the Cross-border Healthcare Directive has not resulted in a major budgetary impact on the sustainability of health systems.
Slovenian: Na splošno sta mobilnost pacientov in njena finančna razsežnost znotraj EU še vedno relativno majhni, direktiva o čezmejnem zdravstvenem varstvu pa ni imela pomembnega proračunskega vpliva na vzdržnost zdravstvenih sistemov.
English: In this phase, the Commission has been assessing whether all national legal acts and other measures notified are in compliance with the Directive.
Slovenian: V njej Komisija ocenjuje, ali so vsi nacionalni pravni akti in drugi priglašeni ukrepi v skladu z Direktivo.
English: [5: For the sake of continuity, in this report the term "compliance check" is used in line with the earlier Implementation Report of 2015, as meaning the compatibility of national transposition measures with the Directive's provisions.
Slovenian: [5: Zaradi kontinuitete se v tem poročilu izraz „preverjanje skladnosti" uporablja v skladu s prejšnjim poročilom o izvajanju iz leta 2015 v smislu skladnosti nacionalnih ukrepov za prenos z določbami Direktive.
English: It would seem therefore that the opportunities offered by the Regulation (EC) No 883/2004 under the European Health Insurance Card are more widely used than those under the Directive.
Slovenian: Zato se zdi, da se možnosti, ki jih ponuja Uredba (ES) št. 883/2004 na podlagi evropske kartice zdravstvenega zavarovanja, uporabljajo pogosteje kot možnosti na podlagi Direktive.
English: Before the transposition deadline (25 October 2013), the Commission's representatives visited all Member States to discuss the necessary transposition measures and to provide assistance, if requested.
Slovenian: Predstavniki Komisije so pred rokom za prenos (25. oktober 2013) obiskali vse države članice, da bi razpravljali o potrebnih ukrepih za prenos in po potrebi zagotovili pomoč.
English: However, it should be kept in mind that the establishment of a cost-based pricing system might well have implications for reimbursement obligations of Member States to outgoing patients.
Slovenian: Vendar bi bilo treba upoštevati, da bi lahko imela vzpostavitev sistema določanja cen na podlagi stroškov posledice za obveznosti držav članic glede povračila stroškov odhajajočim pacientom.
English: In accordance with Article 20 of the Directive, Member States report on an annual basis on their patient mobility under Directive 2011/24/EU.
Slovenian: Države članice v skladu s členom 20 Direktive letno poročajo o mobilnosti svojih pacientov na podlagi Direktive 2011/24/EU.
English: As of 1 June 2018, the completeness check phase is finalised as all the infringement proceedings related to that phase have been closed, the compliance checks and structured dialogues are ongoing and one infringement case is open.
Slovenian: Od 1. junija 2018 je faza preverjanja popolnosti zaključena, saj so bili vsi postopki za ugotavljanje kršitev, povezani z navedeno fazo, zaključeni, preverjanja skladnosti in strukturirani dialogi potekajo, odprt pa je en primer za ugotavljanje kršitev.
English: At the Informal Ministerial Council in 2015, Member States called upon the Commission to prepare a study to map cross-border co-operation.
Slovenian: Države članice so na neformalnem ministrskem svetu leta 2015 Komisijo pozvale, naj pripravi študijo za vzporeditev čezmejnega sodelovanja.
English: Since neither the European Parliament nor the Council revoked the delegation of powers conferred by Articles 11(5) and 12(5), they were automatically extended, in accordance with Article 17(1) of the Directive, for another 5 years period.
Slovenian: Ker Evropski parlament in Svet nista preklicala prenosa pooblastila iz člena 11(5) in člena 12(5), je bilo v skladu s členom 17(1) Direktive samodejno podaljšano za dodatno petletno obdobje.
English: At the same time, Member States remain responsible for providing adequate healthcare in their territory.
Slovenian: Hkrati ostajajo države članice odgovorne za zagotavljanje ustreznega zdravstvenega varstva na svojem ozemlju.
English: The work of the eHealth Network plays an important role in overcoming legal, organisational, technical, and semantic interoperability challenges in the context of cross-border exchange of personal health data.
Slovenian: Delo mreže e-zdravje ima pomembno vlogo pri premagovanju izzivov, povezanih s pravno, organizacijsko, semantično in tehnično interoperabilnostjo v okviru čezmejne izmenjave osebnih zdravstvenih podatkov.
English: The data presented below covers reports on mobility for three years (2015-17) but the number of countries in each year is not equal.
Slovenian: Podatki, predstavljeni v nadaljevanju, zajemajo poročila o mobilnosti za tri leta (2015-2017), vendar število držav v vsakem letu ni enako.
