FrancophonIA/Publications_Medical_Domain_UE huggingface dataset:
English: Member States transposed Directive 2011/24/EU at different times and in many cases the data provided only cover part of 2014.
Slovenian: Države članice so prenesle Direktivo 2011/24/EU na različne datume in v mnogih primerih se zagotovljeni podatki nanašajo samo na del leta 2014.
English: The application of the Directive to ‘telemedicine' (i.e. health services provided remotely) has led to a certain lack of clarity.
Slovenian: Uporaba Direktive na področju „telemedicine" (tj. zdravstvene storitve, ki se zagotavljajo na daljavo) je povzročila določene nejasnosti.
English: These findings are in line with the data reported by Member States on information requests (contained in Annex A)
Slovenian: Te ugotovitve so v skladu s podatki, ki so jih o zahtevkih za informacije sporočile države članice (v Prilogi A).
English: Chapter 2: Patient mobility
Slovenian: Poglavje 2: Mobilnost pacientov
English: In the two pending cases, the Member States concerned have committed to addressing the outstanding issues.
Slovenian: V dveh nerešenih primerih sta se zadevni državi članici zavezali, da bosta obravnavali nerešena vprašanja.
English: As this was the first time this questionnaire was used, a number of practical semantic issues were identified during the exercise (reflecting the variety of national situations and practices).
Slovenian: Ker je bil ta vprašalnik uporabljen prvič, je bilo med zbiranjem podatkov opredeljenih več praktičnih semantičnih vprašanj (ki kažejo na različne nacionalne razmere in prakse).
English: The level of use of planned healthcare elsewhere is far below the potential levels suggested by the number of people indicating in the Eurobarometer survey that they would consider using cross-border healthcare.
Slovenian: Raven uporabe načrtovanega zdravstvenega varstva je veliko nižja od morebitnih ravni glede na število ljudi, ki so v raziskavi Eurobarometra izrazili, da bi razmislili o uporabi čezmejnega zdravstvenega varstva.
English: However, again, these are aggregate figures combining data from both the Social Security Regulations and the Directive.
Slovenian: Vendar so to znova skupne številke, ki združujejo podatke v okviru uredb o socialni varnosti in Direktive.
English: Furthermore, Member States are required to notify the Commission of any decision to introduce limitations under 7(9).
Slovenian: Poleg tega morajo države članice uradno obvestiti Komisijo o vsaki odločitvi za uvedbo omejitev v skladu s členom 7(9).
English: A selection of the data reported by Member States is presented here.
Slovenian: Izbor podatkov, ki so jih sporočile države članice, je predstavljen tukaj.
English: It draws on the situation on the ground and other valuable external sources (past studies, scientific literature, stakeholder input, etc.).
Slovenian: Izhaja iz dejanskih razmer in drugih koristnih zunanjih virov (pretekle študije, znanstvena literatura, prispevki deležnikov itd.).
English: For this report, the Commission asked Member States to participate in a data collection exercise.
Slovenian: Komisija je za namene tega poročila prosila države članice, da sodelujejo v zbiranju podatkov.
English: No prior authorisation 7
Slovenian: Ni predhodne odobritve 7
English: Finally, the advance of technology means that ‘telemedicine' services (including online pharmacies) are likely to become more common and more significant in the immediate future.
Slovenian: Tehnološki napredek pa pomeni, da bodo v bližnji prihodnosti storitve „telemedicine" (vključno s spletnimi lekarnami) verjetno postale bolj razširjene in pomembne.
English: The field of medicinal products and medical devices is one where change may occur rapidly.
Slovenian: Na področju zdravil in medicinskih pripomočkov se lahko izjemno hitro pojavijo spremembe.
English: Two of these infringement cases were pending as of 1 July 2015, the others having been closed on the grounds of subsequent transposition by the Member States concerned.
Slovenian: Dva od teh primerov za ugotavljanje kršitev sta v teku od 1. julija 2015, drugi pa so bili zaključeni zaradi poznejšega prenosa zadevnih držav članic.
English: The Directive requires the Commission to encourage Member States to cooperate in cross-border healthcare provision in border regions.
Slovenian: Direktiva določa, da mora Komisija spodbujati države članice k sodelovanju pri zagotavljanju čezmejnega zdravstvenega varstva na obmejnih območjih.
English: However, Article 10 of the Directive obliges National Contact Points to assist each other in understanding invoices.
Slovenian: Člen 10 Direktive pa določa, da si morajo nacionalne kontaktne točke med seboj pomagati pri razumevanju računov.
English: This is not due to the Directive itself, but reflects broader technological and societal changes: people's expectations are radically different now than they were just a few years ago (and health services are unlikely to be immune from the impact of, for example, user-generated reviews).
Slovenian: Vzrok za to ni sama Direktiva, ampak širše tehnološke in družbene spremembe: pričakovanja ljudi so neprimerljivo drugačna zdaj, kot pa so bila pred samo nekaj leti (zdravstvene storitve pa na primer verjetno niso imune na vpliv kritik uporabnikov).
English: One relevant issue here is how the ‘basket of benefits', i.e. the healthcare to which the patient is entitled, is defined.
Slovenian: Pri tem se postavlja bistveno vprašanje, kako se opredeli „košarica storitev", tj. zdravstveno varstvo, do katerega je pacient upravičen.
English: Article 11 of the Directive gives effect to the principle of mutual recognition of medical prescriptions between Member States and empowers the Commission to adopt practical measures to assist such recognition.
Slovenian: Člen 11 Direktive uveljavlja načelo vzajemnega priznavanja zdravniških receptov med državami članicami in pooblašča Komisijo, da sprejme praktične ukrepe za pomoč pri takem priznavanju.
English: The report was 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.
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: To take just one example, the European Reference Networks could seriously improve access to care for rare / low-prevalence and complex diseases where expertise is rare.
