natgillin/translations-raw huggingface dataset:
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).
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).
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.
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.
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
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
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.
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.
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).
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).
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.
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.
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.
V drugih 20 državah članicah je bilo izvedenih skupno 39 826 povračil stroškov izključno v okviru Direktive; od teh samo na Danskem 31 032.
6.3 Conclusion
6.3 Sklep
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.
Direktiva 2011/24/EU​[1]​ (v nadaljnjem besedilu: Direktiva) o uveljavljanju pravic pacientov pri čezmejnem zdravstvenem varstvu je začela veljati 24. aprila 2011.
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.
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.
Therefore such referrals are also required in order for patients to be reimbursed when they access such specialist healthcare in another Member State.
Take napotitve se tudi zahtevajo, če želijo pacienti uveljavljati povračilo stroškov, ko uporabijo tako specialistično zdravstveno varstvo v drugi državi članici.
6.2 Exercise of the delegation
6.2 Izvajanje pooblastila
Member States have introduced prior authorisation systems as follows.
Sistemi predhodne odobritve, ki so jih uvedle države članice, so opisani v nadaljevanju.
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.
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.
The timeframe covered by the exercise was the calendar year 2014.
Časovni okvir zbiranja podatkov je bilo koledarsko leto 2014.
Commission Report on the operation of Directive 2011/24/EU on the application of patients' rights in cross-border healthcare
Poročilo Komisije o izvajanju Direktive 2011/24/EU o uveljavljanju pravic pacientov pri čezmejnem zdravstvenem varstvu
^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).
^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).
The Commission is of the view that the delegated powers conferred by Directive 2011/24/EU should remain in force.
Komisija meni, da bi še naprej morala imeti pooblastilo, ki ji je bilo preneseno z Direktivo 2011/24/EU.
4.4 Health Technology Assessment (HTA)
4.4 Ocenjevanje zdravstvene tehnologije
^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).
^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).
For these, a total of 39 826 reimbursements were made, of which 31 032 were reported by Denmark alone.
V teh državah je bilo izvedenih 39 826 povračil stroškov, od tega 31 032 samo na Danskem.
^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).
^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).
^5 http://eur-lex.europa.eu/legal-content/EN/TXT/PDF/?uri=CELEX:52014DC0044&from=EN.
^5 http://eur-lex.europa.eu/legal-content/SL/TXT/PDF/?uri=CELEX:52014DC0044&from=EN.
A SWOT analysis focusing on the services provided to the patients complements the conclusions of the study.
Sklepne ugotovitve študije dopolnjuje analiza SWOT, ki je usmerjena v storitve, zagotovljene pacientom.
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.
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.
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.
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.
Whilst only one in ten knew about the existence of NCPs:
Samo en od desetih pa je vedel, da obstajajo nacionalne kontaktne točke.
Chapter 1: State of play of transposition
Poglavje 1: Trenutno stanje prenosa
Twenty-six Member States provided responses, covering the calendar year 2014.
Odgovore za koledarsko leto 2014 je zagotovilo 26 držav članic.
^13 http://eur-lex.europa.eu/legal-content/EN/ALL/?uri=CELEX:52012DC0736.
^13 http://eur-lex.europa.eu/legal-content/SL/ALL/?uri=CELEX:52012DC0736.
Fourteen countries therefore use both the "overnight stay" and the "highly specialised" care criteria for requiring prior authorisation.
Obe merili oskrbe, tj. „prenočitev" in „visoka specializiranost", na podlagi katerih se zahteva predhodna odobritev, torej uporablja 14 držav.
It has proved difficult for many Member States to provide data concerning information requests to NCPs broken down by medium and issue.
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.
Twenty Member States reported data on reimbursement made exclusively under the Directive.
Podatke o povračilih stroškov izključno v okviru Direktive je sporočilo 20 držav članic.
^11 http://ec.europa.eu/health/ehealth/docs/decision_ehealth_network_en.pdf.
^11 http://ec.europa.eu/health/ehealth/docs/decision_ehealth_network_sl.pdf.
Twenty-one Member States either failed to make the deadline, or transposed the Implementing Directive incompletely, leading to infringement proceedings.
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.
