natgillin/translations-raw huggingface dataset:
Although there was an increase regarding expensive medicines (from HRK 609 million in 2013 to HRK 634 million in 2014), expenditures for prescription medicines were significantly reduced (from HRK 5.4 billion in 2013 to HRK 3.3 billion in 2014), and the total expenditures for medicines fell from HRK 6 billion in 2013 to HRK 3.9 billion in 2014; public tender was also carried out to determine new reference prices of medicines, and in February 2015 a new list of medicines prices was established.
Iako je došlo do porasta posebno skupih lijekova (s 609 milijuna kuna u 2013. na 634 milijuna kuna u 2014.), izdaci za lijekove na recept značajno su smanjeni (s 5,4 milijarde kuna u 2013. na 3,3 milijarde kuna u 2014.), a ukupni izdaci za lijekove su pali s 6 milijardi kuna u 2013. na 3,9 milijardi kuna u 2014. također je provedeno javno nadmetanje za utvrđivanje referentnih cijena lijekova, te je u veljači 2015. utvrđena nova lista cijena lijekova.
Implementation of the new model of contracting and payments for hospitals, designed as a key element to further increase in the rationalisation and efficiency of the hospital sector (together with the National Plan) started as of 1 April 2015.
Novi model ugovaranja i plaćanja za bolnice, zamišljen kao ključni element daljnjeg povećanja racionalizacije i učinkovitosti bolničkog sektora (zajedno s Nacionalnim planom), krenuo je u provedbu 1. travnja 2015.
Key features of the new model are abandoning the system of advance payment for each hospital in accordance with monthly lump sum, improving the system of ‘e-offer' for planning and billing of health care services offered by hospitals (which is the basis for contracting), revision of existing diagnostic and therapeutic groups (DTG) and prices, gradual introduction of payments per provided service, introduction of management contracts for management staff in hospitals, additional funds if target key performance indicators and quality indicators are achieved (stimulation of results and quality), etc. Unique price list (diagnostic and therapeutic procedures - DTP) was defined, with revision of working hours and personnel standards and revision (increase) of prices; day care surgery procedures were defined and partial revision of prices in DTG categories and coefficients was conducted.
Ključne značajke novog modela su napuštanje sustava avansnog plaćanja za svaku bolnicu u skladu s mjesečnim paušalom, poboljšanje sustava "e-ponuda" za planiranje i naplatu zdravstvenih usluga koje nudi bolnica (što je temelj za ugovaranje), revizija postojećih dijagnostičko-terapijskih skupina (DTS) i cijena, postupno uvođenje plaćanja po pruženoj usluzi, uvođenjem menadžerskih ugovora za rukovodeće osoblje u bolnicama, dodatna financijska sredstva ako su postignuti ciljani ključni pokazatelji uspješnosti i indikatori kvalitete (stimulacija rezultata i kvalitete), itd. Definiran je jedinstveni cjenik usluga (DTP), uz reviziju vremensko-kadrovskih normativa i reviziju (povećanje) cijena, definirani su postupci dnevne kirurgije (JDK) i provedena je revizija jednog dijela cijena DTS kategorija i koeficijenata.
The new model of referral to secondary and tertiary health care, particularly for patients with chronic diseases, is carried out with the aim of reducing the rate of hospital referral by primary health care.
Novi model upućivanja u sekundarnu i tercijarnu zdravstvenu skrb, naročito za pacijente s kroničnim bolestima, provodi se s ciljem smanjivanja bolničke stope upućivanja od strane primarne zdravstvene zaštite.
This model is fully implemented in all hospitals and clinics.
Model je u potpunosti implementiran u svim bolnicama i ambulantama.
Compared to 2013, referral to secondary health care in 2014 was reduced by about 500 000 or 8 %.
U odnosu na 2013., upućivanja u sekundarnu zdravstvenu zaštitu tijekom 2014. smanjene su za oko 500.000 ili 8%.