Slovenian: Če opišemo samo en primer, evropske referenčne mreže bi lahko znatno izboljšale dostop do oskrbe za redke bolezni/bolezni z nizko razširjenostjo in kompleksne bolezni, za katere je značilno, da primanjkuje strokovnega znanja.
English: This report sets out the current state of play of transposition, and covers the most important and relevant provisions, such as the use of prior authorisation, the level of patient mobility, reimbursement practices, information to patients and cooperation under the Directive.
Slovenian: V tem poročilu je opisano trenutno stanje prenosa ter zajete najbolj pomembne in bistvene določbe, kot so uporaba predhodne odobritve, raven mobilnosti pacientov, prakse povračila stroškov, informacije za paciente in sodelovanje v okviru Direktive.
English: Patient flows for healthcare abroad under the Directive are low.
Slovenian: Pretoki pacientov za zdravstveno varstvo v tujini v okviru Direktive so majhni.
English: However, given the points set out above, it is not possible to conclude now that use of cross-border healthcare accurately reflects potential demand.
Slovenian: Glede na že navedene točke zdaj ni mogoče zaključiti, da je iz uporabe čezmejnega zdravstvenega varstva natančno razvidno morebitno povpraševanje.
English: Although the Commission has received no specific notifications, some of the ways in which Member States have transposed the Directive could be considered as limiting reimbursement.
Slovenian: Čeprav Komisija ni prejela nobenih posebnih obvestil, so nekatere države članice prenesle Direktivo na tak način, ki bi se lahko obravnaval kot omejevanje povračila stroškov.
English: In addition to desk research and a literature review, a detailed website review and widely used participatory research methods were used.
Slovenian: Poleg pregleda dokumentacije in literature so se podrobno proučili tudi spletišče ter splošno razširjene participativne raziskovalne metode.
English: It also report on the use of delegated powers pursuant to Article 17(1) of the Directive, which requires the Commission to report on these by 24 October 2015.
Slovenian: Zajema tudi uporabo prenosa pooblastil v skladu s členom 17(1) Direktive, ki določa, da mora Komisija o teh poročati do 24. oktobra 2015.
English: Yet five of these twelve Member States explicitly insist that the referral must be from a professional in their country.
Slovenian: Kljub temu pa pet od teh dvanajstih držav članic izrecno zahteva, da mora napotitev zagotoviti strokovnjak iz njihove države.
English: Most obviously, the Directive contains a significant number of provisions relating to transparency for patients on their rights, and on the quality and safety of healthcare services.
Slovenian: In kar je najočitneje, Direktiva vključuje precejšnje število določb v zvezi s preglednostjo pravic za paciente ter kakovostjo in varnostjo storitev zdravstvenega varstva.
English: The work of the eHealth Network is supported by a number of activities carried out under the eHealth Action Plan 2012 - 2020: Innovative healthcare for the 21st century​[13]​.
Slovenian: Delo mreže e-zdravja je podprto z več dejavnostmi, ki se izvajajo v okviru akcijskega načrta za e-zdravje za obdobje 2012-2020: Inovativno zdravstveno varstvo za 21. stoletje​[13]​.
English: Other Member States also have regional contact points, but also one national NCP.
Slovenian: Druge države članice tudi imajo regionalne kontaktne točke in eno nacionalno kontaktno točko.
English: The number of requests for prior authorisation specifically under the Directive which were either authorised or refused in the remaining 17 Member States was 560, of which 360 were authorised.
Slovenian: Zahtevkov za predhodno odobritev, izključno v okviru Direktive, ki so bili odobreni ali zavrnjeni v preostalih 17 državah članicah je bilo 560, od tega jih je bilo 360 odobrenih.
English: So far, it is clear that there are significant differences between NCPs in the way they operate and the quality of the information they provide.
Slovenian: Za zdaj je jasno, da obstajajo precejšnje razlike med nacionalnimi kontaktnimi točkami ter načini njihovega delovanja in kakovostjo informacij, ki jih zagotavljajo.
English: Under the CEF Work plan 2015, EU funding has been allocated to implement the exchange of patient summaries, and ePrescriptions.
Slovenian: V okviru delovnega načrta instrumenta za povezovanje Evrope za leto 2015 so bila sredstva EU dodeljena izvedbi izmenjave povzetkov o pacientih in e-receptom.
English: Some Member States have difficulties dividing their cases between Directive 2011/24/EU and the Social Security Regulations (Regulations (EC) No 883/2004 and (EC) No 987/2009), particularly for claims for reimbursement of healthcare not subject to prior authorisation.
Slovenian: Nekatere države članice imajo težave pri ločevanju svojih primerov na Direktivo 2011/24/EU in uredbi o socialni varnosti (uredbi (ES) št. 883/2004 in (ES) št. 987/2009), zlasti za zahtevke za povračilo stroškov za zdravstveno varstvo, za katerega se ne uporablja predhodna odobritev.
English: ‘Patients have high expectations …the prevailing sentiment is that the NCP must be a gateway to healthcare, not a gatekeeper blocking access.'
Slovenian: „Pacienti imajo visoka pričakovanja ... prevladujoče mnenje je, da mora biti nacionalna kontaktna točka okno v zdravstveno varstvo, ne pa nadzornik, ki preprečuje dostop."
English: ^4 Note that the data for planned healthcare via the S2 forms covers only 22 Member States as data for the others was not available.
Slovenian: ^4 Treba je opozoriti, da je v podatke za načrtovano zdravstveno varstvo v okviru obrazcev S2 zajetih samo 22 držav članic, saj podatki za druge države niso bili na voljo.
English: The agreed final cut-off date for the exercise was 30 April 2015.
Slovenian: Dogovorjeni končni presečni datum za zbiranje podatkov je bil 30. april 2015.
English: ANNEX B
Slovenian: PRILOGA B
English: The eHealth Network will review and, if necessary, update the guidelines in 2015-2016 in the light of the CEF experience.
Slovenian: Mreža e-zdravja bo proučila in po potrebi posodobila smernice za obdobje 2015-2016 glede na izkušnje v zvezi z instrumentom za povezovanje Evrope.