English: It is interesting to note that the additional data from Denmark indicates that the bulk of this patient mobility is for dental care.
Slovenian: Zanimivo je, da je glede na dodatne podatke iz Danske razlog za večino te mobilnosti pacientov zobozdravstvena oskrba.
English: These patterns previously identified have not changed significantly from 2015 to 2017.
Slovenian: Ti predhodno opredeljeni vzorci se od leta 2015 do leta 2017 niso bistveno spremenili.
English: Interestingly, the requirement for professional liability insurance came up during the completeness checks as a problematic issue in several Member States.
Slovenian: Zanimivo je, da je bila zahteva glede zavarovanja poklicne odgovornosti med preverjanjem popolnosti kot problematično vprašanje izpostavljena v več državah članicah.
English: The intention is to review the management and functioning of the eHealth network to clarify its role in the governance of the eHealth digital service infrastructure and its operational requirements.
Slovenian: Namen je pregledati upravljanje in delovanje mreže e-zdravje, da se pojasnijo njena vloga pri upravljanju infrastrukture digitalnih storitev e-zdravja in njene operativne zahteve.
English: It should be noted that, since not all Member States were able to supply information on each issue in each year, the baseline numbers of reports are therefore not identical for each issue.
Slovenian: Opozoriti je treba, da vse države članice niso mogle vsako leto zagotoviti informacij o vsakem vprašanju, zato se izhodiščno število poročil pri posameznem vprašanju razlikuje.
English: The prior notification option is a mechanism worth upscaling, supporting Member States to comply with their obligation.
Slovenian: Možnost predhodnega obveščanja je mehanizem, ki ga je vredno nadgraditi, saj države članice podpira pri izpolnjevanju njihovih obveznosti.
English: Information was variable also on which treatments are reimbursed.
Slovenian: Različne so bile tudi informacije o tem, za katere oblike zdravljenja se povrnejo stroški.
English: The second trend is seen in the overall pattern of the flow maps in the annex.
Slovenian: Drugi trend je razviden iz splošnega vzorca diagramov pretoka v Prilogi.
English: The subsequent study provides a picture of EU-funded projects implemented in the period of 2007 to 2017 and shows that geographical and cultural-societal factors remain decisive for policy-makers to establish and maintain cooperation initiatives across borders.
Slovenian: Študija, ki je bila izvedena na tej podlagi, zagotavlja prikaz projektov, ki jih je financirala EU in so bili izvedeni v obdobju 2007-2017, ter kaže, da so za to, da oblikovalci politik vzpostavijo in ohranijo pobude za sodelovanje prek meja, še naprej odločilni geografski in kulturno-družbeni dejavniki.
English: Presently, six Member States plus Norway have no prior authorisation system in place at all, giving patients freedom to choose and reducing administrative burden.
Slovenian: Trenutno šest držav članic in Norveška sploh nima vzpostavljenega sistema predhodne odobritve, kar pacientom omogoča svobodno izbiro in zmanjšuje upravno breme.
English: However, this estimate should be interpreted with some caution because, as noted above, not all Member States are able to fully separate those claims made under the Directive and those made under the Regulations.
Slovenian: Vendar bi bilo treba to oceno razlagati z določeno mero previdnosti, ker kot je bilo že navedeno, vse države članice ne morejo popolnoma ločiti zahtevkov, vloženih na podlagi Direktive, in zahtevkov, vloženih na podlagi zadevnih uredb.
English: Some lists were considered overly extensive; concerns were also raised in relation to the requirement of prior authorisation for each type of healthcare abroad exceeding one consultation with a specialist per patient per year.
Slovenian: Nekateri seznami so bili preveč obsežni;pomisleki so bili izraženi tudi v zvezi z zahtevo po predhodni odobritvi za vsako vrsto zdravstvenega varstva v tujini, ki presega eno posvetovanje s specialistom na pacienta letno.
English: The Commission is considering the way forward in those cases, in particular in light of the case-law of the Court of Justice.
Slovenian: V navedenih primer Komisija proučuje nadaljnje ukrepe, zlasti ob upoštevanju sodne prakse Sodišča.
English: In particular, it includes joint work on clinical assessments, joint scientific consultations and emerging health technologies.
Slovenian: Zlasti vključuje skupno delo pri kliničnih ocenah, skupnih znanstvenih posvetovanjih in nastajajočih zdravstvenih tehnologijah.
English: Health Technology Assessment (HTA) is an important part of evidence-based decision-making on health in EU countries.
Slovenian: Ocenjevanje zdravstvene tehnologije je pomemben del odločanja o zdravju na podlagi dokazov v državah EU.
