natgillin/translations-raw huggingface dataset:
Da bi zagotovili jasnost in doslednost, bi bilo v osrednje besedilo direktive smiselno vključiti izjavo, ki potrjuje, da izvajalci zdravstvenega varstva niso dolžni sprejeti načrtovanega zdravljenja ali dati prednosti pacientom iz drugih držav članic v škodo pacientov države članice zdravljenja, kot je zapisano v uvodni izjavi 12.
For the sake of clarity and consistency, it would seem useful to include a statement in main body of the Directive confirming, as set out in Recital 12, that healthcare providers are not required to accept for planned treatment or prioritise patients from other Member States to the detriment of patients from the Member State of treatment.
Člen 5 – odstavek 1 – točka g b (novo)
Article 5 – paragraph 1 - point g b (new)
(gb) Države članice v skladu z Listino Evropske unije o temeljnih pravicah jasno opredelijo pravice pacientov in posameznikov na področju zdravstvenega varstva.
(gb) Member States shall define clearly patients’ rights and people’s rights in relation to healthcare, in accordance with the European Charter of Fundamental Rights.
Ker je ohranjanje kakovosti in varnosti čezmejne oskrbe zelo pomembno, zlasti za paciente, je treba med organizacije, ki oblikujejo standarde in smernice iz odstavkov 1 in 3, vključiti vsaj organizacije pacientov (zlasti čezmejne).
In view of the major importance, particularly to patients, of safeguarding the quality and safety of cross-border care, the organisations involved in drawing up norms and guidelines as referred to in paragraphs 1 and 3 shall at the minimum include patients' organisations (particularly those of a cross-border nature).
V skladu z določbami te direktive, zlasti členov 7, 8 in 9, država članica pacientovega zdravstvenega zavarovanja zagotovi, da se zavarovani osebi, ki potuje v drugo državo članico z namenom prejemati zdravstveno varstvo (načrtovana oskrba) ali poiskati zdravstveno varstvo (načrtovana oskrba) v drugi državi članici, ne prepreči prejemanje zdravstvenega varstva v drugi državi članici, v kateri je zadevno zdravljenje med ugodnostmi, zagotovljenimi z zakonodajo države članice pacientovega zdravstvenega zavarovanja in do katerih je zavarovana oseba upravičena.
Subject to the provisions of this Directive, in particular Articles 7, 8 and 9, the Member State of affiliation shall ensure that insured persons deliberately travelling to another Member State with the purpose of receiving healthcare (planned care) there or seeking to receive healthcare (planned care) provided in another Member State, will not be prevented from receiving healthcare provided in another Member State where the treatment in question is among the benefits provided for by the legislation of the Member State of affiliation to which the insured person is entitled.
Pristojni organ države članice pacientovega zdravstvenega zavarovanja (brez poseganja v Uredbo (EGS) št. 1408/71 in Uredbo št. 883/2004 od datuma njene veljavnosti) zavarovani osebi povrne stroške, ki bi bili plačani iz obveznega sistema socialne varnosti za enako ali enako učinkovito zdravljenje na njenem ozemlju.
The competent institutions of the Member State of affiliation (without prejudice to Regulation (EEC) No 1408/71 and, as of its date of application, Regulation No 883/2004) shall reimburse the costs which would have been paid for by its statutory social security system had the same treatment or treatment which is equally effective been provided in its territory.
Treba je posebej poudariti, da se ta člen nanaša na načrtovano oskrbo, ki je razlog za pot v tujino.
It is desirable to state specifically that this article refers to planned care which is the reason for travelling abroad.
Stroške za zdravstveno varstvo v drugi državi članici povrne ali plača sistem socialne varnosti ali pristojni organ iz države članice pacientovega zdravstvenega zavarovanja (brez poseganja v Uredbo št. 1408/71 in Uredbo št. 883/2004 od datuma njene veljavnosti) v skladu z določbami te direktive do višine stroškov, ki bi bili prevzeti za enako ali enako učinkovito zdravljenje v državi članici pacientovega zdravstvenega zavarovanja, ne da bi bili preseženi dejanski stroški za prejeto zdravstveno varstvo.
