natgillin/translations-raw huggingface dataset:
Država članica zdravljenja lahko posameznemu izvajalcu zdravstvenih storitev prizna pravico, da zavrne bolnišnično in specialistično oskrbo pacientov v drugi državi članici, ki poiščejo zdravljenje v tej državi članici, kadar to negativno vpliva na druge paciente s podobnimi zdravstvenimi potrebami, na primer zaradi daljših čakalnih vrst za zdravljenje.
A Member State of treatment may permit an individual healthcare provider to refuse hospital or specialised care to patients in another Member State who seek treatment in that Member State if that would be detrimental to other patients with similar health needs, for example because of increased waiting time for treatment.
Vključitev zadnjega stavka iz uvodne izjave (12).
Inclusion of the last clause of Recital 12.
Ta pomembni stavek iz uvodnih izjav manjka v besedilu direktive – zaradi pravne varnosti in boljše berljivosti je ta stavek primerno vstaviti na tem mestu.
This vital clause from the recitals is lacking in the body of the text of the directive: in the interests of legal certainty and greater clarity, it would be preferable to include this clause here.
Neoviran dostop gostujočih pacientov iz drugih držav članic ne sme ovirati cilja, da se pacientom zagotovi zdravstvena oskrba, ki je po možnosti blizu njihovega kraja bivanja oz. dela.
The aim of providing health care for patients as close as possible to their place of residence or work must not be made impossible on account of unlimited access for patients from other Member States.
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 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.
Until the date of entry into force of Regulation (EC) No 883/2004 , an insured person shall be granted the authorisation pursuant to the regulations on the coordination of social security referred to in Article 3(1)(f) of this Directive, in accordance with Article 22(1)(c) and Article 22(2) of Regulation 1408/71.
Od datuma začetka veljavnosti Uredbe (ES) št. 883/2004 pa se zahtevek zavarovani osebi vedno odobri na podlagi uredb o usklajevanju sistemov socialne varnosti, navedenih v členu 3(1)(f), v skladu s členom 20 Uredbe (ES) št. 883/2004.
From the date of entry into force of Regulation (EC) No 883/2004, an insured person shall be granted the authorisation on the basis of the regulations concerning the coordination of social security schemes as referred to in Article 3(1)(f) in accordance with Article 20 of Regulation (EC) No 883/2004.
V zvezi z informacijami o čezmejnem zdravstvenem varstvu je treba jasno predstaviti razliko med pravicami, ki jih pacienti uživajo na podlagi te direktive, in pravicami, ki izhajajo iz predpisov o usklajevanju sistemov socialne varnosti iz člena 3(1)(f).
In regard to information relating to cross-border care, a clear distinction shall be made between the rights which patients have under this Directive and rights arising from regulations on the coordination of social security schemes as referred to in Article 3(1)(f).
Države članice zagotovijo, da so organizacije pacientov, skladi zdravstvenih zavarovanj in izvajalci zdravstvenega varstva vključeni v delo teh nacionalnih kontaktnih služb.
Member States shall ensure that patients' organisations, health insurance funds and care providers are involved in the work of those national contact points.
Člen 12 – odstavek 2 – točka da (novo)
Article 12 – paragraph 2 – point d a (new)
(da) beleži vse dejavnosti v državi članici zdravljenja v skladu s členi 6, 7, 8, 9 in 15 ter o njih obvesti pristojne organe države članice zdravljenja, pri čemer izvajalci storitev zdravstvenega varstva posredujejo potrebne informacije, takoj ko jih prejmejo .
(da) register all activities in the Member State of treatment pursuant to Articles 6, 7, 8, 9 and 15 and notify the competent authorities of the Member State of treatment thereof, with healthcare providers supplying the necessary information as soon as they receive it.
Države članice zagotovijo toliko vzajemne pomoči, kot je potrebno za izvajanje te direktive , in v zvezi s tem sklenejo sporazume .
Member States shall render such mutual assistance as is necessary for the implementation of this Directive and shall conclude agreements in this regard .
Države članice olajšujejo sodelovanje pri izvajanju čezmejnega zdravstvenega varstva na regionalni in lokalni ravni ter prek informacijske in komunikacijske tehnologije , izvajanje začasnega ali priložnostnega čezmejnega zdravstvenega varstva in drugih oblik čezmejnega sodelovanja .
Member States shall facilitate cooperation in cross-border healthcare provision at regional and local level as well as through information and communication technologies , cross-border healthcare provided on a temporary or ad hoc basis and other forms of cross-border cooperation .