English: In these cases the data indicate 74 050 via website (see point above), 15 461 via telephone, 5 436 via email, and 2 179 via face-to-face contact.
Slovenian: V teh primerih je iz podatkov razvidno, da je bilo 74 050 zahtevkov poslanih prek spletišča (glej zgoraj navedeno točko), 15 461 prek telefona, 5 436 prek e-pošte in 2 179 prek osebnega stika.
English: It may therefore prove useful to consider whether and how the applicable rules (e.g. on applicable legislation; access to, and reimbursement for, treatment) need to be developed and clarified.
Slovenian: Torej bi bilo morda dobro proučiti, ali je treba razviti in pojasniti veljavna pravila (npr. o veljavni zakonodaji; dostopu do zdravljenja in povračilu stroškov zanj).
English: At least four Member States require patients to provide a sworn translation of invoices (one even requiring patients to get all documents certified by their consul in the country of treatment).
Slovenian: Vsaj štiri države članice zahtevajo, da morajo pacienti zagotoviti sodno overjen prevod računov (ena celo zahteva, da morajo pacienti overiti vse dokumente pri svojem konzulu v državi zdravljenja).
English: In 2013 there were 1.6 million claims for reimbursement for unplanned healthcare but only 30 172 applications for planned healthcare abroad under the Regulations (via the S2 form used in such cases).
Slovenian: Leta 2013 je bilo vloženih 1,6 milijona zahtevkov za povračilo stroškov za nenačrtovano zdravstveno varstvo, za načrtovano zdravstveno varstvo v tujini v okviru uredb (z obrazcem S2, ki se uporablja v takih primerih) pa samo 30 172.
English: 6.1 Introduction
Slovenian: 6.1 Uvod
English: ^17 This data may include a limited number of claims for treatment which was supposed to be subject to prior authorisation but for which the claim was made retrospectively and ultimately reimbursed.
Slovenian: ^17 Ti podatki lahko zajemajo omejeno število zahtevkov za zdravljenje, za katero naj bi veljala predhodna odobritev, vendar je bil zanj zahtevek vložen naknadno, stroški pa na koncu povrnjeni.
English: Regarding ERNs, the first Networks will be established in 2016, and will then need to be evaluated.
Slovenian: Kar zadeva evropske referenčne mreže, bodo prve mreže ustanovljene leta 2016, nato pa jih bo treba oceniti.
English: Whilst the initial work undertaken by the Commission so far has thrown up some suggestions for action at EU level (e.g. sharing of best practice from successful projects; development of checklists for those considering cross-border collaboration), it is clear that these would only work in support of national or local activities.
Slovenian: Začetno delo, ki ga je izvedla Komisija, je doslej zagotovilo nekaj predlogov za ukrepe na ravni EU (npr. izmenjava dobre prakse pri uspešnih projektih; oblikovanje kontrolnih seznamov za tiste, ki razmišljajo o čezmejnem sodelovanju), vendar bi ti nedvomno podpirali samo nacionalne ali lokalne dejavnosti.
English: Reimbursement for treatment not subject to prior authorisation​[17]​
Slovenian: Povračilo stroškov za zdravljenje, za katero predhodna odobritev ne velja​[17]​
English: It meets twice a year and is supported operationally by a joint action under the Health Programme established by Regulation (EU) No 282/2014​[12]​.
Slovenian: Srečuje se dvakrat letno, operativna podpora zanjo pa je zagotovljena na podlagi skupnega ukrepa v okviru programa za zdravje, ki je bil oblikovan z Uredbo (EU) št. 282/2014​[12]​.
English: Three Member States alone accounted for nearly 75 % of the requests recorded: Germany (36 602); Finland (25 207); and Austria (15 536).
Slovenian: Samo tri države članice so prejele skoraj 75 % zabeleženih zahtevkov: Nemčija (36 602), Finska (25 207) in Avstrija (15 536).
English: Of the latter, 29 115 were accepted​[4]​ - 17 358 in Luxembourg alone.
Slovenian: Od slednjih je bilo sprejetih 29 115​[4]​, od tega 17 358 samo v Luksemburgu.
English: It seems hard to argue, for example, that a treatment should be subject to prior authorisation when not a single person has applied for authorisation for that treatment that year (with a possible exception for extremely specialised or expensive treatments, of course, where even a very small number of reimbursement claims could have significant consequences).
Slovenian: Težko je na primer utemeljiti, da se mora za zdravljenje uporabljati predhodna odobritev, če v tistem letu niti ena oseba ni zaprosila za odobritev za tako zdravljenje (morebitna izjema so seveda izjemno specializirane ali drage oblike zdravljenja, pri katerih bi celo zelo majhno število zahtevkov za povračilo stroškov lahko imelo precejšnje posledice).
English: Article 17 of Directive 2011/24/EU confers on the Commission the delegated powers for a period of 5 years from 24 April 2011.
Slovenian: Člen 17 Direktive 2011/24/EU prenaša pooblastila na Komisijo za obdobje petih let od 24. aprila 2011.
English: 4.1 Recognition of prescriptions
Slovenian: 4.1 Priznavanje receptov
English: 2.1 Prior authorisation: background
Slovenian: 2.1 Predhodna odobritev: ozadje
English: Five Member States had fewer than 100 requests for information (Portugal, for example, recorded just 6).
Slovenian: Pet držav članic je imelo manj kot 100 zahtevkov za informacije (Portugalska jih je na primer zabeležila samo šest).
English: In these Member States there were a total of only 560 applications for authorisation (of which 360 were granted).
Slovenian: V teh državah članicah je bilo skupno samo 560 prijav za odobritev (od tega je bilo odobrenih 360).
English: They represented a range of health insurance providers, healthcare providers, patient ombudsmen, national and regional authorities, patient groups, audit bodies, trade unions and frontline healthcare prescriber organisations.
