qanastek/ELRC-Medical-V2 huggingface dataset:
English: Article 4(3) requires Member States to observe the principle of non-discrimination with regard to patients from other Member States.
Translation (en-sl): Države članice morajo v skladu s členom 4(3) upoštevati načelo nediskriminacije, kar zadeva paciente iz drugih držav članic.
English: This would suggest that, on the whole, patients prefer to receive healthcare near their home if possible, and that if they do elect to travel, they prefer to travel to a neighbouring country.
Translation (en-sl): To bi na splošno pomenilo, da je pacientom ljubša zdravstvena oskrba blizu doma, če je to mogoče, če pa se že odločijo za potovanje, najraje potujejo v sosednjo državo.
English: Member States therefore can build a comparable cost-based price for the actual cost of the health service, which should be based on objective and non-discriminatory methodology that does not financially discriminate between "domestic" covered under local public schemes and "cross-border" patients for a given intervention.
Translation (en-sl): Države članice lahko zato primerljivo ceno na podlagi stroškov oblikujejo na podlagi dejanskih stroškov zdravstvene storitve, ki bi morala temeljiti na objektivni in nediskriminatorni metodologiji, s katero se pri zadevnem posegu finančno ne razlikuje med „domačimi" pacienti, vključenimi v lokalne javne sheme, in „čezmejnimi" pacienti.
English: The eHealth Network is a voluntary network composed of national authorities responsible for eHealth that works towards interoperable applications and enhanced continuity of and access to care.
Translation (en-sl): Mreža e-zdravje je prostovoljna mreža, ki jo sestavljajo nacionalni organi, pristojni za e-zdravje, prizadeva pa si za interoperabilne aplikacije ter povečano kontinuiteto oskrbe in dostopa do nje.
English: Although the Commission has received no specific notifications under Article 7(9), certain transposition measures could be questioned as limiting the level of reimbursement for cross-border healthcare.
Translation (en-sl): Čeprav Komisija ni prejela posebnih uradnih obvestil na podlagi člena 7(9), bi se lahko glede nekaterih ukrepov za prenos posumilo, da omejujejo raven povračila stroškov čezmejnega zdravstvenega varstva.
English: Taking into account the variation in the number of Member States providing feedback on the number of requests received, and noting the limited variation in the spread of requests (in all three years the total number of requests was dominated by Poland and Lithuania which together accounted for more than 50% of all requests for information across all Member States), there has been little change in the level of enquiry about access to cross-border healthcare made by citizens.
Translation (en-sl): Ob upoštevanju razlik v številu držav članic, ki so zagotovile povratne informacije o številu prejetih zahtevkov, in majhnih razlik pri porazdelitvi zahtevkov (v vseh treh letih je bilo skupno število zahtevkov največje na Poljskem in v Litvi, kjer je bilo skupaj podanih več kot 50 % vseh zahtevkov za informacije v vseh državah članicah), se stopnja poizvedovanja državljanov o dostopu do čezmejnega zdravstvenega varstva ni veliko spremenila.
English: As the figures have been moderate and stable over the years, impact on national health budgets arising from patients wishing to access cross-border healthcare appears marginal.
Translation (en-sl): Ker so bili podatki v preteklih letih zmerni in stabilni, se zdi, da je učinek pacientov, ki želijo dostopati do čezmejnega zdravstvenega varstva, na nacionalne zdravstvene proračune zanemarljiv.
English: The Commission identified four priority areas for the compliance assessment which had the greatest potential to act as barriers to patients if left unaddressed: systems of reimbursement, use of prior authorisation, administrative requirements and charging of incoming patients.
Translation (en-sl): Komisija je opredelila štiri prednostna področja za ocenjevanje skladnosti, pri katerih je bila največja možnost, da bodo v primeru neukrepanja ovirala paciente: sistemi povračila stroškov, uporaba predhodne odobritve, upravne zahteve in zaračunavanje stroškov prihajajočim pacientom.