After significant reduction of the rate of sick leave during 2013 and 2014 (31 December 2012 = 3.22; 31 December 2013 = 2.85; 31 October 2014 = 2.73), mainly due to higher frequency and stricter control of sick leave, further savings in 2015 are planned through the implementation of a new system for business intelligence based on daily processing of data which should enable better planning and analysis, and thus increase the efficiency of sick leave control (less random controls and more targeted controls).
Nakon značajnog smanjenja stope bolovanja tijekom 2013. i 2014 (31/12/2012 = 3,22; 31/12/2013 = 2,85; 31/10/2014 = 2,73), prvenstveno zbog veće učestalosti i strože kontrole bolovanja, daljnje uštede u 2015. planiraju se kroz implementaciju novog sustava za poslovnu inteligenciju na temelju dnevne obrade podataka koji bi trebali omogućiti bolje planiranje i analizu, a time i povećati učinkovitost kontrole bolovanja (manje slučajnih i više ciljanih kontrola).
Box 3.1.1
Okvir 3.1.1.
The National Development Plan for clinical hospital centres, clinical hospitals, clinics and general hospitals in the Republic of Croatia 2015-2016
Nacionalni plan razvoja kliničkih bolničkih centara, kliničkih bolnica, klinika i općih bolnica u Republici Hrvatskoj 2015.-2016.
The National Plan is key planning and operational document that is envisaged by the National Strategy of Health Development 2012-2020.
Nacionalni plan ključni je planskih i operativnih dokument koji je previđen Nacionalnom strategijom razvoja zdravstva 2012. - 2020.
It is based on two principles: principle of subsidiarity and principal of functional integration.
Temelji se na dva ključna načela: na načelu supsidijarnosti i funkcionalne integracije.
According to the principle of subsidiarity, health problems should be resolved at the lowest possible level of provided health care services.
Prema načelu supsidijarnosti zdravstveni problemi trebaju se rješavati na najnižoj razini pružanja zdravstvene zaštite na kojoj je to moguće.
The principal of functional integration involves cooperation between hospitals, where necessary, in order to achieve established objectives.
Načelo funkcionalne integracije podrazumijeva suradnju bolnica tamo gdje je to potrebno kako bi se ostvarili zadani ciljevi.
Functional integration, with restructuring and modernisation of hospitals on the basis of common development; improves and coordinates management, diagnostic and therapeutic procedures, good clinical practice, as well as all other forms of operational methodologies aimed at better quality of services, health outcomes, increased efficiency, customer satisfaction, health care providers and consequent long-term rationalisation of expenses.
Funkcionalnim integriranjem, uz restrukturiranje i osuvremenjivanje bolnica na osnovi zajedničkog razvoja; unapređuje se i usklađuje upravljanje, dijagnostičko terapijski postupci, dobra klinička praksa, kao svi drugi oblici operativnih metodologija usmjerenih prema boljoj kvaliteti usluga, ishodima liječenja, povećanoj djelotvornosti, zadovoljstvu korisnika i pružatelja zdravstvenih usluga te posljedičnoj dugoročnoj racionalizaciji troškova sustava.
Functional integration will result in certain positive financial effects and better access to health services because concentration of medical personnel and equipment in one place enables the implementation of more effective health care.
Funkcionalna integracija rezultirat će određenim pozitivnim financijskim učincima i boljom dostupnosti zdravstvenih usluga jer se koncentracijom medicinskog osoblja i opreme na jednom mjestu provodi učinkovitija zdravstvena skrb.
Objectives of the National Hospital Development Plan are: reducing the number of acute hospital treatments and increasing the number of patients in outpatient specialist/conciliar health care and day care hospital, which should ultimately result in the rationalisation of bed occupancy rates, reduce duration of hospital treatment, improve access to hospital treatment and increase the quality of health care services.
