natgillin/translations-raw huggingface dataset:
V kolikor je treba olajšati izvajanje čezmejnega zdravstvenega varstva in ob obravnavanju visoke ravni varovanja zdravja kot osnove Komisija v sodelovanju z državami članicami oblikuje smernice , da olajša izvajanje iz odstavka 1.
In so far as it is necessary to facilitate the provision of cross-border healthcare and taking as a basis a high level of protection of health, the Commission, in cooperation with the Member States, shall develop guidelines to facilitate the implementation of paragraph 1.
Če je treba olajšati izvajanje čezmejnega zdravstvenega varstva in ob obravnavanju visoke ravni varovanja zdravja kot osnove Komisija v sodelovanju z državami članicami oblikuje predloge , da olajša izvajanje iz odstavka 1.
In so far as it is necessary to facilitate the provision of cross-border healthcare and taking as a basis a high level of protection of health, the Commission, in cooperation with the Member States, shall develop proposals to facilitate the implementation of paragraph 1 .
Te smernice bodo državam članicam v oporo pri opredeljevanju jasnih kakovostnih in varnostnih meril za zdravstveno varstvo, ki se izvaja na njihovem ozemlju.
These guidelines will support Member States in defining clear quality and safety criteria for healthcare provided on their territory.
Komisija je pristojna samo za zagotavljanje čezmejnega zdravstvenega varstva.
The Commission is responsible only for the provision of cross-border healthcare.
Priprava smernic bi nedvomno posegla v pristojnost držav članic v zdravstvu.
Developing guidelines would clearly encroach on Member States' responsibilities in relation to the healthcare system.
Po načelu subsidiarnosti so države članice odgovorne za organizacijo zdravstva.
Under the subsidiarity principle, the Member States are responsible for the organisation of their health services.
Zdravstveno varstvo v drugi državi članici ali iz nje
Healthcare provided in or from another Member State
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 ali poiskati zdravstveno varstvo 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 travelling to another Member State with the purpose of receiving healthcare there or seeking to receive healthcare 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.
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 ali poiskati zdravstveno varstvo iz druge države članice, ne da bi fizično obiskala to državo članico, ali z namenom kupiti blago za zdravstveno nego , ne prepreči prejemanje tega zdravstvenega varstva ali blaga , kadar je zadevno zdravljenje ali blago 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 travelling to another Member State with the purpose of receiving healthcare there or seeking to receive healthcare from another Member State without physically visiting that Member State or seeking to purchase goods connected with health care there are not prevented from receiving this healthcare or these goods where the treatment or goods in question are among the benefits provided for by the legislation of the Member State of affiliation to which the insured person is entitled.
Država članica pacientovega zdravstvenega zavarovanja zavarovani osebi povrne stroške, ki bi bili plačani iz obveznega sistema socialne varnosti za enako ali podobno zdravstveno varstvo na njenem ozemlju oziroma za enako ali podobno blago, kupljeno na njenem ozemlju .
The Member State of affiliation shall reimburse the costs to the insured person, which would have been paid for by its statutory social security system had the same or similar healthcare been provided in its territory or the same or similar goods been purchased in its territory .
Ta direktiva državam članicam ne preprečuje sprejetja ugodnejših pravil, ki bi na primer določala, da se stroški zdravljenja povrnejo po (višji) stopnji, veljavni v državi članici, v kateri se izvaja zdravljenje ali kupi blago.
This Directive shall not prevent Member States from adopting more favourable rules, for example that the costs of treatment shall be reimbursed at the (higher) rate which applies in the Member State where the treatment has been provided or the goods purchased.
To zlasti lahko velja za zdravljenje, ki se lahko izvaja prek evropskih referenčnih mrež iz člena 15 te direktive.
This may in particular be the case for treatments which can be provided through the European reference networks referred to in Article 15 of this Directive.