Slovenian: Predstavljali so nabor zdravstvenih zavarovalnic, izvajalcev zdravstvenega varstva, varuhov pacientovih pravic, nacionalnih in regionalnih organov, skupin pacientov, revizijskih organov, sindikatov in vodilnih pooblaščenih organizacij za predpisovanje zdravil.
English: It has also identified specific areas where greater cross-border collaboration could make a significant difference to patient outcomes, for example in access to critical care for myocardial infarctions.
Slovenian: Opredeljena so bila tudi posebna območja, na katerih bi okrepljeno čezmejno sodelovanje precej prispevalo k izidom za paciente, na primer pri dostopu do intenzivne nege za miokardne infarkte.
English: If a patient from a Member State where such consultations are not provided or funded has a consultation via telemedicine with a GP in a Member State where such consultations are so provided, it is not clear whether the Member State of affiliation may, in such a case, refuse reimbursement.
Slovenian: Če se pacient iz države članice, v kateri taka posvetovanja niso zagotovljena ali financirana, posvetuje v okviru telemedicine s splošnim zdravnikom v državi članici, kjer so taka posvetovanja zagotovljena, ni jasno, ali lahko država članica zdravstvenega zavarovanja v takem primeru zavrne povračilo stroškov.
English: Regarding Article 11(5), a meeting of Member State experts was convened on 14 February 2012 to discuss whether there was a need to exclude specific categories of medicinal products or medical devices from the recognition of prescriptions.
Slovenian: V zvezi s členom 11(5) je bilo 14. februarja 2012 sklicano srečanje strokovnjakov iz držav članic, da bi se obravnavalo, ali je treba izključiti posebne kategorije zdravil ali medicinskih pripomočkov iz obsega priznavanja receptov.
English: Two of these Member States reported that they had neither refused nor granted a single request, two reported only one each, and only two had more than 100 requests.
Slovenian: Dve od teh držav članic sta poročali, da nista niti zavrnili niti odobrili niti enega samega zahtevka, dve sta poročali o samo enem in le dve sta imeli več kot 100 zahtevkov.
English: All NCPs completed at least a part of the online survey.
Slovenian: Vse nacionalne kontaktne točke so izpolnile vsaj del spletne ankete.
English: A number of Member States continue to express concern about communicating the complexities of the current legal situation, where cross-border healthcare is covered by two distinct sets of EU legislation (the Directive and the Social Security Regulations), despite the stipulation in Article 2(m) of the Directive, whereby the former applies without prejudice to the Social Security Regulations (see also recitals 28-31 to the Directive).
Slovenian: Več držav članic še naprej izraža zaskrbljenost glede poročanja o kompleksnosti trenutnega pravnega položaja, saj je čezmejno zdravstveno varstvo zajeto v dva različna sklopa zakonodaje EU (Direktiva in uredbi o socialni varnosti), kljub določilu iz člena 2(m) Direktive, v skladu s katerim se prva uporablja brez poseganja v uredbi o socialni varnosti (glej tudi uvodne izjave 28-31 Direktive).
English: The first call for networks will take place in early 2016, with the first networks expected to be approved during that year.
Slovenian: Prvi razpisi za mreže se bodo začeli na začetku leta 2016 in v tem letu naj bi bile odobrene tudi prve mreže.
English: PA for detailed list of treatment only (categories not specified) 6
Slovenian: Predhodna odobritev samo za podrobni seznam zdravljenj (kategorije niso navedene) 6
English: Article 8(7) of the Directive requires Member States to ‘make publicly available which healthcare is subject to prior authorisation'.
Slovenian: Člen 8(7) Direktive določa, da morajo države članice „javno objavi[ti], za katero zdravstveno varstvo je potrebna predhodna odobritev".
English: Use of prior authorisation
Slovenian: Uporaba predhodne odobritve
English: Some Member States provide links to different legal documents; others give a general description of quality assurance strategies; a few provide detailed information (including links to hospital evaluation systems featuring typical safety parameters, e.g. mortality rate, number of cases treated with complications); others direct citizens to specific sources - websites or a named person.
Slovenian: Nekatere države članice zagotavljajo povezave do različnih pravnih dokumentov; druge na splošno opišejo strategije za zagotavljanje kakovosti; nekaj jih zagotovi podrobne informacije (vključno s povezavami do sistemov ocenjevanja bolnišnic z značilnimi parametri varnosti, npr. umrljivost, število primerov zdravljenja s komplikacijami); druge usmerjajo državljane v posebne vire, in sicer na spletne strani ali imenovano osebo.
English: For example, some Member States reimburse or provide consultations with general practitioners at a distance, whilst others do not.
Slovenian: Nekatere države članice na primer povrnejo stroške za posvetovanja s splošnimi zdravniki na daljavo ali taka posvetovanja zagotovijo, druge pa ne.
English: But the Directive does provide a ready-made space (and forum, in the shape of the network of NCPs, which meets regularly) for the Commission and Member States to share ideas on how this challenge might be met.
Slovenian: Ampak Direktiva zagotavlja vnaprej pripravljen prostor (in forum v obliki mreže nacionalnih kontaktnih točk, ki se redno srečuje) za izmenjavo idej med Komisijo in državami članicami o načinih reševanja tega izziva.
English: As of 1 July 2015, four infringement proceedings remained open, and all four Member States concerned had made firm commitments to address the outstanding issues.
Slovenian: Od 1. julija 2015 so odprti še štirje postopki za ugotavljanje kršitev, vse zadevne države članice pa so se trdno zavezale, da bodo obravnavale nerešena vprašanja.
English: The Commission is working with healthcare providers and authorities to raise awareness of the possibilities offered by ERNs, and to gather support for potential networks or members of networks.
Slovenian: Komisija sodeluje z izvajalci in organi zdravstvenega varstva, da bi okrepila ozaveščenost o možnostih, ki jih zagotavljajo evropske referenčne mreže, in pridobila podporo za morebitne mreže ali člane mrež.