Ciljevi Nacionalnog plana razvoja bolnica su smanjenje broja akutnih bolničkih liječenja i povećanje broja pacijenata u izvanbolničkoj SKZZ i dnevnoj bolnici što bi u konačnici trebalo rezultirati racionalizacijom stope popunjenosti kreveta, smanjenjem duljine bolničkog liječenja, unaprjeđenjem pristupa bolničkom liječenju te povećanjem kvalitete zdravstvenih usluga.
Objectives of the National Plan in 2015 are: to reduce the rate of acute hospital treatment by 5 %, bring the average bed occupancy rate to 80 % (with permitted variations depending on the activity), reduce the duration of hospital treatment by 5-20 % (depending on the activity and institution), increase the number of outpatient services by a minimum of 5 %, increase the number of cases in day care hospital and day care surgery by a minimum of 5 %.
Ciljevi Nacionalnog plana u 2015. su: smanjiti stopu akutnog bolničkog liječenja za 5%, prosječnu stopu popunjenosti postelja dovesti na 80% (s dozvoljenim varijacijama ovisno o djelatnosti), smanjiti duljinu bolničkog liječenja za 5-20% (ovisno o djelatnosti i ustanovi), povećati broj ambulantnih usluga za minimalno 5 %, povećati broj slučajeva dnevne bolnice i dnevne kirurgije za minimalno 5%.
Implementation of the National Plan started with drafting the proposals for the implementation plan, which hospitals needed to submit to the Ministry of Health within a month after its adoption by the Parliament.
Provedba Nacionalnog plana počela je pripremom prijedloga plana implementacije kojeg su bolnice trebale, u roku od mjesec dana od usvajanja u Saboru, dostaviti Ministarstvu zdravlja.
Consultations for drafting implementation plan for achieving 2015 objectives were carried out in collaboration with all hospitals during March 2015, and final proposals of the implementation plan were submitted by hospitals on 30 March 2015.
Sa svim bolnicama su tijekom ožujka 2015. obavljene konzultacije za izradu prijedloga plana implementacije za ostvarivanje ciljeva 2015., a konačne prijedloge plana implementacije bolnice su dostavile do 30.3.2015.
During April, the Ministry of Health will analyse and correct these proposals, if necessary.
Tijekom travnja Ministarstvo zdravlja će prijedloge analizirati, po potrebi korigirati te odobriti.
Hospitals must submit the Implementation Plan of objectives of the National Plan for 2016 until the end of June 2015.
Plan implementacije ciljeva Nacionalnog plana za 2016. bolnice trebaju dostaviti do kraja lipnja 2015.
The first phase of the National Plan implementation begins upon approval of the plans, and the second phase begins on 1 January 2016 by commencing the functional integration of hospitals.
Prva faza implementacije Nacionalnog plana počinje po odobrenju planova, a druga faza 1. siječnja 2016. kada treba započeti funkcionalna integracija bolnica.
Where all preconditions for this implementation exist, functional integration shall be carried out before the planned date, i.e. during 2015, with support of local and regional self-government units.
Tamo gdje će postojati svi preduvjeti za njezino provođenje, uz podršku lokalne i regionalne samouprave, funkcionalna integracija provest će se i ranije tijekom 2015.
Potentials of the labour market and employment
Iskorištavanje potencijala tržišta rada i zapošljavanje
Reduction of unemployment
Smanjenje nezaposlenosti
The new Labour Act entered into force on 7 August 2014
Novi Zakon o radu stupio je na snagu 7. kolovoza 2014.
(NN No. 93/14) and part of implementing regulationsrelated to this Act (NN No. 146/14) entered into force in December 2014.
(NN, br. 93/14), dok su u prosincu 2014. stupio je na snagu dio provedbenih propisa vezanih uz ovaj Zakon (NN, br. 146/14).
The objective of the new Act is to increase employment and internal mobility of workers, enable more flexible business operations and reduce labour costs, encourage more effective and faster restructuring of employers and combat undeclared work.