Države članice olajšujejo sodelovanje pri izvajanju čezmejnega zdravstvenega varstva na nacionalni, regionalni in lokalni ravni ter prek informacijske in komunikacijske tehnologije in izvajanja začasnega ali priložnostnega čezmejnega zdravstvenega varstva , ter v zvezi s tem sklenejo sporazume .
Member States shall facilitate cooperation in cross-border healthcare provision at national, regional and local level as well as through information and communication technologies and cross-border healthcare provided on a temporary or ad hoc basis , and shall conclude agreements in this regard .
Obmejna območja
Border regions
Da bi v prihodnosti vzpostavili čim bolj učinkovito politiko zdravstvenega varstva, Komisija določi obmejna območja kot poskusna območja, kjer bodo inovativne pobude glede čezmejnega zdravstvenega varstva lahko temeljito preizkušene, analizirane in ocenjene.
In order, in future, to establish as effective as possible a health care policy, the Commission shall designate border regions as trial areas where innovative initiatives relating to cross-border care can be thoroughly tested, analysed and assessed.
Člen 20 – odstavek 2a (novo)
Article 20 – paragraph 2 a (new)
Komisija je odgovorna za pridobivanje potrebnih informacij za prikaz čezmejnega toka pacientov in zdravnikov, da bi lahko nemudoma odpravila morebitne neželene učinke in dodatno spodbudila pozitivne učinke.
The Commission shall be responsible for collecting the requisite information with a view to charting cross-border flows of patients and practitioners in order to be able to remedy any adverse effects promptly and further encourage positive effects.
Komisija vključi te informacije v poročilo iz odstavka 1.
The Commission shall include that information in the report referred to in paragraph 1.
o predlogu Direktive Evropskega parlamenta in Sveta o uveljavljanju pravic pacientov na področju čezmejnega zdravstvenega varstva
on the proposal for a European Parliament and Council directive on the application of patients’ rights in cross-border healthcare
Treba je jasno opredeliti področje uporabe tega predloga direktive, da se prepreči vsakršna zmeda ali združevanje.
It is important to clearly distinguish the scope of this proposal for a directive, in order to avoid any confusion or amalgam of ideas.
Cilj predloga je samo mobilnost pacientov.
The proposal is aimed solely at patient mobility.
Ne nanaša se na mobilnost zdravstvenih delavcev.
It does not relate to the mobility of healthcare professionals.
Zato ni namen, da bi se tu uporabila direktiva o storitvah na področju zdravja.
The idea is not, therefore, to apply the ‘Services Directive’ to the field of health.
Pacienti si na splošno želijo kakovostno zdravstveno varstvo, ki jim je na voljo čim bližje in kar najhitreje.
Generally speaking, patients want to access quality healthcare as close to where they live as possible and as quickly as possible.
V nekaterih primerih pa je najboljše zdravstveno varstvo na voljo v drugi državi članici.
In some cases, however, the best healthcare is to be found in another Member State.
Pacienti tako lahko odidejo drugam, če lahko tam pridobijo kakovostnejše, hitrejše ali cenejše zdravstvene storitve.
Patients may thus travel elsewhere to obtain better quality, quicker or cheaper healthcare services.
Če se pacient dejansko odloči za zdravljenje v tujini, je treba ustrezno zaščititi njegovo varnost in dobro počutje.
Then, when patients actually decide to travel abroad for treatment, it is essential to guarantee that their safety and well‑being are adequately safeguarded.
Za sedanje razmere je značilna rastoča medsebojna odvisnost zdravstvenih sistemov in zdravstvene politike v vsej Evropski uniji.
The current situation is characterised by the growing interdependence of health systems and health policies across the European Union.
Ta razvoj se lahko razloži s številnimi dejavniki, zlasti s povečanim pretokom pacientov in zdravstvenih delavcev v EU (kar so omogočile razsodbe Evropskega sodišča), s pričakovanji vseh prebivalcev v Uniji ter s širitvijo nove zdravstvene tehnologije in tehnik, ki temeljijo na informacijski tehnologiji.
That situation has developed owing to a host of factors, including an increase in the movement of patients and professionals within the EU (facilitated by the rulings of the European Court of Justice), the expectations that are shared by people across the Union and the dissemination of new medical technologies and techniques based on information technologies.
2) Pomanjkljivosti sedanjega sistema, ki škodijo pacientom
2) Weakness of the current system to the detriment of patients
Klub temu na tem področju obstaja pravna negotovost.
