natgillin/translations-raw huggingface dataset:
zdravstveno varstvo na njenem ozemlju.
healthcare been provided in its territory.
Če država članica zdravstvenega zavarovanja zavrne povračilo stroškov tovrstnega zdravljenja, svojo odločitev strokovno utemelji.
If a Member State of affiliation rejects the reimbursement of this treatment, that Member State shall have to give a medical justification for its decision.
V vsakem primeru država članica ║ zdravstvenega zavarovanja določi, katere storitve zdravstvenega varstva so plačane ne glede na kraj izvajanja.
In any event, it is for the Member State of affiliation to determine the healthcare that is paid for regardless of where it is provided.
Pacienti z redkimi boleznimi bi morali imeti pravico dostopa do zdravstvenega varstva v drugi državi članici, četudi zadevno zdravljenje ni med storitvami, ki jih zagotavlja zakonodaja države članice zdravstvenega zavarovanja.
Patients affected by rare diseases should have the right to access healthcare in another Member State and to receive reimbursement even if the treatment in question is not among the benefits provided for by the legislation of the Member State of affiliation.
Stroške za zdravstveno varstvo v drugi državi članici povrne
The costs of healthcare provided in another Member State shall be reimbursed
ali neposredno plača
or paid directly
država članica ║ zdravstvenega zavarovanja v skladu z določbami te direktive do višine stroškov, ki bi bili prevzeti
by the Member State of affiliation in accordance with the provisions of this Directive up to the level of costs that would have been assumed
za enako zdravstveno stanje po enakih pogojih, kot so določeni v odstavku 1,
in respect of the same medical condition under the same conditions as laid down in paragraph 1
v državi članici ║ zdravstvenega zavarovanja, ne da bi bili preseženi dejanski stroški za prejeto zdravstveno varstvo.
in the Member State of affiliation, without exceeding the actual costs of healthcare received.
Dodatne stroške, ki lahko nastanejo zaradi ene ali večplastne invalidnosti, kadar zdravstveno varstvo v drugi državi članici prejme invalidna oseba, povrne država članica zdravstvenega zavarovanja v skladu z nacionalno zakonodajo in pod pogojem, da za te stroške obstaja zadostna dokumentacija.
The extra costs which persons with disabilities might incur when receiving healthcare in another Member State due to one or more disabilities shall be reimbursed by the Member State of affiliation in accordance with national legislation and on the condition that sufficient documentation setting out these costs exists.
, zahtevanih na lokalni, nacionalni ali regionalni ravni,
, whether set at a local, national or regional level,
za prejemanje zdravstvenega varstva ter
for receiving healthcare and
stroškov za zdravstveno varstvo, ki bi jih uvedla za
of healthcare costs as it would impose if
zdravstveno varstvo na svojem ozemlju, v kolikor niso diskriminatorni in ne ovirajo prostega pretoka
healthcare was provided in its territory, in so far as they are neither discriminatory nor an obstacle to freedom of movement of
pacientov in blaga, na primer farmacevtskih izdelkov in medicinskih pripomočkov, in če so znani vnaprej
patients and goods, such as pharmaceuticals and medical devices, and are known in advance.
ali drug obvezni javni sistem
or other statutory public system
za zdravstveno varstvo v drugi državi članici.
for healthcare provided in another Member State.
zdravstveno varstvo na ozemlju države članice ║ zdravstvenega zavarovanja.
healthcare been provided in the territory of the Member State of affiliation.
Podatki se prenesejo le ob izrecnem pisnem dovoljenju pacienta ali njegovih sorodnikov.
Data shall be transmitted only with the express consent in writing of the patient or the patient's relatives.
Nebolnišnična oskrba
Non-hospital care
Država članica ║ zdravstvenega zavarovanja ne povrne stroškov za nebolnišnično oskrbo
The Member State of affiliation shall not make the reimbursement of the costs of non-hospital care provided in another Member State
ali nakup blaga, ki se uporablja v zdravstvenem varstvu,
or the purchase of goods connected with healthcare which are purchased in another Member State
ali navedenega blaga, če bi bilo kupljeno na njenem ozemlju,
or of those goods, if they had been purchased in its territory,
Za namene povrnitve stroškov zdravstvenega varstva v drugi državi članici v skladu s to direktivo
For the purposes of reimbursement of healthcare provided in another Member State in accordance with this Directive,
se opredelitev
the definition of
bolnišnične oskrbe
hospital care
storitev zdravstvenega varstva, ki zahteva prenočitev zadevnega pacienta vsaj za eno noč;
healthcare which requires overnight accommodation of the patient in question for at least one night
, ki lahko zahteva uporabo zelo drage medicinske infrastrukture ali medicinske opreme; ali
cost-intensive medical infrastructure or medical equipment; or
odsotnost predhodne odobritve bi lahko
the absence of prior authorisation could
ali bi verjetno ogrozila:
or be likely to undermine:
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.