Novi Zakon ima za cilj povećati zaposlenost i unutarnju mobilnost radnika, omogućiti fleksibilnije poslovanje i smanjenje troškova rada, potaknuti učinkovitije i brže restrukturiranje poslodavaca te suzbijati neprijavljeni rad.
Furthermore, the Act on Representativeness of Employers' Associations and Trade Unions entered into force in August 2014 (NN No. 93/14).
Također, u kolovozu 2014. stupio je na snagu i Zakon o reprezentativnosti udruga poslodavaca i sindikata (NN, br. 93/14).
The Ordinance on the manner of publication of employment rules, the Ordinance on the manner of publication of collective agreements, the Ordinance on the method of delivery of notices for representative trade unions to enter into record and the Ordinance on the amount and method of fee payment for the work of the Commission for determination of representativeness.
Pravilnik o načinu objave Pravilnika o radu, Pravilnik o načinu objave kolektivnih ugovora, Pravilnik o načinu dostave obavijesti za upis u evidenciju reprezentativnih sindikata i Pravilnik o iznosu i načinu isplate naknade za rad Povjerenstva za utvrđivanje reprezentativnosti.
Box 3.2.1
Okvir 3.2.1.
Overview of changes introduced by the new Labour Act
Prikaz izmjena uvedenih novim Zakonom o radu
(NN No. 93/14) reducing the existing employment protection legislation index in Croatia from 2.32 to 2.23.
(NN, br. 93/14) čime je umanjen postojeći indeks zakonske zaštite zaposlenja u Hrvatskoj s dosadašnjih 2,32 na 2,23.
The main objectives to be achieved by the new Labour Act are as follows:
Glavni ciljevi koji se žele postići novim Zakonom o radu su sljedeći:
• modification of provisions on the organisation of working hours to encourage internal flexibility of employer's work organisation,
• izmjena odredbi o organizaciji radnog vremena potaknuti internu fleksibilnost organizacije rada poslodavca,
• contracting salary compensation to leased workers employed in agencies for temporary employment for periods when they were not leased to users, and to encourage employment of such workers for indefinite period,
• ugovaranje naknade plaće ustupljenim radnicima zaposlenim u agencijama za privremeno zapošljavanje za razdoblja kada nisu ustupljeni korisnicima potaknuti zapošljavanje tih radnika na neodređeno vrijeme,
• modification of the institute of part-time work to stimulate part-time employment, for which additional aid is provided by active labour market measure ‘Job sharing' implemented by Croatian Employment Service,
• izmjena instituta nepunog radnog vremena potaknuti zapošljavanje u nepunom radnom vremenu, za što dodatnu potporu pruža i aktivna mjera zapošljavanja „Rad na dijeljenom radnom mjestu“ koju provodi HZZ,
• modification of work organisation on separate place of work,
• izmjena organizacije rada na izdvojenom mjestu rada,
• reduction of the employment protection legislation index to encourage new employment, especially young persons, by simplifying and accelerating the employment termination process, modification of the institute of interrupting employment termination flow, reducing the number of categories of workers protected against termination, modification of the level of compensation in case of judicial termination of employment, simplifying and accelerating the process of collective workers' surplus,
• smanjenje indeksa zakonske zaštite zaposlenja kojim se želi potaknuti novo zapošljavanje, osobito mladih, i to pojednostavljivanjem i ubrzanjem postupka otkazivanja, izmjenom instituta prekidanja tijeka otkaznog roka, smanjenjem broja zaštićenih kategorija radnika od otkazivanja, izmjenom visine naknade štete u slučaju sudskog raskida radnog odnosa, pojednostavljenjem i ubrzanjem postupka kolektivnog viška radnika,
• modification of the statute of limitation by prescribing general limitation period and encouraging workers employed for a definite period to exercise labour rights through court practice,
• izmjena instituta zastare propisivanjem općeg zastarnog roka ohrabriti i radnike zaposlene na određeno vrijeme na ostvarivanje prava iz radnog odnosa sudskim putem,