There is, however, much legal uncertainty in this area.
Sodišče je razvilo sodno prakso, ki je na nekaterih mestih protislovna, njena uporaba pa med drugim ni enaka v vseh državah članicah.
The Court of Justice has developed case law which is in part contradictory and which is not, moreover, applied in a uniform manner in all the Member States.
Zato je treba razjasniti sodno prakso Sodišča Evropskih skupnosti v zvezi z nekaterimi razsodbami:
There is therefore a need to clarify the case law of the Court of Justice of the European Communities with regard to some of those rulings:
– nebolnišnična oskrba, do katere je državljan upravičen v svoji državi članici, mu je brez predhodne odobritve lahko na voljo tudi v kateri koli drugi državi članici, stroški te oskrbe pa se mu povrnejo do zneska, ki je predviden za povračilo v sistemu, ki mu ta državljan pripada.
– any non-hospital care to which citizens are entitled in their own Member State, they may also seek in any other Member State without prior authorisation, and be reimbursed up to the level of reimbursement provided by their own system.
Ta sistem pa mora predhodno odobriti bolnišnično oskrbo.
As regards hospital care, the prior authorisation of the patient’s own system is required.
Pacientu se tovrstna oskrba odobri, če mu njegov sistem v zdravstveno sprejemljivem roku ne more zagotoviti oskrbe, ki jo glede na svoje stanje potrebuje.
That authorisation must be given to the patient if their system cannot provide them with care within a medically acceptable time limit considering their condition.
Tudi v tem primeru se mu stroški povrnejo najmanj do zneska, ki je predviden za povračilo v njegovem sistemu;
In this case too, the person concerned will be reimbursed up to at least the level of reimbursement provided by their own system;
– sodna praksa potrjuje pristojnost nacionalnih organov pri vprašanjih organizacije zdravstvenega varstva in socialne varnosti;
– confirmation that matters relating to the organisation of health care social security are a national competence;
– sodna praksa dovoljuje ohranjanje predhodne odobritve za najzahtevnejšo bolnišnično oskrbo, ki je stroškovno najbolj obremenjujoča, ter posledično ohranjanje pooblastil držav članic za urejanje in načrtovanje.
– maintenance of the need for prior authorisation for hospital care, which is the most burdensome and costly, and consequently of the Member State’s regulatory and planning powers.
V direktivi ne gre za uskladitev zdravstvenih sistemov ali sistemov socialne varnosti držav članic, temveč za okrepitev pravne varnosti pacientov in izboljšanje obstoječih razmer v državah članicah.
The directive does not aim to harmonise Member States’ health or social security systems, but rather to strengthen legal certainty for patients and improve the current situations in the Member States.
Kljub temu se je treba vprašati, ali namenja direktiva dovolj pozornosti konkretnim primerom, ki vsakodnevno ovirajo življenje naših državljanov.
One must nevertheless ask whether the directive awards enough attention to the real‑life cases that handicap our citizens in their daily lives.
Najbolj prizadete osebe se včasih zaradi te zapletenosti odrečejo uveljavljanju svojih pravic.
Faced with such complexities, those primarily concerned sometimes voluntarily relinquish their rights.
Treba je storiti vse, da bodo pacienti obveščeni o postopkih, zlasti o evropskih referenčnih mrežah iz člena 15 direktive.
Everything possible must be done to inform patients, especially with regard to the European reference networks described in Article 15 of the directive, on procedures.
3) Potreba po ukrepanju
3) Need to act
Direktiva bo z vključitvijo in uzakonitvijo sodne prakse Sodišča omogočila večjo skladnost in jasnost konkretnih pravic pacientov.
By providing a framework for, and codifying, the case law of the Court of Justice, the directive will lend greater coherence and increased clarity to the actual rights of patients.
Mobilnost bolnikov v nobenem primeru ne sme povzročiti „dampinga“ med zdravstvenimi sistemi ali poslabšati varnosti zdravstvenega varstva.
Patient mobility must not, under any circumstances, result in ‘dumping’ between healthcare systems, or undermine the safety of healthcare.
V korist pacientov je treba je zagotoviti pravno varnost in podpirati sodelovanje med nacionalnimi zdravstvenimi sistemi.
Legal certainty should be ensured, and support provided for cooperation between national healthcare systems, in the interest of the patient.
Zato je treba izboljšati določbe o jamstvu dostopa pacientov do informacij ter verodostojnost virov informacij o ponudbi zdravstvenega varstva, farmacevtskih proizvodov in zdravljenja.