The costs of healthcare provided in another Member State shall be reimbursed or paid for by the social security system or competent institution of the Member State of affiliation (without prejudice to Regulation No 1408/71 and as of its date of application,Regulation No 883/2004) in accordance with the provisions of this Directive up to the level of costs that would have been assumed had the same treatment or treatment which is equally effective been provided in the Member State of affiliation, without exceeding the actual costs of healthcare received.
Države članice se lahko odločijo, da krijejo druge s tem povezane stroške, kot so stroški nastanitve in potni stroški.
Member States may decide to cover other related costs, such as accommodation and travel costs .
Pojasnilo, da morajo stroške povrniti ustrezni nosilci socialnega zavarovanja in ne država članica.
Clarification that it is not the Member State but the social insurance institution(s) concerned that should reimburse the costs.
Država članica pacientovega zdravstvenega zavarovanja lahko za pacienta, ki išče zdravstveno varstvo v drugi državi članici, uvede enake pogoje, merila o izpolnjevanju pogojev ter regulativne in upravne formalnosti za prejemanje zdravstvenega varstva ter povračilo stroškov za zdravstveno varstvo, ki bi jih uvedla za enako ali podobno zdravstveno varstvo na svojem ozemlju, v kolikor niso diskriminatorni in ne ovirajo prostega pretoka oseb.
The Member State of affiliation may impose on a patient seeking healthcare provided in another Member State, the same conditions, criteria of eligibility and regulatory and administrative formalities for receiving healthcare and reimbursement of healthcare costs as it would impose if the same or similar healthcare was provided in its territory, in so far as they are neither discriminatory nor an obstacle to freedom of movement of persons
Država članica pacientovega zdravstvenega zavarovanja lahko za pacienta, ki išče zdravstveno varstvo v drugi državi članici, uvede enake pogoje, merila o izpolnjevanju pogojev ter regulativne in upravne formalnosti za prejemanje zdravstvenega varstva ter povračilo stroškov za zdravstveno varstvo, ki bi jih uvedla za enako ali enako učinkovito zdravljenje na svojem ozemlju, če niso diskriminatorni in ne ovirajo prostega pretoka oseb.
The Member State of affiliation may impose on a patient seeking healthcare provided in another Member State, the same conditions, criteria of eligibility and regulatory and administrative formalities for receiving healthcare and reimbursement of healthcare costs as it would impose if the same treatment or treatment which is equally effective was provided in its territory, in so far as they are neither discriminatory nor an obstacle to freedom of movement of persons.
Ta mehanizem temelji na objektivnih, nediskriminatornih, vnaprej znanih merilih, stroški, povrnjeni v skladu s tem mehanizmom, pa niso manjši od zneska, ki bi bil prevzet za enako ali enako učinkovito zdravljenje na ozemlju države članice pacientovega zdravstvenega zavarovanja.
This mechanism shall be based on objective, non-discriminatory criteria known in advance and the costs reimbursed according to this mechanism shall be not less than what would have been assumed had the same treatment or treatment which is equally effective been provided in the territory of the Member State of affiliation.
Države članice imajo mehanizem za izračun stroškov, ki se povrnejo za zavarovano osebo iz obveznega sistema socialne varnosti za zdravstveno varstvo v drugi državi članici.
Member States shall have a mechanism for calculation of costs that are to be reimbursed for the insured person by the statutory social security system for healthcare provided in another Member State.
Dejstvo, da mora pacient najprej sam plačati za oskrbo, preden lahko zaprosi za povrnitev stroškov, lahko ogrozi enak dostop do oskrbe.
Equal access to care abroad can be compromised by the need for a patient to pay for the care first from his own pocket before being able to seek reimbursement.