English: Outside the public schemes, the Commission has not identified any issues of implementation and Member States did not choose to introduce measures regarding access for incoming patients.
Slovenian: Komisija ni zunaj javnih shem ugotovila nobenih težav z izvajanjem, države članice pa se niso odločile za uvedbo ukrepov v zvezi z dostopom za prihajajoče paciente.
English: In order to provide more clarity, numerous structured dialogues with Member States were launched in relation to lists of healthcare subject to prior authorisation.
Slovenian: Da bi se zagotovila večja jasnost, so se začeli številni strukturirani dialogi z državami članicami glede seznamov vrst zdravstvenega varstva, za katere se zahteva predhodna odobritev.
English: The Networks bring together more than 900 highly specialised healthcare units located in around 300 hospitals of 25 Member States (plus Norway).
Slovenian: Mreže združujejo več kot 900 visoko specializiranih enot zdravstvenega varstva v približno 300 bolnišnicah v 25 državah članicah in na Norveškem.
English: The Commission should encourage Member States to cooperate in cross-border healthcare provision in border regions.
Slovenian: Komisija bi morala države članice spodbujati k sodelovanju pri zagotavljanju čezmejnega zdravstvenega varstva v obmejnih regijah.
English: Similarly, as doctors have become more knowledgeable about the scheme, they are to provide information themselves directly to the patients.
Slovenian: Podobno so tudi zdravniki bolje seznanjeni s shemo, zato sami zagotovijo informacije neposredno pacientom.
English: In its Communication on Boosting Growth and Cohesion in EU Border Regions, the Commission highlights ways in which Europe can reduce the complexity, length and costs of cross-border interaction and promote the pooling of services along internal borders.
Slovenian: Komisija v Sporočilu o spodbujanju rasti in kohezije v obmejnih regijah EU podaja načine, kako lahko Evropa zmanjša zapletenost, skrajša trajanje in zniža stroške čezmejnega sodelovanja ter spodbuja združevanje storitev ob notranjih mejah.
English: The total number of such requests for reimbursements was relatively low in all three years as a share of total patient care, but has remained very steady.
Slovenian: Skupno število takih zahtevkov za povračilo stroškov je bilo kot delež celotne oskrbe pacientov v vseh treh letih razmeroma nizko, vendar zelo stabilno.
English: Now, after five years of the operation of the Directive, it can be concluded that cross-border patient flows are showing a stable pattern, mostly driven by geographical or cultural proximity.
Slovenian: Po petih letih izvajanja Direktive je mogoče skleniti, da so čezmejni pretoki pacientov stabilni, nanje pa vplivata večinoma geografska ali kulturna bližina.
English: At the end of 2018, the Commission plans to organise a strategic event focused on healthcare with stakeholders from border regions to explore ways in which information exchange and best practices can be further developed throughout the Union.
Slovenian: Komisija namerava konec leta 2018 organizirati strateški dogodek z zainteresiranimi stranmi iz obmejnih regij, osredotočen na zdravstveno varstvo, da bi se proučilo, kako bi bilo mogoče po vsej Uniji še naprej razvijati izmenjavo informacij in dobre prakse.
English: This is because not all Member States are able to maintain a strict separation between the data on reimbursements for healthcare under the Directive 2011/24/EU and the Regulation (EC) No 883/2004 (EC) or under bilateral cross-border agreements.
Slovenian: Vse države članice namreč ne morejo strogo ločiti podatkov o povračilih stroškov zdravstvenega varstva na podlagi Direktive 2011/24/EU in Uredbe (ES) št. 883/2004 ali na podlagi dvostranskih čezmejnih sporazumov.
English: The report is to include, in particular, information on patient flows, financial dimensions of patient mobility, the implementation of Article 7(9) and Article 8, and on the functioning of the European Reference Networks and National Contact Points (NCPs).
Slovenian: Poročilo naj bi vsebovalo zlasti informacije o pretokih pacientov, finančnih vidikih mobilnosti pacientov, izvajanju člena 7(9) in člena 8 ter delovanju evropskih referenčnih mrež in nacionalnih kontaktnih točk.
English: Enhancing information to patients and information needs for persons with disabilities
Slovenian: Povečanje količine informacij za paciente in potreb po informacijah za invalidne osebe
English: Data from Member States on information requests received by National Contact Points
Slovenian: Podatki držav članic o zahtevkih za informacije, ki so jih prejele nacionalne kontaktne točke
English: In terms of the financial dimensions of patient mobility, the year 2016 (for which the most complete data exist), may be taken as an example of the level of reimbursements made for care under the Directive.
