natgillin/translations-raw huggingface dataset:
(ba) zdravstveno varstvo, ki predstavlja posebno tveganje za pacienta ali prebivalce.
(ba) healthcare involving treatments presenting a particular risk for the patient or the population.
- zdravstveno varstvo, ki predstavlja posebno tveganje za pacienta ali prebivalce.
- healthcare involving treatments presenting a particular risk for the patient or the population.
Ta seznam sestavi Komisija, ki ga lahko tudi redno posodablja.
This list shall be set up and may be regularly updated by the Commission.
Navedeni ukrepi, ki so namenjeni spremembi nebistvenih določb te direktive z njeno dopolnitvijo, se sprejmejo v skladu z regulativnim postopkom s pregledom iz člena 19(3).
Those measures, designed to amend non-essential elements of this Directive by supplementing it, shall be adopted in accordance with the regulatory procedure with scrutiny referred to in Article 19(3).
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:
(a) če se storitev zdravstvenega varstva izvaja na njenem ozemlju, se stroški krijejo iz sistema socialne varnosti države članice, in
(a) had the healthcare been provided in its territory, it would have been assumed by the Member State's social security system; and
(a) če se storitev zdravstvenega varstva izvaja na njenem ozemlju, se stroški krijejo iz sistema socialne varnosti države članice, ter
(a) had the healthcare been provided in its territory, it would have been assumed by the Member State's social security system; and
(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 :
(b) odsotnost predhodne odobritve bi lahko resno ogrozila ali bi verjetno ogrozila:
(b) the absence of prior authorisation could seriously undermine or be likely to undermine:
(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.
Ta sistem se uporablja brez poseganja v Uredbo (EGS) št. 1408/71 in Uredbo št. 883/2004 od dneva začetka njene uporabe.
Such a system shall be without prejudice to Regulation (EEC) No 1408/71 and , as from its date of application, Regulation (EC) No 883/2004.
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 je omejen na tisto, kar je nujno in sorazmerno, temelji na jasnih in preglednih merilih ter ni sredstvo za samovoljno diskriminacijo ali ovira za prosti pretok oseb .
The prior authorisation system shall be limited to what is necessary and proportionate , shall be based on clear and transparent criteria , and shall not constitute a means of arbitrary discrimination or an obstacle to freedom of movement of patients.
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 matičnem 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 the health system of their Member State of affiliation .
Države članice bi si morale prizadevati za neposreden prenos sredstev med zdravstvenimi blagajnami in izvajalci zdravstvenega varstva za vse druge stroške.
Member States should seek to transfer funds directly between the funders and the providers of care for any other costs.
Vključeno v poročilo brez glasovanja na podlagi člena 47.
Incorporated in the report without vote, on the basis of Rule 47.
Sistemi za vložitev zahtevka predhodne odobritve morajo biti na voljo na lokalni/regionalni ravni ter biti dostopni pacientom in pregledni.
Prior authorisation application systems must be made available at a local/regional level and must be accessible and transparent to patients.
Pravila za vložitev zahtevka in zavrnitev predhodne odobritve morajo biti znana pred vložitvijo zahtevka, da so lahko 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.
Člen 8 – odstavek 4 c (novo)
Article 8 – paragraph 4 c (new)
Pacienti, ki iščejo 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 zagotovo vedeti, ali jim bodo stroški povrnjeni, jim je pomembno omogočiti, 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 povzročil veliko finančno negotovost pri pacientih.
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 za ljudi z nižjimi dohodki manj privlačna 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.
Država članica javnosti omogoči dostop do vseh pomembnih informacij o sistemih predhodne odobritve, uvedenih v skladu z določbami iz odstavka 3.
The Member State shall make publicly available all relevant information on the prior authorisation systems introduced pursuant to the provisions of paragraph 3.
Država članica javnosti omogoči dostop do vseh pomembnih informacij o sistemih predhodne odobritve, uvedenih v skladu z določbami iz odstavka 3 , vključno s prizivnimi postopki v primeru neodobritve .
The Member State shall make publicly available all relevant information on the prior authorisation systems introduced pursuant to the provisions of paragraph 3 , including appeal procedures in the event of a refusal to give authorisation .
Glede zahtevka za odobritev, ki ga vloži zavarovana oseba za zdravstveno varstvo v drugi državi članici, država članica pacientovega zdravstvenega zavarovanja preveri, ali so izpolnjeni pogoji iz Uredbe (ES) št. 883/2004, in v tem primeru odobri predhodno odobritev v skladu z navedeno uredbo.