Države članice pacientovega zdravstvenega zavarovanja in zdravljenja bi lahko med seboj vzpostavile hiter sistem za povračilo stroškov (vsaj za ekonomsko prikrajšane paciente, če že ne za vse).
Member States of affiliation and treatment could set up swift reimbursement schemes between them (at least for economically disadvantaged patients, if not for all).
Z določitvijo, da se stroški povrnejo zavarovani osebi, se ta možnost izključi.
By specifying that the costs will be reimbursed to the insured person, this possibility is excluded.
Pacientom, ki potujejo v drugo državo članico z namenom prejemati zdravstveno varstvo ali poiskati zdravstveno varstvo v drugi državi članici, se zagotovi dostop do njihovih zdravstvenih kartotek v skladu z nacionalnimi ukrepi o izvajanju določb Skupnosti o varstvu osebnih podatkov, zlasti direktiv 95/46/ES in 2002/58/ES.
Patients travelling to another Member State with the purpose of receiving healthcare there or seeking to receive healthcare provided in another Member State shall be guaranteed access to their medical records, in conformity with national measures implementing Community provisions on the protection of personal data, in particular Directives 95/46/EC and 2002/58/EC.
Država članica pacientovega zdravstvenega zavarovanja ne povrne stroškov za nebolnišnično oskrbo v drugi državi članici, za katero je potrebna predhodna odobritev, kadar so stroški navedene oskrbe, če se izvaja na njenem ozemlju, plačani iz njenega obveznega sistema socialne varnosti.
The Member State of affiliation shall not make the reimbursement of the costs of non-hospital care provided in another Member State subject to prior authorisation, where the cost of that care, if it had been provided in its territory, would have been paid for by its statutory social security system.
Načela o prevzemu stroškov za zdravstveno varstvo veljajo, če gre za stroške zdravljenja, ki bi bili plačani v okviru obveznega sistema socialne varnosti države članice pacientovega zdravstvenega zavarovanja, če se zdravljenje izvaja na ozemlju te države članice.
The principles on the assumption of healthcare costs apply in so far it concerns costs of that care which, if it had been provided in its territory, would have been paid under the statutory social security system of the Member State of affiliation.
To ustreza izrazu iz člena 6 te direktive.
It corresponds to the term used in Article 6 of the Directive.
Za namene povrnitve stroškov zdravstvenega varstva v drugi državi članici v skladu s to direktivo sta bolnišnična oskrba in specializirana oskrba zdravstveno varstvo, kot ga opredeljuje država članice pacientovega zdravstvenega zavarovanja in ki zahteva:
For the purposes of reimbursement of healthcare provided in another Member State in accordance with this Directive, hospital and specialised care shall mean healthcare defined as such by the Member State of affiliation and which requires:
(a) storitev zdravstvenega varstva, ki zahteva prenočitev zadevnega pacienta vsaj za eno noč;
(a) healthcare which requires overnight accommodation of the patient in question for at least one night .
(a) prenočitev zadevnega pacienta vsaj za eno noč; ali
(a) it requires overnight accommodation of the patient in question for at least one night; or
Opredelitev Komisije ne ustreza dejanskemu stanju storitev, ki se opravljajo v državah članicah.
The definition provided by the Commission does not correspond to the real nature of the services provided in the Member States.
Prav tako ni upoštevana storitev, kakršna je ambulantna kirurgija.
It does not, for example, take account of outpatient surgery.
Opredelitev bolnišnične oskrbe bi se morala sklicevati na veljavno opredelitev v državi pacientovega zdravstvenega zavarovanja, da bi ustrezala dejanskemu stanju storitev, ki se zagotavljajo v praksi.
In order to correspond to the real nature of the services provided in practice, the definition of hospital care should refer to the definition in force in the patient's Member State of affiliation.