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 ne posega v Uredbo (EGS) št. 1408/71 in Uredbo (ES) 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.
velja brez poseganja v člen 3(2) in
shall apply without prejudice to Article 3(2) and
je omejen na tisto, kar je nujno in sorazmerno
shall be limited to what is necessary and proportionate
Če je bil vložen in odobren zahtevek za predhodno odobritev, država članica 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 patients are 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 si prizadevajo za neposreden prenos sredstev med zdravstvenimi blagajnami in izvajalci zdravstvenega varstva za vse druge stroške.
Member States shall seek to transfer funds directly between the funders and the providers of care for any other costs.
zdravstvenega zavarovanja
of affiliation
javnosti omogoči dostop do vseh pomembnih informacij o sistemih predhodne odobritve, uvedenih v skladu z določbami iz odstavka 3
shall make publicly available all relevant information on the prior authorisation systems introduced pursuant to the provisions of paragraph 3
, vključno s prizivnimi postopki v primeru neodobritve
, 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 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.
Država članica ║ zdravstvenega zavarovanja zagotovi, da upravni postopki glede
The Member State of affiliation shall ensure that administrative procedures regarding
zdravstvenega varstva ▌v zvezi s kakršno koli predhodno odobritvijo iz člena 8
related to any prior authorisation referred to in Article 8(
, povračilo stroškov za zdravstveno varstvo v drugi državi članici ter drugi pogoji in formalnosti iz člena 6
), reimbursement of costs of healthcare incurred in another Member State and other conditions and formalities referred to in Article 6(
temeljijo na objektivnih, nediskriminatornih merilih, ki so objavljena vnaprej ter so nujna in sorazmerna za dosego ciljev.
), 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
In any event, an insured person shall always be granted the authorisation pursuant to Regulations on coordination of social security referred to in
Vsakršen tak postopkovni sistem je dostopen na enostaven način in zagotavlja, da so zahtevki obravnavani objektivno in nepristransko v
Any such procedural systems shall be easily accessible and capable of ensuring that requests are dealt with objectively and impartially within
rokih, ki jih države članice vnaprej določijo in objavijo.
time limits set out and made public in advance by the Member States.
Država članica zdravstvenega zavarovanja zagotovi, da morajo pacienti, ki so pridobili predhodno odobritev za čezmejno zdravstveno varstvo, 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 zdravstvenega zavarovanja.
Member States of affiliation shall ensure that patients who have received prior authorisation for cross-border healthcare 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 pri določanju rokov, v katerih je treba obravnavati zahtevke za
Member States shall, when setting out the time limits within which requests for
čezmejno zdravstveno varstvo
cross-border healthcare
ter pri pregledu teh zahtevkov
and, when considering these requests
specifično zdravstveno stanje,
the specific medical condition,
posamezne okoliščine,
individual circumstances,
pacientovo raven bolečine,
) the patient's degree of pain,
vrsto pacientove invalidnosti in
) the nature of the patient's disability, and
pacientovo zmožnost izvajanja njegove poklicne dejavnosti.
) the patient's ability to carry out a professional activity.
Sistemi za vložitev zahtevka za predhodno odobritev so 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.
ali zdravstveno
or medical
odločitev v zvezi
decisions regarding
s čezmejnim zdravstvenim varstvom
cross-border healthcare
potreben upravni
are subject
ali zdravstveni pregled (za vsak primer posebej)
, on a case-by-case basis, to a medical opinion or an
pregled in da jo je mogoče spodbijati v okviru sodnega postopka, ki vključuje zagotovitev začasnih ukrepov.
administrative review and also capable of being challenged in judicial proceedings, which include provision for interim measures.
Ta izjava se potem lahko predloži bolnišnici, ki naj bi izvajala zdravljenje, država članica 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.
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.
Informacije za paciente v zvezi z uporabo zdravstvenega varstva v drugi državi članici
Information for patients concerning the use of healthcare in another Member State
Država članica ║ zdravstvenega zavarovanja zagotovi uvedbo
The Member States of affiliation shall ensure that there are
lahko dostopnih
easily accessible
, tudi prek elektronskih medijev, takoj
including by electronic means, promptly
pa tudi informacije o pacientovih pravicah, postopkih za uveljavljanje teh pravic in sistemih za pritožbe in pravna sredstva, če so pacientu te pravice odvzete,
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,
ter določila in pogoje, ki se uporabljajo, med drugim, v primeru škode, nastale kot posledica zdravstvenega varstva v drugi državi članici.
and the terms and conditions that would apply, inter alia, whenever harm is caused as a result of healthcare received in another Member State.