With regard to any request for authorisation made by an insured person with a view to receiving healthcare in another Member State, the Member State of affiliation shall ascertain whether the conditions laid down in Regulation (EC) No 883/2004 have been met, and, if so, shall grant prior authorisation pursuant to that Regulation.
Novi odstavek 5 je v skladu s predlogom spremembe za črtanje odstavka 2 tega člena.
New paragraph 5, in line with the amendment deleting paragraph 2 of this article.
Predlog direktive je v nasprotju z veljavno uredbo o usklajevanju sistemov socialne varnosti.
The proposal for a directive conflicts with the existing regulation on the coordination of social security systems.
Člen 8 – odstavek 5 b (novo)
Article 8 – paragraph 5 b (new)
Za paciente z redkimi boleznimi predhodna odobritev ni potrebna.
Patients with rare diseases shall not be subject to prior authorisation.
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 uporabiti 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 njihova matična država to – pogosto drago – zdravljenje v celoti plača državi zdravljenja (brez vnaprejšnjega plačila), še zlasti, če zdravljenje, ki ga ti pacienti potrebujejo, ni na voljo v državi, kjer so zdravstveno zavarovani, saj je to pogosto razlog za odhod v tujino.
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), 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".
Vsakršen tak postopkovni sistem je dostopen na enostaven način in zagotavlja, da so zahtevki obravnavani objektivno in nepristransko v rokih, ki jih države članice vnaprej določijo in objavijo.
Any such procedural systems shall be easily accessible and capable of ensuring that requests are dealt with objectively and impartially within time limits set out and made public in advance by the Member States.
Vsakršen tak postopkovni sistem je dostopen na enostaven način in zagotavlja, da so zahtevki obravnavani objektivno in nepristransko v razumnih rokih, ki jih države članice vnaprej določijo in objavijo.
Any such procedural systems shall be easily accessible and capable of ensuring that requests are dealt with objectively and impartially within reasonable time limits set out and made public in advance by the Member States.
Države članice vnaprej in na pregleden način določijo merila za zavrnitev zahtevka za predhodno odobritev povračila stroškov iz člena 8(3).
Member States shall specify in advance and in a transparent way the criteria for refusal of the prior authorisation referred to in Article 8(3).
Država članica pacientovega zdravstvenega zavarovanja zagotovi, da morajo pacienti, ki so pridobili predhodno odobritev za uporabo zdravstvenih storitev v tujini, plačati vnaprejšnja ali dodatna plačila sistemom zdravstvenega varstva in/ali izvajalcem v državi članici zdravljenja samo v enakem obsegu, kot bi jih morali v državi članici svojega zdravstvenega zavarovanja.
Member States of affiliation shall ensure that patients who have received prior authorisation for the use of healthcare abroad will only be required to make upfront or top-up payments to the healthcare systems and/or providers in the Member State of treatment, to the extent that such payments would be required in the Member State of affiliation itself.
Države članice morajo olajšati mobilnost pacientov, ko je to potrebno, in zagotoviti enak dostop do zdravstvenega varstva v tujini.
Member States have the obligation to facilitate patient mobility in those cases where this is appropriate and to ensure equal access to healthcare abroad.
Zato morajo odpraviti vse praktične ovire, ki bi pacientom preprečevale uporabo zdravstvenih storitev v tujini, kot je na primer zahteva po vnaprejšnjih ali dodatnih plačilih sistemu zdravstvenega varstva ali izvajalcem v državi članici zdravljenja.
They therefore also have to take away any practical barriers for patients to use healthcare abroad, such as the need to make upfront or top-up payments to the healthcare systems or providers in the Member State of treatment.
Države članice pri določanju rokov, v katerih je treba obravnavati zahtevke za uporabo zdravstvenega varstva v drugi državi članici, upoštevajo:
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:
Države članice pri določanju rokov, v katerih je treba obravnavati zahtevke za uporabo zdravstvenega varstva v drugi državi članici ter pri pregledu teh zahtevkov upoštevajo:
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 and , when considering these requests , take into account:
(a) specifično zdravstveno stanje,
(a) the specific medical condition,
(aa) posameznikove okoliščine,
(aa) individual circumstances ,
(b) pacientovo raven bolečine,
(b) the patient's degree of pain,
(c) vrsto pacientove invalidnosti in
(c) the nature of the patient's disability, and
(d) pacientovo zmožnost izvajanja njegove poklicne dejavnosti.