(b) storitev zdravstvenega varstva, vključena v poseben seznam, ki ne zahteva prenočitve pacienta vsaj za eno noč.
(b) healthcare, included in a specific list, that does not require overnight accommodation of the patient for at least one night.
zdravstveno varstvo, ki zahteva uporabo visoko specializirane in drage medicinske infrastrukture ali medicinske opreme, ali
- healthcare that requires use of highly specialised and cost-intensive medical infrastructure or medical equipment; or
(b) uporabo visokospecializirane in drage medicinske infrastrukture ali medicinske opreme, ali
(b) it requires use of highly specialised and cost-intensive medical infrastructure or medical equipment; or
zdravstveno varstvo , ki predstavlja posebno tveganje za pacienta ali prebivalce.
- healthcare involving treatments presenting a particular risk for the patient or the population.
(c) zdravljenje , ki predstavlja posebno tveganje za pacienta ali prebivalce.
(c) it involves treatments presenting a particular risk for the patient or the population.
Ta predlog spremembe priznava, da so lahko sistemi predhodne odobritve za paciente koristni, ker zagotavljajo preglednost glede upravičenosti do povračila stroškov in vsote stroškov, ki jo bodo morali kriti sami, ureditve za kakršno koli potrebno poznejše zdravljenje in posledice v primeru kakršnih koli težav.
This amendment recognises that prior authorisation systems can are valuable to patients in terms providing them with clarity on matters such as what reimbursement they will be eligible for and what costs they will have to meet themselves, arrangements for any after-care needed and what will happen if anything goes wrong.
Ti vidiki veljajo enako za oskrbo v bolnišnicah in v drugih oblikah, kot veljajo vprašanja o potrebi po načrtovanju storitev in upravljanju finančnih sredstev za tiste, ki vodijo sisteme zdravstvenega varstva.
These considerations apply equally to care provided in hospitals and in other settings, as do issues about the need to plan services and manage financial resources for those who run health systems.
Država članica pacientovega zdravstvenega zavarovanja uvede sistem predhodne odobritve za povračilo stroškov iz njihovega sistema socialne varnosti za bolnišnično oskrbo, ki se izvaja v drugi državi članici, kadar bi to lahko vplivalo na pomembne vidike njenega sistema zdravstvenega varstva, vključno z obsegom, stroški ali finančno strukturo.
The Member State of affiliation may provide for a system of prior authorisation for reimbursement by its social security system of the cost of hospital care provided in another Member State where it could affect important aspects of its healthcare system, including its scope, cost or financial structure.
Ta sistem se uporablja brez poseganja v Uredbo (EGS) št. 1408/71 in Uredbo št. 883/2004 od datuma njene veljavnosti.
Such a system shall be without prejudice to Regulation(EEC) No 1408/71 as of its date of application, (EC) No 883/2004.
(b) namen sistema je obravnavati posledični odhod pacientov zaradi izvajanja tega člena in preprečiti, da bi odhod pacientov resno ogrožal ali verjetno resno ogrožal:
(b) the purpose of the system is to address the consequent outflow of patients due to the implementation of the present Article and to prevent it from seriously undermining, or being likely to seriously undermine:
Ta predlog spremembe priznava, da so sistemi predhodne odobritve za paciente koristni, ker zagotavljajo preglednost glede upravičenosti do povračila stroškov in vsote stroškov, ki jo bodo morali kriti sami, ureditve za kakršno koli potrebno poznejšo oskrbo in posledice v primeru kakršnih koli težav.
This amendment recognises that prior authorisation systems are valuable to patients in terms of providing them with clarity on matters such as what reimbursement they will be eligible for and what costs they will have to meet themselves, arrangements for any after-care needed and what will happen if anything goes wrong.
Države članice bi morale imeti možnost, da se same odločijo, v katerih okoliščinah so nujni sistemi predhodne odobritve za paciente, ki iščejo zdravstveno varstvo v tujini, pri čemer morajo ti sistemi izpolnjevati merila, kot sta preglednost in sorazmernost, biti enostavni in jasni ter zagotavljati pravočasne odzive na zahtevke.