English: This is identical to "conformity checks" in the terminology used in the Commission Communication "EU Law: Better results through better application" C/2016/8600, OJ C 18, 19.1.2017 final, p. 10-20.
Translation (en-sl): Pomeni enako kot „preverjanje skladnosti" iz terminologije, ki se uporablja v sporočilu Komisije „Pravo EU: z boljšo uporabo do boljših rezultatov" (C/2016/8600, UL C 18, 19.1.2017, str. 10).
English: Information to patients
Translation (en-sl): Informacije za paciente
English: Again, a clear pattern emerges showing that France has the greatest number of travelling patients, with the three most common countries for healthcare provision being Spain, Portugal and Belgium in all three years.
Translation (en-sl): Ponovno se pojavi jasen vzorec, ki kaže, da ima Francija največje število potujočih pacientov, pri čemer so vsa tri leta tri najpogostejše države za zagotavljanje zdravstvenega varstva Španija, Portugalska in Belgija.
English: As indicated in recital 44 to the Directive and according to the constant case-law of the Court of Justice, Member States may make reimbursement of the costs of cross-border healthcare subject to prior authorisation when it is both necessary and reasonable; such a scheme must also be based on objective and non-discriminatory criteria.
Translation (en-sl): Kot je navedeno v uvodni izjavi 44 Direktive in v skladu s stalno sodno prakso Sodišča lahko države članice za povračilo stroškov čezmejnega zdravstvenega varstva zahtevajo predhodno odobritev, kadar je to nujno in sorazmerno; taka shema mora temeljiti tudi na objektivnih in nediskriminatornih merilih.
English: [30: 14 out of 37 NCP staff admitted in 2017 to facing difficulties communicating the Directive's relationship with the Regulations to the patient.
Translation (en-sl): [30: Leta 2017 je 14 od 37 članov osebja nacionalnih kontaktnih točk priznalo, da imajo težave, ko pacientom pojasnjujejo razmerje med Direktivo in zadevnima uredbama.
English: Noting that the OECD Health at a Glance report for 2017 estimates that in EU countries the average spent on healthcare is 10% of GDP; and that Eurostat reported EU GDP in 2017 at €15.3 trillion; the expenditure across the EU on cross-border healthcare incurred under the Directive may therefore be estimated at 0.004% of the EU-wide annual healthcare budget.
Translation (en-sl): Ob upoštevanju, da je v poročilu OECD z naslovom Health at a Glance (Pregled zdravstva) za leto 2017 ocenjeno, da se za zdravstveno varstvo v državah EU povprečno porabi 10 % BDP, in da je Eurostat za leto 2017 poročal o BDP EU v višini 15,3 bilijona EUR, se lahko tako izdatki po vsej EU za čezmejno zdravstveno varstvo, nastali na podlagi Direktive, ocenijo na 0,004 % letnega proračuna za zdravstveno varstvo na ravni EU.
English: The findings show that, while information provision through NCP websites was well taken care of for several categories, there remains a need to further improve the websites.
Translation (en-sl): Ugotovitve kažejo, da je bilo za zagotavljanje informacij prek spletišč nacionalnih kontaktnih točk dobro poskrbljeno pri več kategorijah, vendar je treba spletišča še dodatno izboljšati.
English: Their clinical operation started in November 2017, when the dedicated IT platform, the Clinical Patient Management System, became operational, allowing for the first virtual panels on patient cases to take place.
Translation (en-sl): Klinično delovanje evropskih referenčnih mrež se je začelo novembra 2017, ko je začela delovati namenska informacijska platforma, sistem za klinično obravnavo pacientov, kar je omogočilo izvedbo prvih virtualnih panelnih razprav o primerih pacientov.
English: The Directive calls on NCPs to provide patients and health professionals with information on accessibility of hospitals for persons with disabilities (Article 4(2)(a)).