^12 http://eur-lex.europa.eu/legal-content/EN/TXT/?uri=uriserv:OJ.L_.2014.086.01.0001.01.ENG.
^12 http://eur-lex.europa.eu/legal-content/SL/TXT/?uri=CELEX:32014R0282.
Others have regional NCPs under one ‘umbrella' NCP.
Druge imajo regionalne kontaktne točke, ki delujejo pod okriljem „krovne" nacionalne kontaktne točke.
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.
Cilj mreže za ocenjevanje zdravstvene tehnologije je podpirati sodelovanje med nacionalnimi organi, vključno s kratko- in dolgoročno učinkovitostjo zdravstvenih tehnologij.
The proposal has been sent to the Council and the European Parliament.
Predlog je bil poslan Svetu in Evropskemu parlamentu.
This is true for all countries, no matter whether they introduced prior authorisation or not.
To velja za vse države, ne glede na to, ali so uvedle predhodno odobritev ali ne.
The European Reference Networks
Evropske referenčne mreže
"(European Patients' Forum - October 2016)
(Evropski forum pacientov, oktober 2016)
The Commission is continuing its intensive dialogues with the Member States to achieve the best possible transposition of the Directive.
Komisija nadaljuje intenzivne dialoge z državami članicami, da bi se dosegel čim boljši prenos Direktive.
Should such a need arise in the future, it would be necessary to deal with it swiftly via a delegated act.
Če bi bilo to potrebno v prihodnosti, bi bilo treba hitro ukrepati z delegiranim aktom.
In practice, prior authorisation systems are based almost entirely on the said Article 8(2)(a) on which this report will therefore focus.
V praksi sistemi predhodne odobritve skoraj v celoti temeljijo na navedenem členu 8(2)(a), na katerega se bo zato osredotočilo to poročilo.
The proposed legislation aims at ensuring a better functioning of the internal market, while contributing to a high level of human health protection.
Cilj predlagane zakonodaje je zagotoviti boljše delovanje notranjega trga in hkrati prispevati k visoki ravni varovanja zdravja ljudi.
In addition, a number of additional strategic documents are planned in its Multi-Annual Work Programme 2016-2020.
Poleg tega je v njenem večletnem delovnem programu za obdobje 2016-2020 načrtovanih več dodatnih strateških dokumentov.
Other issues
Druga vprašanja
It is important that information on cross-border healthcare should be easily available to those patients and families who need or want it.
Pomembno je, da bi morale biti informacije o čezmejnem zdravstvenem varstvu enostavno dostopne tistim pacientom in družinam, ki jih potrebujejo ali želijo.
Mapping and building cross-border and regional cooperation
Vzporejanje in krepitev čezmejnega in regionalnega sodelovanja
More than five hundred national measures transposing the Directive were notified to the Commission.
Komisiji je bilo priglašenih več kot petsto nacionalnih ukrepov za prenos Direktive.
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.
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.
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.
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.
Annex A provides a detailed list of further studies in support of good implementation.
Priloga A vsebuje podroben seznam nadaljnjih študij v podporo dobremu izvajanju.
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.
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.
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.
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.
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.
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.
The Directive was due to be transposed by Member States by 25 October 2013.
Države članice so morale Direktivo v nacionalno zakonodajo prenesti do 25. oktobra 2013.
Compliance checks and dialogues with Member States will continue over the next reporting period and more use will be made of mobility data.
Pregledi skladnosti in dialogi z državami članicami se bodo nadaljevali v naslednjem obdobju poročanja, ko se bodo bolje izkoristili podatki o mobilnosti.
][13: Seven countries (Czech Republic, Estonia, Finland, Lithuania, The Netherlands, Sweden and Norway) did not choose to introduce a prior authorisation system.]
][13: Sedem držav (Češka, Estonija, Finska, Litva, Nizozemska, Švedska in Norveška) se ni odločilo za uvedbo sistema predhodne odobritve.]
Additionally, transposition of the Directive was discussed with Member States within committees chaired by the Commission.
Poleg tega se je o prenosu Direktive z državami članicami razpravljalo v okviru odborov, ki jima predseduje Komisija.
Member States agreed that no exclusion is needed; therefore, the Commission has not used the delegated power.
Države članice so se strinjale, da ni potrebna nobena izključitev, zato Komisija pooblastila še ni uporabila.