English: In these 14 Member States, therefore, it is unclear for patients exactly which treatments are subject to prior authorisation, since the use of at least one of these criteria - and sometimes both - has not been elucidated by national authorities.
Slovenian: V teh 14 državah članicah torej pacienti ne vedo, za točno katere oblike zdravljenja velja predhodna odobritev, saj nacionalni organi niso pojasnili uporabe vsaj enega od teh meril, v nekaterih primerih pa celo obeh.
English: Interviews with 20 health insurers as part of an evaluative study​[2]​ on behalf of the Commission found that 15 of them thought that patients in their country do not know whether a treatment is subject to prior authorisation or not, and that patients therefore tended to request prior authorisations even when this was not necessary.
Slovenian: Na podlagi razgovorov z 20 zdravstvenimi zavarovalnicami v okviru evalvacijske študije​[2]​, ki je bil izvedena v imenu Komisije, je bilo ugotovljeno, da jih 15 meni, da pacienti v njihovi državi ne vedo, ali za zdravljenje velja predhodna odobritev ali ne, in da jo zato običajno zahtevajo, tudi če ni potrebna.
English: It may be that that the natural demand for cross-border healthcare is relatively low for a number of reasons: unwillingness of patients to travel (e.g. because of proximity to family or familiarity with home system); language barriers; price differentials between Member States; acceptable waiting times for treatment in the Member State of affiliation.
Slovenian: Morda je naravno povpraševanje po čezmejnem zdravstvenem varstvu sorazmerno nizko iz več razlogov: nepripravljenost pacientov, da bi potovali (npr. zaradi bližine družine ali poznavanja domačega sistema); jezikovne ovire; razlike v ceni med državami članicami; sprejemljive čakalne dobe za zdravljenje v državi članici zdravstvenega zavarovanja.
English: Of nine NCPs surveyed, three had fewer than 10 requests for information per month, four had between 10 and 100 requests, and only two had more than 100 requests per month.
Slovenian: Od devetih nacionalnih kontaktnih točk, ki so bile proučene, so tri imele manj kot 10 zahtevkov za informacije na mesec, štiri so imele med 10 in 100 zahtevki, samo dve pa sta imeli več kot 100 zahtevkov na mesec.
English: Two Member States (Poland and Greece) reported that they had neither authorised nor refused any requests for prior authorisation in 2014 and two (Croatia and Portugal) received just one each.
Slovenian: Dve državi članici (Poljska in Grčija) sta sporočili, da leta 2014 nista niti odobrili niti zavrnili nobenih zahtevkov za predhodno odobritev, dve (Hrvaška in Portugalska) pa sta vsaka prejeli samo po eno.
English: Thirdly, whilst some Member States have implemented the Directive fully and are making considerable efforts to facilitate patients' rights to cross-border healthcare, there are a considerable number of Member States where the obstacles placed in the way of patients by health systems are significant, and which, in some cases at least, appear to be the result of intentional political choices: some of the current systems of prior authorisation are more extensive than the current numbers of requests would appear to justify; in many cases it is not clear exactly which treatments require prior authorisation; lower reimbursement tariffs than those used in the home Member State are a clear disincentive; there are a number of burdensome administrative requirements which may well deter patients.
Slovenian: Tretjič, medtem ko so nekatere države članice v celoti izvedle Direktivo in si precej prizadevajo, da bi spodbujale pravice pacientov do čezmejnega zdravstvenega varstva, se pacienti v znatnem številu držav srečujejo z velikimi ovirami zdravstvenih sistemov, ki se vsaj v nekaterih primerih zdijo rezultat namernih političnih izbir: nekateri trenutni sistemi predhodne odobritve so obširnejši, kot pa je glede na trenutno število zahtevkov mogoče ustrezno utemeljiti; v mnogih primerih ni jasno, za natanko katera zdravljenja je potrebna predhodna odobritev; nižje tarife za povračilo stroškov kot tiste, ki se uporabljajo v matični državi članici, so nedvomno odvračilne; obstaja več obremenjujočih upravnih zahtev, ki morda odvračajo paciente.
English: Ten Member States recorded more than 1 000 information requests.
Slovenian: Deset držav članic je zabeležilo več kot 1 000 zahtevkov za informacije.
English: Patient mobility for planned healthcare - under both the Directive and the Social Security Regulations - remains low, whilst patient mobility in terms of unplanned healthcare seems to be considerably higher.
Slovenian: Mobilnost pacientov pri načrtovanem zdravstvenem varstvu - v okviru Direktive in uredb o socialni varnosti - je še vedno majhna, mobilnost pacientov v smislu nenačrtovanega zdravstvenega varstva pa se zdi precej večja.
English: Subjective, opinion-based data was also collected in the focus countries and at European level via 59 stakeholder interviews and an online survey addressed to the 12 NCPs in the focus countries.
Slovenian: Zbrani so bili tudi subjektivni in na mnenju temelječi podatki v državah v žarišču ter na evropski ravni v okviru razgovorov z 59 deležniki in spletne ankete, ki je bila usmerjena v 12 nacionalnih kontaktnih točk v državah v žarišču.
English: It is questionable whether this is in line with the criterion in Article 8(2)(a), which relates to the way treatment is provided in the Member State of affiliation rather than the Member State of treatment.
Slovenian: Vprašljivo je, ali je to v skladu z merilom iz člena 8(2)(a), ki je povezan s tem, kako se zagotovi zdravljenje v državi članici zdravstvenega zavarovanja in ne v državi članici zdravljenja.
English: It is also likely that requests relating to cross-border healthcare outside the scope of Directive 2011/24/EU have sometimes been included, e.g. questions relating to the European Health Insurance Card (EHIC) etc.
Slovenian: Verjetno so bili v nekatere primere zajeti tudi zahtevki v zvezi s čezmejnim zdravstvenim varstvom, ki ne sodijo na področje uporabe Direktive 2011/24/EU, npr. vprašanja glede evropske kartice zdravstvenega zavarovanja itd.