Translation (en-sl): Z Direktivo so nacionalne kontaktne točke pozvane, naj pacientom in zdravstvenim delavcem zagotovijo informacije o dostopnosti bolnišnic invalidnim osebam (člen 4(2)(a)).
English: [20: See footnote 2.]
Translation (en-sl): [20: Glej sprotno opombo 2.]
English: The proposal sets out a support framework and procedures for cooperation on HTA at Union level and common rules for clinical assessments of health technologies.
Translation (en-sl): Predlog določa okvir podpore in postopke za sodelovanje pri ocenjevanju zdravstvene tehnologije na ravni Unije ter skupna pravila za klinične ocene zdravstvene tehnologije.
English: Article 7(9) permits Member States to limit application of the rules on reimbursement of cross-border healthcare for overriding reasons of general interest.
Translation (en-sl): Člen 7(9) državam članicam omogoča, da omejijo uporabo pravil o povračilu stroškov čezmejnega zdravstvenega varstva zaradi prevladujočih razlogov v splošnem interesu.
English: ERNs are not directly accessible by individual patients; instead, healthcare providers refer patients to the relevant Network, with their consent and in accordance with the national health systems rules.
Translation (en-sl): Do evropskih referenčnih mrež posamezniki nimajo neposrednega dostopa; namesto tega izvajalci zdravstvenega varstva paciente z njihovim soglasjem in v skladu s pravili nacionalnega zdravstvenega sistema napotijo na ustrezno mrežo.
English: ][16: Articles 8(2)(b) and (c) also allow Member States to require prior authorisation when the healthcare involves treatments presenting a particular risk for the patient or the population, or when it is provided by a healthcare provider that could give rise to serious and specific concerns relating to the quality or safety of the care.]
Translation (en-sl): ][16: Člen 8(2)(b) in (c) državam članicam omogoča tudi, da zahtevajo predhodno odobritev, kadar zdravstveno varstvo vključuje oblike zdravljenja, ki pomenijo posebno tveganje za pacienta ali prebivalce, ali kadar ga opravi izvajalec zdravstvenega varstva, ki bi lahko pomenil resne in konkretne pomisleke glede kakovosti ali varnosti oskrbe.]
English: The Network laid the foundations for the eHealth Digital Service Infrastructure (eHDSI), an IT system funded by the Connecting Europe Facility and the Member States, and adopted guidelines on Patient Summaries (November 2013) and on ePrescriptions (November 2014) .
Translation (en-sl): Mreža je postavila temelje za infrastrukturo za digitalne storitve e-zdravja (eHDSI), informacijski sistem, ki ga financirajo Instrument za povezovanje Evrope in države članice, ter sprejela smernice o povzetkih podatkov o pacientih (november 2013) in e-receptih (november 2014).
English: [12: Directive 2011/24/EU was due to be transposed by the EFTA countries Iceland, Liechtenstein and Norway no later than 1 August 2015.
Translation (en-sl): [12: Države Efte Islandija, Lihtenštajn in Norveška so morale Direktivo 2011/24/EU prenesti najpozneje do 1. avgusta 2015.
English: Cooperation on HTA post 2020 in line with the proposal is expected to help to make innovative health technologies available to Europe's patients, make better use of available resources and improve business predictability.
Translation (en-sl): S sodelovanjem na področju ocenjevanja zdravstvene tehnologije po letu 2020 v skladu s predlogom naj bi se prispevalo k zagotovitvi razpoložljivosti inovativnih zdravstvenih tehnologij za paciente v Evropi, izboljšali pa naj bi se tudi uporaba razpoložljivih sredstev in predvidljivost poslovanja.
English: In 2015, some 2 million such requests were issued by Member States, while reimbursements for cross-border treatments under the Directive not requiring PA amounted to just over 180,000 in 2015.