(d) the patient's ability to carry out a professional activity.
Člen 9 – odstavek 4 a (novo)
Article 9 – paragraph 4 a (new)
Sistemi za vložitev zahtevka za predhodno odobritev morajo biti na voljo na ustrezni ravni upravljanja zdravstvenih storitev v državi članici ter dostopni pacientom in pregledni.
Prior authorisation application systems shall be made available at the level appropriate for the administration of the Member State's health service and must be accessible and transparent to patients.
Pomembno je zagotoviti dostopnost do sistemov za vložitev zahtevka za predhodno odobritev.
It is important to guarantee the accessibility of prior authorisation application systems.
Države članice zagotovijo, da je za vsako upravno odločitev v zvezi z uporabo zdravstvenega varstva v drugi državi članici potreben upravni pregled in da jo je mogoče spodbijati v okviru sodnega postopka, ki vključuje zagotovitev začasnih ukrepov.
Member States shall ensure that any administrative decisions regarding the use of healthcare in another Member State are subject to administrative review and also capable of being challenged in judicial proceedings, which include provision for interim measures.
Države članice zagotovijo, da je za vsako upravno ali zdravstveno odločitev v zvezi z uporabo zdravstvenega varstva v drugi državi članici potreben upravni ali zdravstveni pregled (za vsak primer posebej) in da jo je mogoče spodbijati v okviru sodnega postopka, ki vključuje zagotovitev začasnih ukrepov.
Member States shall ensure that any administrative or medical decisions regarding the use of healthcare in another Member State are subject , on a case-by-case basis, to a medical opinion or an administrative review and also capable of being challenged in judicial proceedings, which include provision for interim measures.
Komisija dve leti po začetku veljavnosti te direktive izvede študijo izvedljivosti za vzpostavitev klirinške hiše, da bo v skladu s to direktivo omogočila povračilo stroškov čez mejo, med sistemi zdravstvenega varstva in valutnimi območji, ter o tem poroča Parlamentu in Svetu in po potrebi vloži 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.
Predhodno obvestilo
Prior notification
Države članice lahko pacientom ponudijo prostovoljni sistem predhodnega obvestila, kjer pacient ob obvestilu prejme pisno izjavo o najvišjem znesku za povračilo stroškov.
Member States may offer patients a voluntary system of prior notification whereby, in return for such notification, the patient shall receive a written confirmation of the maximum amount that will be paid.
Ta izjava se potem lahko predloži bolnišnici, ki naj bi izvajala zdravljenje, država članica pacientovega zdravstvenega zavarovanja pa nato neposredno povrne stroške zdravljenja.
That written confirmation can then be taken to the hospital of treatment and reimbursement would then be made directly to that hospital by the Member State of affiliation.
Evropski varuh pravic pacientov
European Patients Ombudsman
Komisija v 18 mesecih po začetku veljavnosti te direktive predstavi predlog za ustanovitev funkcije evropskega varuha pravic pacientov.
The Commission shall present a legislative proposal to establish a European Patients Ombudsman within 18 months after the entry into force of this Directive.
Ta bo preučeval in po potrebi posredoval v zvezi s pritožbami pacientov glede predhodne odobritve, povračila stroškov ali škode.
The European Patients Ombudsman shall consider, and if appropriate, mediate on patient complaints with regard to prior authorisation, reimbursement of costs or harm.
Nanj se bodo lahko pacienti obrnili šele, ko bodo izčrpane vse druge možnosti pritožbe v ustrezni državi članici.
The European Patients Ombudsman shall only be engaged once all the complaint options within the relevant Member State have been exhausted.
Člen 10 – odstavka 1 in 2
Article 10 – paragraphs 1 and 2
Država članica pacientovega zdravstvenega zavarovanja zagotovi uvedbo mehanizmov, ki pacientu na zahtevo zagotovijo informacije o prejemanju zdravstvenega varstva v drugi državi članici ter določila in pogoje, ki se uporabljajo, med drugim, v primeru škode, nastale kot posledica zdravstvenega varstva v drugi državi članici.