English: It was due to be transposed by Member States by 25 October 2013.
Slovenian: Države članice so jo morale prenesti v nacionalno zakonodajo do 25. oktobra 2013.
English: Twenty-one Member States have introduced a system of prior authorisation (Austria, the Czech Republic, Estonia, Finland, Lithuania, the Netherlands and Sweden have not, although some of these have introduced legislation enabling them to introduce such a system at a later date, should they so wish).
Slovenian: Sistem predhodne odobritve je uvedlo 21 držav članic (Avstrija, Češka, Estonija, Finska, Litva, Nizozemska in Švedska niso, čeprav so nekatere od teh uvedle zakonodajo, ki jim omogoča uvedbo takega sistema pozneje, če bodo to želele).
English: Article 11 of Directive 2011/24/EU concerns mutual recognition of prescriptions between Member States.
Slovenian: Člen 11 Direktive 2011/24/EU zadeva vzajemno priznavanje receptov med državami članicami.
English: At the other end of the spectrum, Italy received 177 (103 authorised) and Slovakia 139 (121 authorised).
Slovenian: Nasprotno pa je Italija prejela 177 (103 odobrenih) zahtevkov, Slovaška pa 139 (121 odobrenih).
English: A detailed breakdown of data may be found in Annex A, which also sets out various qualifications regarding the data collection exercise, not least that the Directive was implemented at different times in different Member States and data may not therefore cover all of 2014).
Slovenian: Podrobna razčlenitev podatkov je na voljo v Prilogi A, kjer so navedene tudi različne omejitve v zvezi z zbiranjem podatkov, tudi to, da je bila Direktiva v različnih državah članicah prenesena v različnih časovnih obdobjih, zato morda niso bili na voljo podatki za celo leto 2014.
English: Any system of prior authorisation must be necessary and proportionate to the objective to be achieved, and may not constitute a means of arbitrary discrimination or an unjustified obstacle to the free movement of patients.
Slovenian: Vsak sistem predhodne odobritve mora biti nujen in sorazmeren z zadanim ciljem ter ne sme predstavljati sredstva za samovoljno diskriminacijo ali neutemeljene ovire za prosti pretok pacientov.
English: The ‘pseudo-patient' research method was used to take account of the ‘end-user' perspective.
Slovenian: Uporabljena je bila raziskovalna metoda z nepravimi pacienti, da bi se upošteval vidik končnega uporabnika.
English: This generally low volume of patient mobility for planned healthcare appears to be equally the case for care under the Social Security Regulations.
Slovenian: Zdi se, da ta na splošno majhen obseg mobilnosti pacientov za načrtovano zdravstveno varstvo velja tudi za oskrbo v okviru uredb o socialni varnosti.
English: The Commission has since begun the process of establishing ERNs, including the establishment of the Board of Member States, which will be charged with approving proposals for ERNs.
Slovenian: Od takrat je Komisija začela proces ustanavljanja evropskih referenčnih mrež, vključno z ustanavljanjem odbora držav članic, ki bo zadolžen za odobritev predlogov za evropske referenčne mreže.
English: Several Member States require prior authorisation if the healthcare requires an overnight stay in the Member State of treatment.
Slovenian: Več držav članic zahteva predhodno odobritev, če zdravstveno varstvo zahteva prenočitev v državi članici zdravljenja.
English: Of the 21 Member States who introduced a system of prior authorisation, 17 were able to supply data on numbers of requests for authorisation specifically under the Directive.
Slovenian: Od 21 držav članic, ki so uvedle sistem predhodne odobritve, jih je 17 lahko zagotovilo podatke o številu zahtevkov za odobritev izrecno v okviru Direktive.
English: Of these 23, Finland, France and Luxembourg provided aggregate data for the Directive and the Social Security Regulations.
Slovenian: Od teh 23 držav so Finska, Francija in Luksemburg zagotovili skupne podatke v okviru Direktive in uredb za socialno varnost.
English: Nine of the 14 Member States have set out which treatments they consider to meet the ‘highly specialised' criterion, whilst five have not.
Slovenian: Devet od 14 držav članic je opredelilo, katere oblike zdravljenja naj bi ustrezale merilu „visoka specializiranost", pet pa ne.
English: The evaluation study cited above indicates considerable variation in the performance of National Contact Points in this regard.
Slovenian: Že navedena evalvacijska študija glede tega kaže precejšnje razlike v učinkovitosti nacionalnih kontaktnih točk.
English: The Commission adopted Implementing Decision 2011/890/EU concerning the eHealth Network on 22 December 2011.​[11]​.
Slovenian: Komisija je 22. decembra 2011 sprejela Izvedbeni sklep 2011/890/EU o mreži e-zdravja​[11]​.
English: There may well be merit in exploring common approaches or guidelines for the work of NCPs in future discussions.
Slovenian: Morda bi v prihodnjih razpravah bilo dobro proučiti skupne pristope ali smernice za delo nacionalnih kontaktnih točk.
English: Of the 26 Member States who responded, all but Luxembourg and Sweden were able to provide data on the total number of unique requests.
Slovenian: Med 26 državami članicami, ki so se odzvale, sta samo Luksemburg in Švedska lahko zagotovila podatke o skupnem številu enkratnih zahtevkov.
English: Some Member States were able to divide their information requests by medium.
Slovenian: Nekatere države članice so lahko razčlenile svoje zahtevke za informacije glede na medij.
English: Article 12 of the Directive requires the Commission to support the development of European Reference Networks (ERNs) of healthcare providers and centres of expertise (in particular in the area of rare diseases) by: adopting the criteria and conditions that such Networks, and providers wishing to join Networks, must fulfil; developing criteria for establishing and evaluating such Networks; and facilitating the exchange of information and expertise on the Networks.