In order to achieve this, it is important to improve the provisions on the guarantee of patients’ access to information and the credibility of sources of information on the provision of healthcare, pharmaceutical products and medical treatment.
Evropska komisija je med drugim predlagala vzpostavitev mreže, ki bi združevala nacionalne organe ali telesa za ocenjevanje zdravstvene tehnologije in s tem omogočala najučinkovitejšo uporabo novih tehnologij, da se zagotovi varno, učinkovito in kakovostno zdravstveno varstvo.
The European Commission has also proposed that a network of national authorities or bodies responsible for health technology assessment (HTA) be set up, with a view to an optimum harnessing of new technologies, in order to ensure the provision of safe, effective and high‑quality healthcare.
O tej ideji sicer velja razmisliti, vendar bi se podrobni pogoji za delovanje te mreže lahko dopolnili.
While this idea is worthy of support, the practical arrangements for that network could be amplified.
Podobno se zdi, da je treba zagotoviti večje sodelovanje med nujnimi zdravstvenimi storitvami, da bi se okrepilo njihovo usklajevanje.
Similarly, it would seem vital to facilitate greater cooperation between emergency medical services in order to improve their coordination.
To je še zlasti očitno na obmejnih območjih.
This need is all the more apparent in cross‑border areas.
Ta pobuda bi morala presegati problematiko čezmejnega zdravstvenega varstva in omogočiti prepoznavanje izzivov in potrebnih reform zdravstvenega varstva.
Beyond the issue of cross‑border healthcare itself, this initiative should make it possible to pinpoint the challenges and necessary reforms in the field of healthcare.
Predlog, DIREKTIVA EVROPSKEGA PARLAMENTA IN SVETA o uveljavljanju pravic pacientov na področju čezmejnega zdravstvenega varstva
Proposal for a DIRECTIVE OF THE EUROPEAN PARLIAMENT AND OF THE COUNCIL on the application of patients’ rights in cross-border healthcare
Predlog, DIREKTIVA EVROPSKEGA PARLAMENTA IN SVETA o uveljavljanju pravic pacientov do dostopa do varnega, visokokakovostnega in učinkovitega zdravstvenega varstva pod enakimi pogoji
Proposal for a DIRECTIVE OF THE EUROPEAN PARLIAMENT AND OF THE COUNCIL on the application of patients’ rights to access to safe, high-quality and effective healthcare , under equitable conditions
Predlaga se, da se predlog direktive ne bi osredotočal na mobilnost pacientov, ampak na glavna področja, za katera Komisija trdi, da je pripravila predlog: skupna načela vseh zdravstvenih sistemov EU, evropsko sodelovanje na področju zdravstvenega varstva in posebni okvir za čezmejno zdravstveno varstvo.
It is proposed that the proposal for a directive should not focus chiefly on patient mobility but on the three fundamental strands around which the Commission has structured its proposal: common principles in all EU health systems, European cooperation on healthcare and a specific framework for cross-border healthcare.
Ne uporablja se na primer za stanovanjske domove ali nastanitve ali pomoč starejšim osebam ali otrokom s strani socialnih delavcev ali prostovoljnih negovalcev ali strokovnjakov, ki niso zdravstveni delavci.
It does not apply, for example, to residential homes or housing, or assistance provided to elderly people or children by social workers or volunteer carers or professionals other than health professionals.
V zvezi z dolgoročno oskrbo se direktiva ne uporablja za pomoč in podporo za družine ali posameznike, ki so v daljšem časovnem obdobju še posebno potrebni medicinske oskrbe, podpore in nege v ko to vključuje posebno strokovno zdravljenje ali pomoč s strani sistema zdravstvene varnosti .
As regards long-term care, the Directive does not apply to assistance and support for families or individuals who are, over an extended period of time, in particular need of nursing, support or care in so far as this involves specific expert treatment or help provided by a social security system.
Ta se nanaša predvsem dolgotrajno oskrbo, ki je potrebna, da bi osebi, ki jo potrebuje, omogočila kar se da polno in neodvisno življenje.
This covers above all such long ‑term care services as are considered necessary in order to provide the person in need of care with as full and independent a life as possible.
Namen tega predloga spremembe je pojasniti dejstvo, da so storitve na področju socialnega varstva ali oskrbe, rehabilitacije za vrnitev na delo in dolgoročna oskrba izključene iz področja uporabe te direktive.
This amendment serves to clarify the fact that services in the area of social assistance or care, rehabilitation with a view to resuming work and long-term care are excluded from the scope of this directive.