• reducing the maximum amount of damage compensation in case of judicial termination of the employment contract, in the amount of 8 average salaries,
• smanjenje maksimalne visine naknade štete u slučaju sudskog raskida ugovora o radu, u visini 8 prosječnih plaća,
• unburden labour courts and reduce the costs of long-lasting court proceedings by prescribing compulsory arbitration procedure,
• odteretiti radne sudove i umanjiti troškove dugotrajnih sudskih postupaka propisivanjem obveznog arbitražnog postupka,
• enable termination of employment to workers who use maternity and parental rights in case of death of employer as natural person, termination of craft by force of law, deletion of sole traders from the register and in the employer liquidation process,
• omogućiti prestanak radnog odnosa radnicima koji koriste rodiljna i roditeljska prava u slučaju smrti poslodavca fizičke osobe, prestanka obrta po sili zakona, brisanja trgovca pojedinca iz registra i u postupku likvidacije poslodavca,
• prevent realisation of legal consequences of termination after a very long period has passed from the delivery of employment termination decision,
• onemogućiti da pravne posljedice otkaza nastupe nakon vrlo dugog perioda od uručenja odluke o otkazu,
• simplify and accelerate the process of collective surplus of workers enabling rapid restructuring of employers by market and business conditions,
• pojednostaviti i ubrzati postupak kolektivnog viška radnika koji bi omogućio brzo restrukturiranje poslodavca tržišnim i poslovnim uvjetima,
• align the rights of unions to strike with the Act on Representativeness of Employers' Associations and Trade Unions (NN Nos. 93/14, 26/15) and enable initiation of strike due to non-payment of salaries immediately after the expiry of the due date of its payment.
• uskladiti prava sindikata na štrajk s Zakonom o reprezentativnosti udruga poslodavaca i sindikata (NN, br. 93/14, 26/15) te omogućiti pokretanje štrajka zbog neisplate plaće odmah po proteku dana dospijeća njene isplate.
Act implementation monitoring is ensured by informal common body comprising representatives of the Government and representatives of trade unions, the Croatian Employers' Association and the Croatian Chamber of Economy.
Praćenje provedbe Zakona osigurano je putem neformalnog zajedničkog tijela kojeg čine predstavnici Vlade, reprezentativnih sindikalnih središnjica, Hrvatske udruge poslodavaca i Hrvatske gospodarske komore.
A list of para-fiscal levies has been established for reductions to be implemented in 2015 and for which amendments to the regulations which govern these para-fiscal levies will be adopted by 1 January 2016, reduction of which has been established in the amount of HRK 278 million (Table List of parafiscal levies with the established reduction value in 2015).
Utvrđen je popis parafiskalnih nameta čija smanjenja će se provesti u 2015. odnosno za koja će se do 1. siječnja 2016. donijeti izmjene i dopune propisa kojima se ti parafiskalni nameti reguliraju, a čije je smanjenje utvrđeno u iznosu od 278 milijuna kuna (Tablica Popis parafiskalnih nameta s utvrđenom vrijednost smanjenja u 2015.).
The Plan of cooperation on monitoring the implementation of the Labour Act is defined, and implementation of monitoring activities commenced in four key areas (restructuring of employers, flexible regulation of working hours, flexible forms of work and collective labour relations).
Definiran je Plan suradnje praćenja primjene Zakona o radu te je započeto s provedbom aktivnosti praćenja na četiri ključna područja (restrukturiranje poslodavaca, fleksibilno uređenje radnog vremena, fleksibilni oblici rada i kolektivni radni odnosi).
Parafiscal levies within the jurisdiction of the Ministry of Environmental and Nature Protection will also be reduced in 2015 in the amount of HRK 69 million and levies of the Ministry of Health in the amount of about HRK 2 million.
U 2015. također će se smanjiti parafiskalni nameti iz nadležnosti Ministarstva zaštite okoliša i prirode u iznosu od 69 milijuna kuna te iz nadležnosti Ministarstva zdravlja u iznosu od oko 2 milijuna kuna.