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)(k).
In information about cross-border healthcare, 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)(k).
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, in vsebujejo 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.
Nacionalne kontaktne službe za čezmejno zdravstveno varstvo
National contact points for cross-border healthcare
Države članice zagotovijo, da so v te nacionalne kontaktne točke vključene organizacije pacientov, skladi zdravstvenega zavarovanja in izvajalci zdravstvenega varstva.
Member States shall ensure that patient organisations, sickness funds and healthcare providers are encompassed by national contact points.
Nacionalne kontaktne točke se vzpostavijo na učinkovit in pregleden način.
The national contact points shall be established in an efficient and transparent way.
Informacijo o obstoju nacionalnih kontaktnih točk je treba razširiti po vseh državah članicah, da bodo pacienti zlahka dostopali do njih.
Information about the existence of the national contact points shall be disseminated across Member States, so that patients have easy access to the information.
Nacionalne kontaktne točke za čezmejno zdravstveno varstvo se lahko vključijo tudi v obstoječe informacijske centre držav članic.
The national contact points for cross-border health care may also be incorporated into existing information centres in the Member States.
po potrebi na spletni strani, o zdravstvenem varstvu v drugi državi članici ter veljavnih pravilih in pogojih za to,
and health professionals, on a website if appropriate, on receiving healthcare in another Member State, and on the terms and conditions which apply
zlasti informacije o ▌pravicah
, in particular on
v zvezi s čezmejnim zdravstvenim varstvom,
rights related to cross-border healthcare
kot določa člen 6.
as laid down in Article 6
Nacionalna kontaktna točka države članice zdravljenja pacientom priskrbi informacije, po potrebi na spletni strani, o vprašanjih iz člena 5(1)(c) in varstvu osebnih podatkov, stopnji dostopnosti zdravstvenih ustanov za invalidne osebe, postopkih za pritožbe in pravnih sredstvih, ki so v državi članici zdravljenja na voljo.
The national contact point in the Member State of treatment shall provide and disseminate information to patients, on a website if appropriate, on issues referred to in Article 5(1)(c) and on the protection of personal data, the level of accessibility to healthcare facilities for people with disabilities, procedures for complaints and means of redress available for healthcare received in the Member State of treatment.
o razpoložljivih možnostih za reševanje kakršnih koli sporov
the options available to settle any dispute,
Nacionalna kontaktna točka v državi članici tesno sodeluje z drugimi pristojnimi organi, nacionalnimi kontaktnimi točkami v drugih državah članicah, organizacijami pacientov ter Komisijo.
The national contact point in a Member State shall cooperate closely with other competent authorities, with national contact points in other Member States, with patients' organisations and with the Commission.
Nacionalna kontaktna točka priskrbi informacije iz odstavkov 2 in 3 v oblikah, dostopnih invalidom.
The national contact points shall provide the information referred to in paragraphs 2 and 3 in formats easily accessible for people with disabilities.
ukrepe, potrebne za upravljanje mreže nacionalnih kontaktnih služb iz tega člena;
measures necessary for the management of the network of national contact points provided for in this Article;
naravo in vrsto podatkov, ki se zbirajo in izmenjujejo v okviru mreže;
the nature and type of data to be collected and exchanged within the network;
smernice o informacijah za paciente, določene v
guidelines on information to patients provided for in
odstavkih 2 in 3
paragraphs 2 and 3
SODELOVANJE NA PODROČJU ZDRAVSTVENEGA VARSTVA
COOPERATION ON HEALTHCARE
Obveznost sodelovanja
Duty of cooperation
Države članice, zlasti sosednje države, lahko sklepajo medsebojne sporazume o nadaljevanju ali morebitnem nadaljnjem razvoju dogovorov o sodelovanju.
Member States, particularly neighbouring countries, may conclude agreements with one another concerning the continuation or potential further development of cooperation arrangements.