Member States should be able to decide the circumstances in which prior authorisation systems are mandatory for patients seeking healthcare abroad, provided these systems meet criteria such as transparency and proportionality, are simple and straightforward, and provide timely responses to requests.
Sistem predhodne odobritve je omejen na tisto, kar je nujno in sorazmerno za izogibanje takšnemu učinku, ter ne predstavlja sredstva za samovoljno diskriminacijo.
The prior authorisation system shall be limited to what is necessary and proportionate to avoid such impact, and shall not constitute a means of arbitrary discrimination.
Sistem predhodne odobritve velja brez poseganja v člen 3(2) in je omejen na tisto, kar je nujno in sorazmerno za izogibanje takšnemu učinku, ter ne predstavlja sredstva za samovoljno diskriminacijo.
The prior authorisation system shall apply without prejudice to Article 3(2) and shall be limited to what is necessary and proportionate to avoid such impact, and shall not constitute a means of arbitrary discrimination.
Pravila za vložitev zahtevka in zavrnitev predhodne odobritve morajo biti znana pred vložitvijo zahtevka, da bodo zahtevki izvedeni na pošten in pregleden način.
The rules for application and refusal of prior authorisation must be available in advance of an application so that the application can be made in a fair and transparent way.
Če je bil vložen in odobren zahtevek za predhodno odobritev, država članica pacientovega zdravstvenega zavarovanja zagotovi, da pacient vnaprej plača le stroške, ki bi jih moral plačati tudi, če bi prejel oskrbo v domačem zdravstvenem sistemu.
Where prior authorisation has been sought and given, the Member State of affiliation shall ensure that the patient is expected only to pay upfront any costs that they would be expected to pay in this manner had their care been provided in their home health system.
Države članice bi si morale prizadevati, da bi prenesle sredstva za vse ostale stroške neposredno med zdravstvenimi blagajnami in izvajalci zdravstvenega varstva.
Member States should seek to transfer funds directly between the funders and the providers of care for any other costs.
Pacienti, ki si prizadevajo najti zdravstveno varstvo v drugi državi članici, imajo zagotovljeno pravico, da vložijo zahtevek za predhodno odobritev v državi članici svojega zdravstvenega zavarovanja.
Patients seeking to receive healthcare provided in another Member State shall be guaranteed the right to apply for prior authorisation in the Member State of affiliation.
Da bi bila pravica do čezmejnega zdravstvenega varstva pravica vseh in da bi imeli pacienti možnost, da vedo zagotovo, ali jim bodo stroški povrnjeni, je pomembno, da imajo pacienti pravico, da vložijo zahtevek za predhodno odobritev v državi članici svojega zdravstvenega zavarovanja.
With the purpose of making the right of cross boarder health care a right for everyone, and in order to give patients the possibility to know for sure whether they will be reimbursed or not, it is important to give patients the right to apply for a prior authorisation in the Member State of affiliation.
Sistem brez pravice do vložitve zahtevka za predhodno odobritev bi pri pacientih povzročil veliko finančno negotovost.
A system without this right to apply for prior authorisation would lead to great economical uncertainty for the patients.
Zaradi te negotovosti bi postala pravica do čezmejnega zdravstvenega varstva manj privlačna za tiste z nižjimi dohodki in torej ne bi bila vsem enako dostopna.
This uncertainty would make the right to cross boarder health care less attractive for those with a low income and thus not equally available to all.
Člen 8 – odstavek 6 (novo)
Article 8 – paragraph 6 (new)
Država članica zdravljenja lahko sprejme ustrezne ukrepe za obravnavanje prihoda pacientov in preprečitev, da bi ta prihod ogrožal sistem zdravstvenega varstva.