V vsakem primeru država članica pacientovega zdravstvenega zavarovanja določi, katere storitve zdravstvenega varstva ali katero blago za zdravstveno nego se plača ne glede na kraj izvajanja ali nakupa .
In any event, it is for the Member State of affiliation to determine what health care services and goods are paid for regardless of where they are provided or purchased .
Predlog določa le, kako države članice lahko omejijo odhajanje pacientov.
The proposal provides only for a way of enabling Member States to restrict the outflow of patients.
Treba je določiti tudi, kako naj se doseže nasprotno, torej omejitev prihoda pacientov.
A way must also be provided for achieving the converse, namely limiting the inflow of patients.
Tako odhod kot prihod pacientov lahko ogrozi finančno stabilnost sistemov socialne varnosti in/ali zmožnost oskrbe in dostopnost do nje.
Both the outflow and inflow of patients may jeopardise the financial balance of social security schemes and/or the capacity and accessibility of care.
Stroške za zdravstveno varstvo v drugi državi članici povrne ali plača sistem zdravstvenega zavarovanja države članice pacientovega zdravstvenega zavarovanja , če spadajo med koristi zdravstvenega varstva, ki ga zagotavlja zakonodaja države članice pacientovega zdravstvenega zavarovanja, v skladu z določbami te direktive do višine stroškov, ki bi bili prevzeti za enako zdravljenje, ki je za pacienta enako učinkovito, 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 , to the extent that they are among the benefits provided for by the legislation of the Member State of affiliation to which the insured person is entitled, be reimbursed or paid by the social security system of the Member State of affiliation in accordance with the provisions of this Directive up to the level of costs that would have been assumed had the same treatment which is equally effective for the patient been provided in the Member State of affiliation, without exceeding the actual costs of healthcare received.
Države članice krijejo druge stroške, ki so s tem povezane, kot je terapevtsko zdravljenje, če skupni stroški ne presegajo zneska, plačanega v državi članici pacientovega zdravstvenega zavarovanja.
Member States shall cover other related costs, such as therapeutic treatment, provided that the total cost does not exceed the amount payable in the Member States of affiliation.
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 , storitve ali blago za zdravstveno nego v drugi državi članici, uvede enake pogoje ter regulativne in upravne formalnosti, vključno s kodeksi ravnanja zdravstvenih poklicev , ki bi jih uvedla za enako ali podobno zdravstveno varstvo ali nakup enakega blaga na svojem ozemlju, če niso diskriminatorni in ne ovirajo prostega zagotavljanja blaga in opravljanja storitev .
The Member State of affiliation may impose on a patient seeking healthcare services or goods connected with health care in another Member State, the same conditions and regulatory and administrative formalities including codes of conduct of the medical professions as it would impose if the same or similar healthcare was provided or the same goods were purchased in its territory, in so far as they are neither discriminatory nor an obstacle to freedom to provide goods and services .
Ti stroški vključujejo tudi pot, kadar pride do nepotrebnega odlašanja ali kadar v primeru redkih bolezni zdravljenje ni na voljo, brez poseganja v primere zdravljenja, ki so posebej predpisani v državi članici pacientovega zdravstvenega zavarovanja.
These costs shall also include travel, where a situation of undue delay, or unavailability of treatment in the case of rare diseases, arises, without prejudice to the case of treatments which are specifically proscribed in the Member State of affiliation
Če mora zavarovana oseba potovati na zdravljenje v drugo državo članico zaradi nepotrebnega odlašanja ali ker zdravljenje ni na voljo, kar je zlasti pomembno pri redkih boleznih, je treba v stroške, upravičene do povračila s strani zdravstvenega organa v državi članici pacientovega zdravstvenega zavarovanja, šteti tudi stroške poti.
If insured persons are forced to travel for healthcare in another Member State, due to undue delay or unavailability of treatment, which is particularly relevant in the case of rare diseases, travel costs should also be factored into the eligible costs to be reimbursed by the healthcare provider in the Member State of affiliation.