Priznavanje zdravniških receptov, izdanih v drugi državi članici
Recognition of prescriptions issued in another Member State
Če je medicinski izdelek odobren za trženje na ozemlju držav članic v skladu s členom 6(1) Direktive 2001/83/ES, države članice zagotovijo, da se zdravniški recepti
If a medicinal product is authorised to be marketed on their territory in accordance with Article 6(1) of Directive 2001/83/EC, Member States shall ensure that prescriptions issued by an authorised person in another Member State for a named patient
za ta medicinski izdelek
in respect of that medicinal product
, ki jih izda pristojna oseba v drugi državi članici za imenovanega pacienta, lahko uporabljajo na njihovem ozemlju in da so omejitve priznavanja posameznih zdravniških receptov prepovedane, razen če:
can be used in their territory and that any restrictions on recognition of individual prescriptions are prohibited unless they:
so omejene na tisto, kar je nujno in sorazmerno za varovanje zdravja ljudi, in so nediskriminatorne, ali
are limited to what is necessary and proportionate to safeguard human health and are non-discriminatory; or
temeljijo na legitimnih in utemeljenih dvomih o verodostojnosti ali vsebini posameznega zdravniškega recepta
are based on legitimate and justified doubts about the authenticity or content of an individual prescription,
ali o statusu osebe, ki ga je predpisala
or the status of the prescriber.
nacionalna pravila o predpisovanju in izdaji na recept, vključno z nadomeščanjem zdravil z generičnimi;
national rules governing prescribing and dispensing, including generic substitution;
nacionalna pravila o povrnitvi za evropske čezmejne recepte;
national rules governing the reimbursement of Community cross-border prescriptions;
strokovne ali etične obveze, zaradi katerih bi moral farmacevt zavrniti izdajo izdelka v primeru, da je bil recept izdan v državi zdravljenja.
any professional or ethical duty that would require the pharmacist to refuse to dispense had the prescription been issued in the Member State of affiliation.
ukrepe za zagotavljanje, da so medicinski izdelki, predpisani v eni in dani pacientu v drugi državi članici, pravilno identificirani ter da so informacije za paciente v zvezi z izdelkom razumljive
measures to ensure that medicinal products prescribed in one Member State and dispensed in another are correctly identified and that the information to patients concerning the product is comprehensible
odstavka 2 se sprejmejo v skladu z regulativnim postopkom iz
of paragraph 2 shall be adopted in accordance with the regulatory procedure referred to in Article
Evropske referenčne mreže
European reference networks
Države članice spodbujajo razvoj evropskih referenčnih mrež izvajalcev storitev zdravstvenega varstva
Member States shall facilitate the development of the European reference networks of healthcare providers
, zlasti s področja redkih bolezni, ki uporabljajo izkušnje, pridobljene pri sodelovanju na področju zdravstvenega varstva v evropskih združenjih za teritorialno sodelovanje
, in particular in the area of rare diseases, which shall draw on the health cooperation experience acquired within the European groupings of territorial cooperation (EGTCs)
Cilj evropskih referenčnih mrež je:
The objective of European reference networks shall be:
pomagati uresničevati potencial evropskega sodelovanja na področju visoko specializiranega zdravstvenega varstva za paciente in sisteme zdravstvenega varstva od inovacij na področju medicine in zdravstvene tehnologije;
to help to realise the potential of European cooperation regarding highly specialised healthcare for patients and for healthcare systems from innovations in medical science and health technologies;
prispevati k zbiranju znanja glede preprečevanja obolevanja in zdravljenja glavnih pogostih obolenj;
to contribute to the pooling of knowledge regarding sickness prevention and the treatment of major commonly occurring disorders;
pomagati spodbujati dostop do visoko kakovostnega in stroškovno učinkovitega zdravstvenega varstva za vse paciente, katerih zdravstveno stanje zahteva posebno združevanje virov ali strokovnega znanja;
) to help to promote access to high quality and cost-effective healthcare for all patients with a medical condition requiring a particular concentration of resources or expertise;
zagotoviti najbolj stroškovno učinkovito uporabo virov, tako da se primerno koncentrirajo;
) to maximise cost-effective use of resources by concentrating them where appropriate;
pomagati deliti znanje in zagotoviti usposabljanje za zdravstvene delavce;
) to help to share knowledge and provide training for health professionals;
zagotoviti merila kakovosti in varnosti ter pomagati razvijati in širiti najboljšo prakso znotraj in zunaj mreže;
) to provide quality and safety benchmarks and to help develop and spread best practice within and outside the network;
uvesti instrumente, ki omogočijo, da se kar najbolje izkoristijo možnosti obstoječega zdravstvenega varstva v primeru nesreč, zlasti na obmejnih območjih.
to implement instruments which enable the best possible use to be made of existing healthcare resources in the event of serious accidents, particularly in cross-border areas.
v sodelovanju z ustreznimi strokovnjaki in zainteresiranimi stranmi
, in collaboration with relevant experts and stakeholders,