Slovenian: Člen 12 Direktive določa, da mora Komisija podpirati razvoj evropskih referenčnih mrež izvajalcev zdravstvenega varstva in strokovnih centrov (zlasti na področju redkih bolezni), tako da sprejme merila in pogoje, ki jih morajo izpolniti take mreže in izvajalci, ki se želijo pridružiti mrežam; oblikuje merila za ustanavljanje in vrednotenje takih mrež; ter olajšuje izmenjave informacij in strokovnega znanja o mrežah.
English: Only three had average processing times of 30 days or more: Hungary (30 days); Cyprus (40); and Slovenia (69).
Slovenian: Samo v treh je obravnava povprečno trajala 30 dni ali več, in sicer na Madžarskem 30 dni, Cipru 40 dni in v Sloveniji 69 dni.
English: Article 7(9) permits Member States to limit the application of the rules on reimbursement of cross-border healthcare for overriding reasons of general interest.
Slovenian: Države članice lahko v skladu s členom 7(9) omejijo uporabo pravil o povračilu stroškov čezmejnega zdravstvenega varstva na podlagi prevladujočih razlogov v splošnem interesu.
English: Of these 21, Latvia and Malta did not provide data returns.
Slovenian: Od teh 21 držav Latvija in Malta nista zagotovili podatkov.
English: The data in Annex A shows that some Member States with prior authorisation systems have received no requests for authorisation at all (and many others have received very few).
Slovenian: Iz podatkov v Prilogi A je razvidno, da nekatere države članice s sistemi predhodne odobritve niso prejele nobenega zahtevka za odobritev (mnoge druge pa so jih prejele zelo malo).
English: This data is from the evaluative study, which also indicated significant variation in the activity of the NCPs.
Slovenian: Ti podatki izhajajo iz evalvacijske študije, ki je pokazala tudi precejšnje razlike v dejavnosti nacionalnih kontaktnih točk.
English: There are also differences in the communication channels used by NCPs, as the following table (covering all 28 Member States and the separate contact points for England, Scotland, Wales, Northern Ireland, and Gibraltar)​[6]​ shows.
Slovenian: Obstajajo tudi razlike v komunikacijskih poteh, ki jih uporabljajo nacionalne kontaktne točke, kot je razvidno iz naslednje tabele (v katero je zajetih vseh 28 držav članic ter ločene kontaktne točke za Anglijo, Škotsko, Wales, Severno Irsko in Gibraltar)​[6]​.
English: The data returns made by Member States, in general, do not suggest that extensive systems of prior authorisation are justified: the numbers of people applying for authorisation are simply too small.
Slovenian: Iz podatkov, ki so jih poslale države članice, na splošno ni razvidno, da so obsežni sistemi predhodne odobritve ustrezno utemeljeni: število ljudi, ki zaprosijo za predhodno odobritev, je preprosto premajhno.
English: ^8 Commission Implementing Directive 2012/52/EU of 20 December 2012 laying down measures to facilitate the recognition of medical prescriptions issued in another Member State (OJ L 356, 22.12.2012, p. 68).
Slovenian: ^8 Izvedbena Direktiva Komisije 2012/52/EU z dne 20. decembra 2012 o določitvi ukrepov za olajšanje priznavanja zdravniških receptov, predpisanih v drugi državi članici (UL L 356, 22.12.2012, str. 68).
English: 2.3 Patient flows
Slovenian: 2.3 Pretoki pacientov
English: The transposition deadline for the Directive was 25 October 2013.
Slovenian: Rok za prenos Direktive je bil 25. oktober 2013.
English: The HTA strategy adopted by the HTA Network has demonstrated the interest in joint work by the Member States but has also shown the need for permanent and well-founded arrangements.
Slovenian: Strategija za ocenjevanje zdravstvene tehnologije, ki jo je sprejela mreža za ocenjevanje zdravstvene tehnologije, je pokazala zanimanje za skupno delo držav članic ter potrebo po trajnih in dobro utemeljenih ureditvah.
English: They have identified NCPs as having a crucial role in the success or failure of the Directive, recommending that NCPs could provide ‘checklists' for individuals considering planned care abroad, and more detailed individual timelines of procedures, costs and reimbursement rates.
Slovenian: Te organizacije so opredelile, da so nacionalne kontaktne točke bistvenega pomena pri tem, ali se bo Direktiva uspešno izvajala ali ne, pri čemer so priporočale, da bi nacionalne kontaktne točke lahko zagotovile „kontrolne sezname" za posameznike, ki razmišljajo o načrtovani oskrbi v tujini, in podrobnejše posamezne časovne načrte postopkov, stroškov in stopenj povračil stroškov.
English: 4.3 eHealth
Slovenian: 4.3 E-zdravje
English: Initial work by the Commission shows that there is a limited number of existing cross-border projects which may provide valuable ‘lessons learned' for future parties.
Slovenian: Iz začetnega dela Komisije je razvidno, da je število obstoječih čezmejnih projektov, ki bi lahko zagotovili dragocene izkušnje za prihodnje udeležene strani, omejeno.
English: Fourteen Member States made fewer than 100 reimbursements, of which six (Austria, Bulgaria, Cyprus, Estonia, Greece, and Portugal) recorded no reimbursements under the Directive.
Slovenian: Štirinajst držav članic je izvedlo manj kot 100 povračil stroškov, od teh jih šest (Avstrija, Bolgarija, Ciper, Estonija, Grčija in Portugalska) ni zabeležilo nobenega povračila stroškov v okviru Direktive.
English: Some NCPs are based in the Ministry of Health, others in the healthcare insurer, and others in independent bodies.
Slovenian: Nekatere nacionalne kontaktne točke imajo sedež na ministrstvu za zdravje, druge na zdravstvenih zavarovalnicah ali neodvisnih organih.
English: In total, only four of these Member States reported more than 1 000 reimbursements.
Slovenian: Skupno so samo štiri od teh držav članic poročale o več kot 1 000 povračilih stroškov.
English: Since its inception, the eHealth Network has adopted guidelines on patient summaries data sets and on ePrescriptions, and position papers on: electronic identification, interoperability, the proposed Regulation on data protection; and eHealth investment to be supported by the Connecting Europe Facility (CEF).