Vendar to ne velja, kadar je zdravljenje posebej predpisano v državi članici zdravstvenega zavarovanja.
However, this shall not apply in cases where treatments are specifically proscribed in the Member State of affiliation.
Država članica pacientovega zdravstvenega zavarovanja ne povrne stroškov za nebolnišnično oskrbo ali nakup blaga za zdravstveno nego v drugi državi članici, za katero je potrebna predhodna odobritev, kadar so stroški navedene oskrbe, če bi se izvajala na njenem ozemlju, ali navedenega blaga, če bi bilo kupljeno na njenem ozemlju, plačani iz njenega 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 or the purchase of goods connected with health care which are purchased in another Member State subject to prior authorisation, where the cost of that care, if it had been provided in its territory, or of those goods, if they had been purchased in its territory, would have been paid for by its social security system.
Nakup blaga, povezanega z zdravstvenim varstvom (npr. medicinskih pripomočkov), je bil predmet sodbe v zadevi Decker (v tej zadevi so bila pripomoček očala), torej bi ga bilo treba vključiti v direktivo, katere namen je kodificirati sodbi v zadevah Kohll in Decker.
The purchase of goods in connection with healthcare (e.g. medical devices) was the subject of the Decker judgment (the device to which that case applied being spectacles), and should therefore also be incorporated into a directive intended to codify the Kohll and Decker judgments.
Ta seznam sestavi Komisija v sodelovanju in dialogu z zdravstvenimi organi držav članic , ki ga lahko tudi redno posodablja.
This list shall be set up in cooperation and dialogue with Member States' health authorities and may be regularly updated by the Commission.
Sodelovanje in dialog s pristojnimi zdravstvenimi organi držav članic pri določanju posebnega seznama je primer dobre prakse, zlasti glede na to, da so bolezni in njihovo zdravljenje v vseh državah članicah različni.
It is good practice for there to be cooperation and dialogue with the competent health authorities of the Member States in setting up this specific list, given that diseases and their treatment are not the same in all Member States.
Država članica pacientovega zdravstvenega zavarovanja lahko uvede sistem predhodne odobritve za povračilo stroškov iz njihovega sistema socialne varnosti za bolnišnično oskrbo, ki se izvaja v drugi državi članici, kadar so izpolnjeni naslednji pogoji :
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 the following conditions are met:
Država članica pacientovega zdravstvenega zavarovanja lahko izjemoma uvede sistem predhodne odobritve za povračilo stroškov iz njihovega sistema socialne varnosti za bolnišnično oskrbo, ki se izvaja v drugi državi članici, kadar :
By way of exception, 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 in the case where :
(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) storitev zdravstvenega varstva se lahko izvaja le v okviru zdravstvene infrastrukture in zahteva prenočitev pacienta;
(a) healthcare which can be provided only within a medical infrastructure and which normally requires the accommodation of the patient.
(i) finančno ravnotežje sistema socialne varnosti države članice in/ali
(i) the financial balance of the Member State’s social security system; and/or
(ii) načrtovanje in racionaliziranje , ki se izvajata v sektorju bolnišnic v izogib preobremenjenosti bolnišnic, neuravnoteženosti zagotavljanja bolnišnične oskrbe ter logistični in finančni izgubi, vzdrževanje vsem dostopne uravnotežene zdravniške in bolnišnične storitve ali vzdrževanje zmogljivosti zdravljenja ali zdravniških kompetenc na ozemlju zadevne države članice.
(ii) the planning and rationalisation carried out in the hospital sector to avoid hospital overcapacity, imbalance in the supply of hospital care and logistical and financial wastage, the maintenance of a balanced medical and hospital service open to all, or the maintenance of treatment capacity or medical competence on the territory of the concerned Member State.
(ii) načrtovanje in racionaliziranje ciljev držav članic v sektorju bolnišnic za zagotovitev zadostnega in neprestanega dostopa do uravnoteženega obsega visokokakovostnega bolnišničnega zdravljenja na ozemlju zadevne države članice in za preprečitev potrate finančnih, tehničnih in človeških virov.