The first is that over the last three years the majority of patient mobility has been between neighbouring countries.
Prvi je, da je v zadnjih treh letih mobilnost pacientov večinoma potekala med sosednjimi državami.
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.
Potrjeno je bilo, da se lahko na strukturiranih dvostranskih srečanjih z državami članicami pojasnijo preostali pomisleki in najdejo sprejemljive rešitve v korist državljanov EU.
Similarly, the term "completeness check" is equivalent to "transposition check" in the terminology used in the Communication.
Podobno je izraz „preverjanje popolnosti" enakovreden izrazu „preverjanje prenosa" v terminologiji, ki se uporablja v Sporočilu.
This reflection process culminated in the Commission's adoption of a legislative proposal on 31 January 2018.
Ta razmislek je privedel do zakonodajnega predloga, ki ga je Komisija sprejela 31. januarja 2018.
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.
Po razpravah z državami članicami o sorazmernosti in nujnosti vseh navedenih zahtev so bile v interesu pacientov te odpravljene.
The second phase of the compliance assessment started right after the national measure were notified.
Druga faza ocenjevanja skladnosti se je začela takoj po priglasitvi nacionalnih ukrepov.
The data excluding France are represented in darker shade in the lower part of the column.]
Podatki brez Francije so predstavljeni v temnejšem odtenku v spodnjem delu stolpca.]
d) Fees for patients from other Member States
(d) Cene za paciente iz drugih držav članic
Once defined, fees and tariffs must be applied equally to both nationals and non-nationals.
Ko so cene in tarife določene, se morajo enako uporabljati za državljane in nedržavljane.
Systematic checks of Member States' transposition measures
Sistematična preverjanja ukrepov držav članic za prenos
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.
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.
The interpretation of the Directive has not been subject to a review by the Court of Justice of the European Union.
Sodišče Evropske unije ni pregledalo razlage Direktive.
[4: The Committee under Article 16 of the Directive and the Cross-border Healthcare Expert Group. ]
[4: Odbor na podlagi člena 16 Direktive in skupina strokovnjakov za čezmejno zdravstveno varstvo. ]
Interaction with the social security coordination Regulations
Interakcija z uredbama o koordinaciji sistemov socialne varnosti
This report also includes a chapter on the use of delegated powers pursuant to Article 17(1) of the Directive.
To poročilo zajema tudi poglavje o uporabi prenosa pooblastil v skladu s členom 17(1) Direktive.
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.
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.
The dialogues provided for a good proactive mechanism to trigger positive effects for patients.
Rezultat dialogov je dober proaktivni mehanizem s pozitivnimi učinki za paciente.
Such an option is by no means intended to be overused, as this would be regarded as restriction of the free movement of services.
Taka možnost se nikakor ne bi smela čezmerno uporabljati, saj bi se to štelo za omejevanje prostega pretoka storitev.
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).
Kot je bilo že navedeno (glej poglavje 1.2.1.b), Direktiva državam članicam pod nekaterimi pogoji omogoča vzpostavitev sistema predhodne odobritve.
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.
Hkrati je mogoče skleniti, da sta se z Direktivo izboljšali pravna varnost in jasnost za čezmejne in domače paciente glede njihovih pravic.
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.
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.
The Communication proposes a set of actions to enhance the competitive situation of border regions by showcasing successful practices.
V sporočilu je predlagana vrsta ukrepov za povečanje konkurenčnosti v obmejnih regijah s predstavljanjem uspešnih praks.
The Network provides strategic guidance and policy orientation for scientific and technical cooperation.
Mreža zagotavlja strateške smernice in usmerjenost politike za znanstveno in tehnično sodelovanje.
Following this process, all Member States finally notified their complete transposition measures.
Po tem so vse države članice končno priglasile popolne ukrepe za prenos.
Health Technology Assessment
Ocenjevanje zdravstvene tehnologije
Cooperation between Health Systems
Sodelovanje med zdravstvenimi sistemi
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.
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.
In this phase, the Commission has been assessing whether all national legal acts and other measures notified are in compliance with the Directive.
V njej Komisija ocenjuje, ali so vsi nacionalni pravni akti in drugi priglašeni ukrepi v skladu z Direktivo.