Salary policy analysis, which included an overview of institutional framework, effect of collective bargaining on the salary system, overview of the level and structure of salaries, has been conducted.
Provedena je analiza politike plaća koja je obuhvatila prikaz institucionalnog okvira, učinak kolektivnog pregovaranja na sustav plaća, prikaz razine te strukture plaća.
Proposal of conclusions and recommendations was adopted on the basis of the analysis.
Temeljem analize donesen je prijedlog zaključaka i preporuka.
Commission for the monitoring of implementation of the reduction of para-fiscal levies will establish by September 2015 additional para-fiscal levies to be reduced in 2016 and will, after establishing the target group of para-fiscal levies, assume liability for their abolition in the amount of 0.1 % in 2016.
Povjerenstvo za praćenje provedbe smanjenja parafiskalnih nameta će do rujna 2015. utvrditi dodatne parafiskalne namete za smanjenje u 2016. te će se po utvrđivanju ciljane skupine parafiskalnih nameta preuzeti obveza za njihovo ukidanje u iznosu od 0.1% u 2016.
Among other things, the importance of continuous monitoring of development of salaries, employment and competitiveness of Croatia is pointed out, as well as establishment of a research program that would bring together representatives of social partners and the Government and through which the mentioned areas would be monitored.
Između ostalog, ističe se važnost kontinuiranog praćenja razvoja plaća, zapošljavanja i konkurentnosti Hrvatske te se predlaže uspostava istraživačkog programa koji bi okupljao predstavnike socijalnih partnera i Vlade te putem kojeg bi se pratila spomenuta područja.
Implementation of an additional research on the minimum salary is encouraged, as well as strengthening of coordination within the framework of collective bargaining.
Potiče se provedba dodatnog istraživanja na temu minimalne plaće i jačanje koordinacije u okviru kolektivnog pregovaranja.
Finally, it is recommended that changes to the salary system in the public sector should not be linear and that most effective employees and parts of the system should be rewarded.
Zaključno, preporuča se da izmjene u sustavu plaća u javnom sektoru ne bi trebale biti linearnog karaktera, već bi se trebalo nagraditi najučinkovitije zaposlenike i dijelove sustava.
Based on the recommendations from conducted analysis, discussions with social partners regarding establishment of a framework for salary policy are in progress.
Na temelju preporuka iz provedene analize u tijeku su razgovori sa socijalnim partnerima o uspostavi okvira za politiku plaća.
At the same time, discussions with relevant ministries are being held regarding establishment of centralised coordination for collective bargaining in public sector and public enterprises.
Istovremeno, razgovori se vode i s relevantnim ministarstvima s ciljem uspostave centralizirane koordinacije za kolektivno pregovaranje u javnom sektoru i javnim poduzećima.
In order to strengthen the effectiveness and scope of active labour market policies, the Guidelines for Development and Implementation of the Active Labour Market Policy in the Republic of Croatia for the period from 2015 to 2017 were adopted.
S ciljem jačanja učinkovitosti i obuhvata aktivnih politika na tržištu rada, usvojene su Smjernice za razvoj i provedbu aktivne politike zapošljavanja u RH za razdoblje od 2015.-2017.
In order to strengthen the capacity of institutions in the labour market, reorganisation of the Croatian Employment Service is being conducted, based on the Action Plan for Restructuring adopted in November 2014.
U svrhu jačanja kapaciteta institucija na tržištu rada, provodi se preustroj Hrvatskog zavoda za zapošljavanje (HZZ-a) na temelju Akcijskog plana restrukturiranja donesenog u studenom 2014.
Restructuring activities shall partially be co-financed from the European Social Fund (ESF) under the Operational Programme ‘Effective Human Resources 2014-2020'.
Aktivnosti restrukturiranja između ostaloga sufinancirat će se i sredstvima iz Europskog socijalnog fonda (ESF) u okviru Operativnog programa „Učinkoviti ljudski potencijali 2014.-2020.