(ii) the planning and rationalisation objectives of the Member State in the hospital sector to ensure that there is a sufficient and permanent access to a balanced range of high quality hospital treatment on the territory of the concerned Member State and to avoid wastage of financial, technical and human resources.
Člen 8 – odstavek 4 a (novo)
Article 8 – paragraph 4 a – (new)
Če je bil vložen in odobren zahtevek za predhodno odobritev, mora država članica pacientovega zdravstvenega zavarovanja zagotoviti, da bo pacient vnaprej plačal le stroške, ki bi jih moral plačati tudi, če bi prejel oskrbo v zdravstvenem sistemu svoje države članice.
Where prior authorisation has been sought and given, the Member State of affiliation shall ensure that the patient is only expected to pay up front any costs that they would be expected to pay in this manner had their care been provided in their home health system.
Člen 8 – odstavek 5 a (novo)
Article 8 – paragraph 5 a – (new)
Pacienti, ki so na čakalnem seznamu za zdravljenje v svoji državi članici zdravstvenega zavarovanja, ne potrebujejo predhodne odobritve, če bi časovno obdobje, potrebno za to odobritev, škodovalo njihovemu zdravstvenemu stanju, ali če se zadevnega zdravljenja za zadevno osebo ne more zagotoviti v njeni državi članici zdravstvenega zavarovanja, kljub postopkom, ki so posebej navedeni v zakonu te države članice.
Patients who are on a waiting list for medical treatment in their Member State of affiliation shall not be subject to prior authorisation, if the time required to obtain it would be prejudicial to their state of health or their receipt of medical treatment, or where the treatment in question can not be provided for the person concerned in their Member State of affiliation, notwithstanding procedures which are specifically proscribed under the law of the Member State of affiliation.
Za paciente v primeru nepotrebnega odlašanja zdravljenja predhodna odobritev ne bi smela biti obvezna.
Patients facing undue delay should not require prior authorisation.
Prav tako za paciente, ki nimajo dostopa do zdravljenja, ker se v njihovi državi članici zdravstvenega zavarovanja to zdravljenje ne izvaja.
This is the same for patients who can not access treatments due to their unavailability in their Member State of affiliation.
Vendar se tega ne sme tolmačiti kot zagotavljanje in omogočanje financiranja zdravljenja, ki je posebej predpisano v zakonu države članice zdravstvenega zavarovanja.
However, this should not be construed as facilitating the provision and funding of treatments which are specifically proscribed under the law of the Member State of affiliation.
Člen 8 – odstavek 5 b (novo)
Article 8 – paragraph 5 b – (new)
Pacienti, ki so na čakalnem seznamu za zdravljenje v svoji državi članici in nujno potrebujejo zdravljenje, ne potrebujejo predhodne odobritve.
Patients who are on a waiting list for medical treatment in their home country and are in urgent need of care shall not be subject to prior authorisation.
Pacienti, ki so na čakalnem seznamu za zdravljenje v svoji državi in nujno potrebujejo zdravljenje, bi morali imeti pravico, da si pravočasno poiščejo zdravljenje v drugi državi članici brez predhodne odobritve.
Patients who are on a waiting list in their home country and are in urgent need of care should be empowered to seek timely treatment in another Member State without being subject to prior authorisation.
Prav tako bi morali imeti pravico, da njihovo, pogosto drago, zdravljenje, matična država v celoti neposredno plača državi, kjer je potekalo zdravljenje (brez vnaprejšnjega plačila).
They also should be recognised the right for their care, often expensive, to be fully paid directly by the country of origin to the country of provision of care (without having to pay up-front).