Translation (en-sl): Leta 2015 so države članice izdale približno 2 milijona takih zahtevkov, povračil stroškov čezmejnih zdravljenj na podlagi Direktive, za katera se ne zahteva predhodna odobritev, pa je bilo leta 2015 nekaj več kot 180 000.
English: Among more than 400 initiatives analysed in the mapping exercise, the large majority took place between countries with similar welfare state traditions and concerned knowledge sharing and management and shared treatment and diagnosis of patients.
Translation (en-sl): Velika večina od več kot 400 pobud, ki so bile analizirane pri vzporejanju, je potekala med državami s podobnimi tradicijami socialne države, nanašale pa so se na izmenjavo in upravljanje znanja ter skupno obravnavo in diagnosticiranje pacientov.
English: Besides exchanging information on relevant policy developments in the area of HTA, in the past three years the HTA Network developed important policy papers such as the 'Added Value of the European Cooperation in the Joint HTA of Medical Devices' in October 2015 and a 'Reflection Paper on Synergies between Regulatory and HTA issues' in November 2016.
Translation (en-sl): Mreža za ocenjevanje zdravstvene tehnologije je poleg izmenjave informacij o zadevnem razvoju politike na področju ocenjevanja zdravstvene tehnologije v zadnjih treh letih pripravila pomembne dokumente o politiki, kot sta „Added Value of the European Cooperation in the Joint HTA of Medical Devices" (Dodana vrednost evropskega sodelovanja pri skupnem ocenjevanju zdravstvene tehnologije za medicinske pripomočke) iz oktobra 2015 in „Reflection Paper on Synergies between Regulatory and HTA issues" (Dokument o razmisleku o sinergijah med regulativnimi vprašanji in vprašanji na področju ocenjevanja zdravstvene tehnologije) iz novembra 2016.
English: Member States may define the fees for the delivery of healthcare in their territory.
Translation (en-sl): Države članice lahko določijo cene za izvajanje zdravstvenega varstva na svojem ozemlju.
English: This refers to Member States granting reimbursement of cross-border healthcare on the basis of lower levels of reimbursement, applicable to healthcare received from private or non-contracted healthcare providers within their own territory, compared to the level of reimbursement within the system of public healthcare or contracted healthcare providers.
Translation (en-sl): To se nanaša na države članice, ki odobrijo povračilo stroškov čezmejnega zdravstvenega varstva na podlagi nižjih ravni povračil, ki se uporabljajo za zdravstveno varstvo pri zasebnih ali nepogodbenih izvajalcih zdravstvenega varstva na njihovem ozemlju, v primerjavi z ravnjo povračila v javnem sistemu zdravstvenega varstva ali pri pogodbenih izvajalcih zdravstvenega varstva.
English: [44: Communication on enabling the digital transformation of health and care in the Digital Single Market; empowering citizens and building a healthier society, COM(2018) 233 final, 25.4.2018.]
Translation (en-sl): [44: Sporočilo o omogočanju digitalne preobrazbe zdravstva in oskrbe na enotnem digitalnem trgu; krepitev vloge državljanov in oblikovanje bolj zdrave družbe (COM(2018) 233 final z dne 25. aprila 2018).]
English: b) Prior authorisation
Translation (en-sl): (b) Predhodna odobritev
English: According to Article 7(4) of the Directive, the costs of cross-border healthcare shall be reimbursed or paid up to the level of costs that would have been assumed by the Member State of affiliation, had this healthcare been provided in its territory, without exceeding the actual cost of the healthcare received.
Translation (en-sl): V skladu s členom 7(4) Direktive se stroški čezmejnega zdravstvenega varstva povrnejo ali neposredno plačajo do višine stroškov, ki bi jih prevzela država članica zdravstvenega zavarovanja, če bi bilo to zdravstveno varstvo zagotovljeno na njenem ozemlju, ne da bi bili preseženi dejanski stroški prejetega zdravstvenega varstva.