(25) Ta direktiva ne uvaja pravice do povračila stroškov zdravljenja v drugi državi članici, če takšno zdravljenje ni med storitvami, ki jih zagotavlja zakonodaja države članice pacientovega zdravstvenega zavarovanja.
(25) This Directive does not aim either to create entitlement for reimbursement of treatment in another Member State, if such a treatment is not among the benefits provided for by the legislation of the patient’s Member State of affiliation.
(25) Ta direktiva ne uvaja pravice do povračila stroškov zdravljenja v drugi državi članici, če takšno zdravljenje ni med storitvami, ki jih zagotavlja zakonodaja države članice pacientovega zdravstvenega zavarovanja , ali spreminja pogoje za to pravico, če niso predvideni v zakonodaji države članice zdravstvenega zavarovanja .
(25) This Directive does not aim either to create entitlement for reimbursement of treatment in another Member State, if such a treatment is not among the benefits provided for by the legislation of the patient’s Member State of affiliation , or to modify the conditions for that entitlement, if they are provided for by the legislation of the Member State of affiliation .
Pristojnosti na področju organizacije zdravstvenega varstva se uporabljajo samo za države članice v skladu s členom 152 Pogodbe ES.
Competency as regards the organisation of health services rests with the Member States in accordance with Article 152 of the EC Treaty.
(27) Ta direktiva pacientu prav tako zagotavlja pravico do kakršnega koli medicinskega izdelka, odobrenega za trženje , ali zdravstvenih storitev v državi članici, kjer se zdravstveno varstvo izvaja, tudi če medicinski izdelek ali storitev zdravstvenega varstva ni na voljo v državi članici pacientovega zdravstvenega zavarovanja, saj je nepogrešljiv del učinkovitega zdravljenja v drugi državi članici.
(27) This Directive provides also for the right for a patient to receive any medicinal product authorised for marketing or healthcare services in the Member State where healthcare is provided, even if the medicinal product or healthcare services are not available in the Member State of affiliation, as it is an indispensable part of obtaining effective treatment in another Member State.
Bistveno je, da pacient v državi, ki ni njegova država zavarovanja, uporablja storitve zdravstvenega varstva in zdravila, tudi če niso na voljo v državi članici, ki je njegova država zavarovanja.
It is essential that a patient in a Member State other than that of residence can benefit from healthcare services and medicines even where they are not available in the Member State of affiliation.
Sodelovanje pri ocenjevanju nove zdravstvene tehnologije lahko države članice podpira prek ekonomij obsega in z izogibanjem podvajanja prizadevanj, poleg tega pa lahko zagotovi boljšo podlago podatkov za najboljšo možno uporabo nove tehnologije, da se zagotovi varno, visoko kakovostno in učinkovito zdravstveno varstvo .
Cooperation in the evaluation of new health technologies can support Member States through economies of scale and avoiding duplication of effort, and provide a better basis of evidence for optimal use of new technologies to ensure safe, high-quality and efficient healthcare.
Kljub temu se zaradi ocenjevanja zdravstvene tehnologije in možnih omejitev dostopa do novih tehnologij, ki bi lahko bili posledica nekaterih sklepov upravnih organov, postavljajo nekatera bistvena družbena vprašanja, ki bi jih bilo treba reševati s številnimi zadevnimi akterji ter z vzpostavitvijo modela trajnega upravljanja .
However, the evaluation of health technologies and the potential restriction of access to new technologies owing to administrative decisions pose a number of basic social questions which call for the involvement of an extensive group of stakeholders and the introduction of a viable model of governance .
Zato bi morali pri tem sodelovati pristojni organi vseh držav članic, pa tudi vsi zadevni akterji, vključno z zdravstvenimi delavci, predstavniki pacientov in industrijo.
Consequently, any cooperation should include not only the competent authorities in all the Member States, but also all the stakeholders, including healthcare professionals, patients’ representatives and industry.
Poleg tega bi moralo to sodelovanje temeljiti na trajnostnih načelih dobrega upravljanja, kot so pregledni, odprti, objektivni in nepristranski postopki.
Moreover, that cooperation should be based on viable principles of good governance such as the transparency, openness, objectivity and impartiality of procedures.
Komisija bi morala zagotoviti, da se v to mrežo lahko vključijo le organi za ocenjevanje zdravstvene tehnologije, ki spoštujejo ta načela.
The Commission should ensure that only health technology assessment bodies which adhere to those principles are allowed to join that network.