Člen 8 – odstavek 5 c (novo)
Article 8 – paragraph 5 c – (new)
V okviru splošnega pomanjkanja znanja in strokovnosti na nacionalni ravni bi morali imeti pacienti z redkimi boleznimi, ne glede na to ali so te diagnosticirane ali ne, pravico do izbire kraja, v katerem želijo uporabljati storitve zdravstvenega varstva, brez predhodne odobritve.
In a context of global scarcity of knowledge and expertise at national level, patients affected by rare diseases, both diagnosed and undiagnosed, should be recognised the right to choose where to purchase healthcare, without prior authorisation.
Prav tako bi morali imeti pravico, da njihovo, pogosto drago, zdravljenje, njihova matična država v celoti plača državi, kjer je potekalo zdravljenje (brez vnaprejšnjega plačila), še zlasti, če zdravljenje, ki ga potrebujejo, ni na voljo v državi, kjer so zdravstveno zavarovani, saj je to pogosto razlog za odhod v tujino.
They should also be recognised the right for their care, often expensive, to be fully paid directly by the country of origin to the country of provision of care (without having to pay up-front), even and especially when the care they need does not exist in their country of affiliation, as this is often the reason for which they need to go abroad.
Režim odobritve temelji na merilih, ki preprečujejo, da bi pristojni organi izvajali ocenjevanje na samovoleon neomejeno.
Authorisation schemes shall be based on criteria which preclude the competent authorities from exercising their power of assessment in an arbitrary or discretionary manner.
Če je bil zahtevek predhodne odobritve odobren, država članica pacientovega zdravstvenega zavarovanja zahteva, da vse dodatne stroške stranka plača neposredno izvajalcu.
Where prior authorisation has been granted, the Member State of affiliation shall seek reimbursement for any further cost to be provided directly from the purchaser to the provider.
Države članice morajo omogočiti neposredno povračilo stroškov zavarovalca v državi članici pacientovega zdravstvenega zavarovanja izvajalcu storitev v državi članici zdravljenja.
Member States should facilitate the direct payment of costs incurred between the insurer in the Member State of affiliation to the service provider in the Member State of treatment.
Tako pacienti ne bodo obremenjeni z vnaprejšnjimi stroški, ki bi lahko ovirali dostop do zdravljenja.
This should be the case so that patients will not have to be burdened with upfront costs which might serve as a barrier to access to treatment.
Evropski varuh človekovih pravic bo obravnaval pritožbe pacientov glede predhodne odobritve, kakovosti zdravljenja in plačil.
There will be a European Ombudsman who will treat patient complaints as regards prior authorisation, the quality of treatment and payments.
Pacienti morajo imeti pravico izraziti svoje stališče na ravni EU, če imajo pripombe v zvezi s pomembnimi vprašanji, na primer s predhodno odobritvijo, kakovostjo zdravljenja in plačili.
Patients should be entitled to have their voices heard at EU level when they have complaints about important issues such as prior authorisation, the quality of treatment and payments.
Člen 9 – odstavek 5 b (novo)
Article 9 – paragraph 5 b (new)
Komisija dve leti po začetku veljavnosti te direktive izvede študijo izvedljivosti za vzpostavitev klirinške hiše, da bo omogočila čezmejno povračilo stroškov v skladu s to direktivo in poenostavila sistem zdravstvenega varstva in območja valute, o tem obvesti Parlament in Svet ter po potrebi predloži zakonodajni predlog.
The Commission shall conduct a feasibility study into the establishment of a clearing house to facilitate the reimbursement of costs under this Directive across borders, healthcare systems and currency zones within two years of the entry into force of this Directive and shall report back to the European Parliament and the Council and, if appropriate, present a legislative proposal.
Države članice morajo omogočiti povračilo stroškov med državami članicami na tak način, da bo zagotovljeno čim bolj objektivno in nepristransko merjenje stroškov.
Member States should facilitate the reimbursement of costs between Member States in a manner that would allow as objective and impartial cost measurement as possible.
To bi bil lahko del učinkovite rešitve za doseganje tega cilja.
This could form part of an efficient solution for achieving this objective.