The Member State of treatment may take appropriate measures to address the inflow of patients and to prevent it from undermining the healthcare system.
Država članica zdravljenja se vzdrži diskriminacije na podlagi nacionalnosti in zagotovi, da so ukrepi, ki omejujejo prost pretok, omejeni na to, kar je nujno in sorazmerno.
The Member State of treatment shall refrain from discriminating with regard to nationality and shall ensure that the measures restricting free movement shall be limited to what is necessary and proportionate.
Država članica pacientovega zdravstvenega zavarovanja zagotovi, da upravni postopki glede uporabe zdravstvenega varstva v drugi državi članici v zvezi s kakršno koli predhodno odobritvijo iz člena 8(3), povračilo stroškov za zdravstveno varstvo v drugi državi članici ter drugi pogoji in formalnosti iz člena 6(3) temeljijo na objektivnih, nediskriminatornih merilih, ki so objavljena vnaprej ter so nujna in sorazmerna za dosego ciljev.
The Member State of affiliation shall ensure that administrative procedures regarding the use of healthcare in another Member State related to any prior authorisation referred to in Article 8(3), reimbursement of costs of healthcare incurred in another Member State and other conditions and formalities referred to in Article 6(3), are based on objective, non-discriminatory criteria which are published in advance, and which are necessary and proportionate to the objective to be achieved.
V vsakem primeru pa se v skladu z uredbami o usklajevanju sistemov socialne varnosti, navedenimi v členu 3.1(f), zahtevek zavarovani osebi vedno odobri, kadar so izpolnjeni pogoji iz člena 22.1(c) in člena 22.2 Uredbe 1408/71.
In any event, an insured person shall always be granted the authorisation pursuant to Regulations on coordination of social security referred to in Art. 3.1 f) whenever the conditions of Art.22.1 c) and Art. 22.2 of Regulation 1408/71 are met.
Do datuma začetka veljavnosti Uredbe (ES) št. 883/2004 velja pravilo, da se v vsakem primeru v skladu z uredbami o usklajevanju sistemov socialne varnosti, navedenimi v členu 3.1(f), zahtevek zavarovani osebi vedno odobri, kadar so izpolnjeni pogoji iz člena 22.1(c) in člena 22.2 Uredbe (EGS) št. 1408/71.
Until the date of application of Regulation (EC) No 883/2004, the rule shall apply that, in any event, an insured person shall always be granted the authorisation pursuant to Regulations on coordination of social security referred to in Art. 3.1 f) whenever the conditions of Art.22.1 c) and Art. 22.2 of Regulation (EEC) No 1408/71 are met.
Od datuma začetka veljavnosti Uredbe (ES) št. 883/2004 pa velja pravilo, da se v okoliščinah iz člena 20 Uredbe (ES) št. 883/2004 zavarovani osebi vedno odobri zahtevek na podlagi predpisov o usklajevanju sistemov socialne varnosti iz člena 3(1)(f).
From the date of application of Regulation (EC) No 883/2004, the rule shall apply that when the circumstances referred to in Article 20 of Regulation (EC) No 883/2004 are met, an insured person shall always be granted authorisation by virtue of the regulations concerning coordination of social security schemes as referred to in Article 3(1)(f).
Člen 9 – odstavek 4 – uvodni del
Article 9 – paragraph 4 – introductory part
Države članice pri določanju rokov, v katerih je treba obravnavati zahtevke za uporabo zdravstvenega varstva v drugi državi članici, upoštevajo in oblikujejo merila, s katerimi ugotavljajo :
Member States shall, when setting out the time limits within which requests for the use of healthcare in another Member State must be dealt with, take into account and set out criteria by which they measure :
Člen 9 – odstavek 4 – točka b a (novo)
Article 9 – paragraph 4 – point b a (new)
(ba) nujnost zadevnega zdravljenja ali postopka zdravljenja;
(ba) the urgency of the treatment or of the medical procedure in question;