Slovenian: Kar zadeva finančne razsežnosti mobilnosti pacientov, je mogoče leto 2016 (za katero obstajajo najpopolnejši podatki) vzeti kot primer ravni povračil za oskrbo, izplačanih na podlagi Direktive.
English: The second and complementary component is the scientific and technical cooperation represented by the EUnetHTA Joint Actions.
Slovenian: Drugi, dopolnilni sestavni del je znanstveno in tehnično sodelovanje v okviru skupnih ukrepov mreže EUnetHTA.
English: This is understandable since in many cases the level of reimbursement under the Regulations will be higher than under the Directive and Member States are required to ensure that citizens are advised on the most suitable route for a claim.
Slovenian: To je razumljivo, saj je v številnih primerih raven povračila na podlagi zadevnih uredb višja kot na podlagi Direktive, države članice pa morajo zagotoviti, da se državljanom svetuje najprimernejša možnost za vložitev zahtevka.
English: A recent small-scale survey by IF SBH relating mostly to one Member State (Denmark) found that an overwhelming majority of respondents had not even heard about the existence of NCPs.
Slovenian: V nedavni manjši raziskavi zveze IF SBH, ki se je nanašala zlasti na eno državo članico (Dansko), je bilo ugotovljeno, da velika večina sodelujočih sploh še ni slišala za obstoj nacionalnih kontaktnih točk.
English: The general objective of the Directive 2011/24/EU (hereafter 'the Directive') on patients' rights in cross-border healthcare is to facilitate the access to safe and high-quality healthcare in another Member State.
Slovenian: Splošni cilj Direktive 2011/24/EU (v nadaljnjem besedilu: Direktiva) o pravicah pacientov pri čezmejnem zdravstvenem varstvu je olajšati dostop do varnega in visokokakovostnega zdravstvenega varstva v drugi državi članici.
English: According to Article 17 of the Directive, the power to adopt delegated acts envisaged therein shall be conferred on the Commission for a period of 5 years from its entry into force.
Slovenian: V skladu s členom 17 Direktive se pooblastilo za sprejemanje delegiranih aktov, predvidenih v Direktivi, prenese na Komisijo za pet let od začetka veljavnosti Direktive.
English: These virtual networks that bring together healthcare providers across Europe to tackle complex or rare medical conditions, so that it is the medical knowledge that travels and not the patient, are certainly an example of good practice.
Slovenian: Te virtualne mreže, ki izvajalce zdravstvenega varstva iz vse Evrope združujejo pri obravnavanju zapletenih ali redkih zdravstvenih stanj, tako da namesto pacienta potuje medicinsko znanje, so zagotovo primer dobre prakse.
English: This reflects findings of the previous Commission report and echoes its past conclusions that knowledge of the existence of the Directive among the surveyed groups remains scarce.
Slovenian: To je v skladu z ugotovitvami prejšnjega poročila Komisije in potrjuje njene pretekle ugotovitve, da so anketirane skupine še vedno slabo seznanjene z obstojem Direktive.
English: eHealth
Slovenian: E-zdravje
English: If prior authorisation is considered necessary, a detailed and sufficiently defined shortlist of treatments should be publicly available.
Slovenian: Če je predhodna odobritev potrebna, bi moral biti javno na voljo podroben in ustrezno opredeljen seznam oblik zdravljenja.
English: It should be noted that the data discussed below may also include some cases of healthcare reimbursed under the social security coordination Regulations.
Slovenian: Opozoriti je treba, da lahko podatki, obravnavani v nadaljevanju, vključujejo tudi nekatere primere stroškov zdravstvenega varstva, povrnjenih na podlagi uredb o koordinaciji sistemov socialne varnosti.
English: The rules concerning the HTA Network envisaged by Article 15 of the Directive are set out in Commission Implementing Decision 2013/329/EU.
Slovenian: Pravila v zvezi z mrežo za ocenjevanje zdravstvene tehnologije, predvideno v členu 15 Direktive, so določena v Izvedbenem sklepu Komisije 2013/329/EU.
English: [26: Recall however that the flow from France to other Member States applies to 2016 data only since France was not able to provide this data in 2015 or 2017.]
Slovenian: [26: Ponovno je treba opozoriti, da pretok iz Francije v druge države članice velja le za podatke za leto 2016, saj Francija ni mogla predložiti teh podatkov v letu 2015 ali 2017.]
English: Indeed, the sworn translation can represent a disproportionate obstacle to free movement of services, for example in several countries the cost of the translation could be higher than the reimbursement of the outpatient service.
Slovenian: Dejansko lahko sodno overjeni prevod predstavlja nesorazmerno oviro za prosti pretok storitev, saj bi lahko bili v nekaterih državah na primer stroški prevoda višji od povračila za ambulantne storitve.