Slovenian: Mreža e-zdravja je ob ustanovitvi sprejela smernice o zbirki povzetkov podatkov o pacientih in smernice o e-receptih ter dokumente o stališčih glede elektronske identifikacije, interoperabilnosti, predlagane uredbe o varstvu podatkov ter naložbe v e-zdravje, kar bo podprto z instrumentom za povezovanje Evrope.
English: It clarifies the rights of patients to seek reimbursement for healthcare received in another Member State.
Slovenian: Direktiva pojasnjuje pravice pacientov do povračila stroškov za zdravstveno varstvo, ki so ga prejeli v drugi državi članici.
English: The Network adopted a Strategy for EU cooperation on HTA in October 2014, and a reflection paper on reuse of joint HTA work in national activities in April 2015.​[15]​
Slovenian: Mreža je oktobra 2014 sprejela strategijo za sodelovanje EU pri ocenjevanju zdravstvene tehnologije, aprila 2015 pa dokument za razmislek o ponovni uporabi skupnega dela v zvezi z ocenjevanjem zdravstvene tehnologije v nacionalnih dejavnostih​[15]​.
English: Article 11(5) empowers the Commission to adopt, by means of delegated acts, measures to exclude specific categories of medicinal products or medical devices from the recognition of prescriptions, where necessary to safeguard public health.
Slovenian: Člen 11(5) pooblašča Komisijo, da z delegiranimi akti sprejme ukrepe za izključitev posebnih kategorij zdravil ali medicinskih pripomočkov iz obsega priznavanja receptov, kadar je to potrebno zaradi varovanja javnega zdravja.
English: At the other end of the scale, 14 Member States had made fewer than 100 reimbursements (of which six had made no reimbursements at all).
Slovenian: Na drugi strani lestvice pa je 14 držav članic, ki so izvedle manj kot 100 povračil stroškov (od tega jih šest ni izvedlo nobenega).
English: However, Article 7(11) requires that such limitations be necessary and proportionate, and do not constitute a means of arbitrary discrimination or an unjustified obstacle to free movement.
Slovenian: Člen 7(11) pa določa, da morajo biti take omejitve nujne in sorazmerne ter da ne bi smele predstavljati sredstva za samovoljno diskriminacijo ali neutemeljene ovire za prosti pretok.
English: At least three Member States have adopted reimbursement practices for cross-border healthcare whereby the reimbursement tariff for patients is based on the costs that would be borne by the Member State of affiliation for care received from a private or non-contracted provider (which is considerably lower than the rate for public or contracted providers) had this healthcare been provided in its territory.
Slovenian: Vsaj tri države članice so sprejele prakse povračila stroškov čezmejnega zdravstvenega varstva, pri katerih tarifa povračila stroškov za paciente temelji na stroških, ki bi jih krila država članica zdravstvenega zavarovanja za oskrbo, ki jo zagotovi zasebni ali nepogodbeni izvajalec (ti pa so znatno nižji kot stopnja, ki jo krijejo javni ali pogodbeni izvajalci), če bi bilo zdravstveno varstvo zagotovljeno na njenem ozemlju.
English: Articles 8(2)(b) and (c) also allow them to require prior authorisation for treatments presenting a particular risk to patients or the population or for care provided by a healthcare provider that gives rise to serious concerns relating to the quality and safety of care.
Slovenian: V skladu s členom 8(2)(b) in (c) lahko tudi zahtevajo predhodno odobritev za oblike zdravljenja, ki pomenijo posebno tveganje za pacienta ali prebivalce, ali za oskrbo, ki jo zagotovi izvajalec zdravstvenega varstva in bi lahko pomenila resne pomisleke glede kakovosti ali varnosti oskrbe.
English: Of these, four had an average of fewer than 20 days (Denmark, Hungary, Luxembourg, and the UK) and three had average times of more than 80 days: Finland (82); Slovakia (84.3) and Sweden (150) (NB the Finnish figure relates to both the Regulations and the Directive).​[18]​
Slovenian: V štirih od teh je obravnava povprečno trajala manj kot 20 dni (Danska, Madžarska, Luksemburg in Združeno kraljestvo), v treh pa več kot 80 dni, in sicer na Finskem 82 dni, Slovaškem 84,3 dni in Švedskem 150 dni (opomba: finski podatek se nanaša na uredbi in Direktivo)​[18]​.
English: Article 12(5), read together with Article 12(4)(a), empowers the Commission to adopt, by means of delegated acts, a list of the specific criteria and conditions that the ERNs must fulfil, and the conditions and criteria required from healthcare providers wishing to join such Networks, as envisaged in Article 12(4)(a).
Slovenian: Člen 12(5), bran skupaj s členom 12(4)(a), pooblašča Komisijo, 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, kot je predvidevano v členu 12(4)(a).
English: On the other hand, Article 4(1)(a) lays down the principle whereby healthcare is provided in accordance with the legislation of the Member State of treatment and, in the case of telemedicine, healthcare is considered to be provided in the Member State where the healthcare provider is established (Article 3(d)).
Slovenian: Po drugi strani pa je v členu 4(1)(a) opredeljeno načelo, po katerem se zdravstveno varstvo zagotavlja v skladu z zakonodajo države članice zdravljenja, pri telemedicini pa se šteje, da se zdravstveno varstvo zagotavlja v državi članici, v kateri ima sedež izvajalec zdravstvenega varstva (člen 3(d)).
English: ^1 Directive 2011/24/EU of the European Parliament and of the Council of 9 March 2011 on the application of patients' rights in cross-border healthcare (OJ L 88, 4.4.2011, p. 45).
Slovenian: ^1 Direktiva 2011/24/EU Evropskega parlamenta in Sveta z dne 9. marca 2011 o uveljavljanju pravic pacientov pri čezmejnem zdravstvenem varstvu (UL L 88, 4.4.2011, str. 45).