English: Article 7(11) requires such limitations to be necessary and proportionate, and not to constitute a means of arbitrary discrimination or an unjustified obstacle to free movement.
Translation (en-sl): V skladu s členom 7(11) morajo biti take omejitve potrebne in sorazmerne ter ne bi smele predstavljati sredstva za samovoljno diskriminacijo ali neutemeljene ovire za prosti pretok.
English: Any system of prior authorisation shall be restricted to what is necessary and proportionate to the objective to be achieved, and may not constitute a means of arbitrary discrimination or an unjustified obstacle to the free movement of patients.
Translation (en-sl): Vsak sistem predhodne odobritve je omejen na to, kar je potrebno in sorazmerno z zadanim ciljem, in ne sme predstavljati sredstva za samovoljno diskriminacijo ali neutemeljene ovire za prost pretok pacientov.
English: This is reflected as well in Article 8(2)(a) of the Directive, which allows Member States to use a system of prior authorisation in particular for healthcare that is subject to planning requirements if it involves overnight hospital accommodation or if it requires use of highly specialised and cost-intensive medical infrastructure or medical equipment.
Translation (en-sl): To je izraženo tudi v členu 8(2)(a) Direktive, ki državam članicam omogoča, da sistem predhodne odobritve uporabijo zlasti za zdravstveno varstvo, ki je predmet potreb za načrtovanje, vključuje prenočitev v bolnišnici ali zahteva uporabo visoko specializirane in drage medicinske infrastrukture ali medicinske opreme.
English: A little less than half of the NCP websites provide information on both pieces of legislation.
Translation (en-sl): Informacije o obeh zakonodajnih aktih zagotavlja malo manj kot polovica spletišč nacionalnih kontaktnih točk.
English: The main difference between the Directive and the Regulations as regards the reimbursement rights is that under the Regulations, patients are entitled to healthcare abroad as if they were insured under the social security system of the Member State of treatment.
Translation (en-sl): Kar zadeva pravice do povračila stroškov, je glavna razlika med Direktivo in zadevnima uredbama, da so na podlagi uredb pacienti upravičeni do zdravstvenega varstva v tujini, kot če bi bili zavarovani v okviru sistema socialne varnosti države članice zdravljenja.
English: Such choice may be driven by a desire to return ‘home' to a country of birth for healthcare, or to bring a relative closer to a place where a family member can care for them or it may be driven by a desire to find expertise not available in their home country.
Translation (en-sl): Razlogi za tako izbiro so morda želja po vrnitvi „domov" v državo rojstva, da bi bil pacient tam deležen zdravstvenega varstva, premestitev sorodnika bližje kraju, kjer lahko zanj skrbi družinski član, ali strokovno znanje, ki ni na voljo v domači državi.
English: This would suggest that while 50% of patient mobility may be driven by issues of proximity, and possibly also collaborations between clinicians in border regions, a very significant part may also reflect patients' desires to receive healthcare in a place of their choice.
Translation (en-sl): To bi pomenilo, da 50 % mobilnosti pacientov spodbudita bližina ter morda celo sodelovanje med zdravniki v obmejnih regijah, zelo pomemben del mobilnosti pa morda kaže tudi željo pacientov, da so deležni zdravstvenega varstva v kraju po lastni izbiri.
English: Under the Directive, they are reimbursed for treatment abroad as if the treatment was provided in their home countries (Member State of affiliation).
Translation (en-sl): Na podlagi Direktive se jim stroški zdravljenja v tujini povrnejo, kot če bi bilo zdravljenje zagotovljeno v njihovih domačih državah (državi članici zdravstvenega zavarovanja).
English: Article 9(1) of the Directive requires Member States to ensure that administrative procedures for cross-border reimbursement are based on objective, non-discriminatory criteria which are necessary and proportionate to the objective to be achieved.