The Member States of affiliation shall ensure that there are mechanisms in place to provide patients on request with information on receiving healthcare in another Member State, and the terms and conditions that would apply, inter alia, whenever harm is caused as a result of healthcare received in another Member State.
Država članica pacientovega zdravstvenega zavarovanja zagotovi uvedbo lahko dostopnih mehanizmov, ki pacientu na zahtevo , tudi prek elektronskih medijev, takoj zagotovijo informacije o prejemanju zdravstvenega varstva v drugi državi članici , pa tudi informacije o pacientovih pravicah, postopkih za uveljavljanje teh pravic in sistemih za pritožbe in pravna sredstva, če so pacientu te pravice odvzete, ter določila in pogoje, ki se uporabljajo, vključno z informacijami o pravicah pacientov, postopkih za uveljavljanje navedenih pravic in sistemih za pritožbe in pravna sredstva, če so pacientu takšne pravice odvzete, med drugim, v primeru škode, nastale kot posledica zdravstvenega varstva v drugi državi članici.
The Member States of affiliation shall ensure that there are easily accessible mechanisms in place , including by electronic means, promptly to provide patients on request with information on receiving healthcare in another Member State, and shall include information on patients' entitlements, on procedures for accessing those entitlements and on systems of appeal and redress if the patient is deprived of such entitlements, and the terms and conditions that would apply, inter alia, whenever harm is caused as a result of healthcare received in another Member State.
Te informacije so objavljene tudi v oblikah, dostopnih invalidnimi osebam.
This information shall be published in formats accessible to persons with disabilities.
Države članice se posvetujejo z zainteresiranimi stranmi, tudi z organizacijami pacientov, da se zagotovi jasnost in dostopnost informacij.
Member States shall consult stakeholders, including patients' organisations, to ensure information is clear and accessible.
V informacijah o čezmejnem zdravstvenem varstvu je treba jasno razlikovati 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 information about cross-border health care, a clear distinction shall be made between the rights which patients have by virtue of this Directive and rights arising from regulations on coordination of social security schemes as referred to in Article 3(1)(f) .
Informacije iz odstavka 1 so dostopne na enostaven način, vključno prek elektronskih medijev, ter vključujejo informacije o pacientovih pravicah, postopkih za uveljavljanje navedenih pravic in sistemih za pritožbe in pravna sredstva, če so pacientu takšne pravice odvzete.
The information referred to in paragraph 1 shall be made easily accessible, including by electronic means, and shall include information on patients' entitlements, on procedures for accessing those entitlements and on systems of appeal and redress if the patient is deprived of such entitlements.
Poleg informacij iz odstavka 1 bodo informacije o zdravstvenih delavcih in izvajalcih zdravstvenih storitev preprosto dostopne po elektronski poti, kar zagotovijo države članice, v katerih so zdravstveni delavci in izvajalci zdravstvenega varstva registrirani; vsebovale bodo ime, registrsko številko, naslov prakse zdravstvenega delavca in morebitne omejitve njegove prakse;
In addition to the information outlined in paragraph 1, information on health professionals and healthcare providers shall be made easily available via electronic means by the Member State in which the health professionals and healthcare providers are registered, and shall include the name, registration number and practice address of the healthcare professional, and any restrictions on their practice;
V interesu pacientov, ki uporabljajo čezmejne storitve, je potrebna večja preglednost uredbe o zdravstvenih delavcih in zdravstvenih storitvah.
In the interests of patients availing of cross-border services, there is also a need for greater transparency of health professional and health service regulation.
V državah članicah bi morali biti dostopni javni registri zdravstvenih delavcev in izvajalcev zdravstvenih storitev, da lahko pacienti enostavno ugotovijo, kdo so napotni zdravniki, zdravstveni delavci in drugi izvajalci zdravljenja, ter po potrebi preverijo in ocenijo poklicno usposobljenost zdravstvenih delavcev, ki zagotavljajo oskrbo.
Public registers of health professionals and health service providers should be available in Member states so that patients can easily identify prescribers, professionals and other treatment providers and if necessary to verify and validate the professional standing of the health professionals providing care.
Na mednarodni ravni je bilo dokazano, da je za paciente najbolj priročen način dostopanja do informacij o sedanjih ali prihodnjih izvajalcih zdravstvenega varstva javno objavljeni registri teh izvajalcev.
The international evidence illustrates that the most practical way for patients to have access to information on their current or prospective healthcare providers is via the publication of public registers of such practitioners.