Translation (en-sl): Države članice morajo v skladu s členom 9(1) Direktive zagotoviti, da upravni postopki za čezmejno povračilo stroškov temeljijo na objektivnih, nediskriminatornih merilih, ki so nujna in sorazmerna za zadani cilj.
English: [51: See more details in the Commission report on the operation of the Directive published on 4 September 2015 (COM(2015) 421 final).]
Translation (en-sl): [51: Za več podrobnosti glej Poročilo Komisije o izvajanju Direktive, objavljeno 4. septembra 2015 (COM(2015) 421 final).]
English: Adjusting for the number of countries reporting data, this shows that EU citizens' use of the rights granted under the Directive had no significant growth or reduction over the three years of the reporting period.
Translation (en-sl): Ob prilagoditvi zaradi števila držav, ki so sporočile podatke, je iz navedenega razvidno, da se v treh letih obdobja poročanja število državljanov EU, ki so uveljavljali pravice iz Direktive, ni bistveno povečalo ali zmanjšalo.
English: If this number is compared to the reported number of PA for cross-border care under the Directive in 2016 (the latter being the most comparable year), it may be estimated that cross-border with PA under the Directive amounts to approximately 6% of the authorised treatments in another Member State.
Translation (en-sl): Če se to število primerja s sporočenim številom predhodnih odobritev za čezmejno oskrbo na podlagi Direktive leta 2016 (ki je najbolj primerljivo leto), je mogoče oceniti, da čezmejno zdravstveno varstvo s predhodno odobritvijo na podlagi Direktive zajema približno 6 % odobrenih zdravljenj v drugi državi članici.
English: The present report gives a high-level overview of the data received in 2015, 2016 and 2017.
Translation (en-sl): To poročilo vsebuje splošni pregled podatkov, prejetih v letih 2015, 2016 in 2017.
English: Moreover, it was also difficult for some Member States to implement the principle which extends patients' choice to healthcare providers located in another Member State, irrespective of whether or not they are contracted by the statutory health system in that Member State.
Translation (en-sl): Poleg tega so nekatere države članice tudi težko izvajale načelo, s katerim se izbira, ki jo imajo pacienti, razširja na izvajalce zdravstvenega varstva v drugi državi članici, in sicer ne glede na to, ali imajo v navedeni državi članici sklenjeno pogodbo z obveznim zdravstvenim sistemom.
English: Figure 1: Prior Authorisation Requests and Authorisations
Translation (en-sl): Slika 1: Zahtevki za predhodno odobritev in odobritve
English: The concern of the Commission in this respect is that systems of prior authorisation should not suffer from the lack of legal certainty and transparency about which treatments are subject to and fit the criteria of prior authorisation.
Translation (en-sl): Komisija ima v zvezi s tem pomislek, da na sisteme predhodne odobritve ne bi smeli vplivati slaba pravna varnost in nepreglednost glede tega, za katere oblike zdravljenja veljajo merila za predhodno odobritev in katere oblike zdravljenja jih izpolnjujejo.
English: The National Contact Points (NCPs) have an essential role to play in relation to this, providing information to citizens upon demand and, more generally, in raising awareness on patient rights and responding to information needs.
Translation (en-sl): Pri tem imajo bistveno vlogo nacionalne kontaktne točke, saj državljanom na zahtevo zagotavljajo informacije, splošneje pa so pomembne tudi pri ozaveščanju o pravicah pacientov in odzivanju na potrebe po informacijah.
English: While about half the patient mobility is accounted for by movements from France to its neighbouring countries, the other half of the flow is made up by small numbers of patients travelling throughout the EU to receive care - both to neighbouring countries and to countries further away.
Translation (en-sl): Premiki iz Francije v njene sosednje države predstavljajo približno polovico mobilnosti pacientov, drugo polovico pretoka pa sestavlja majhno število pacientov, ki zaradi oskrbe potujejo po vsej EU, in sicer v sosednje in bolj oddaljene države.