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VOLUME 2 , ISSUE 1--2 ( January-June, 2023 ) > List of Articles

ORIGINAL RESEARCH

Possible Applications of the Korean Experience in the Development of Croatian Healthcare System

Predrag Bejakovic, Romina P Družeta, Ohmin Kwon

Keywords : Croatia, Healthcare insurance, Healthcare service provision, Republic of Korea

Citation Information : Bejakovic P, Družeta RP, Kwon O. Possible Applications of the Korean Experience in the Development of Croatian Healthcare System. 2023; 2 (1--2):26-35.

DOI: 10.5005/jp-journals-11005-0053

License: CC BY-NC 4.0

Published Online: 29-09-2023

Copyright Statement:  Copyright © 2023; The Author(s).


Abstract

Healthcare is a very important and complex system in every country, and a huge expenditure for it is not a guarantee of successful prevention and cure of illness. Around 98% of the population in Croatia is covered by the public health insurance system, which is an admirable achievement. Healthcare institutions in Croatia are organized on three levels. Primary healthcare levels are community healthcare centers, healthcare facilities, institutions for home healthcare, and organizations for palliative care. Healthcare services on the secondary level include hospitals, treatment, and outpatient centers. Tertiary-level healthcare is realized in clinics, mostly clinical hospitals and clinical hospital centers. Serious challenges of the Croatian health system are the neglected role of primary healthcare, a vast concentration of healthcare institutions in the big cities, suboptimal implementation of artificial intelligence (AI) in disease diagnostics and medical treatment, a lack of structured data, and the long waiting list. Croatia is reforming its healthcare system, and in this process, an adequate adjustment of Korean experiences and the best practices can be more than useful. The part dedicated to the situation in Korea particularly provides information on the Korean healthcare system, outcomes, and challenges, as well as explains the importance of digital automation in the healthcare service and a push for Nationwide Health Screening in Korea.


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  1. Eurostat, Life expectancy by age and sex, [Internet]. 2023. Available from https://ec.europa.eu/eurostat/databrowser/view/demo_mlexpec/default/table
  2. Zrinščak S. Zdravstvena politika hrvatske. U vrtlogu reformi i suvremenih društvenih izazova. Revija za Socijalnu Politiku 2007;14(2): 193–220. DOI: 10.3935/rsp.v14i2.697
  3. Mihaljek D. Kako financirati zdravstvo u doba financijske krize? In O zdravstvu iz ekonomske perspektive, Zagreb: Ekonomski institut. 2014;28–50.
  4. Broz T, Švaljek S. Financiranje zdravstva u Hrvatskoj: od reforme do reforme”, In O zdravstvu iz ekonomske perspektive, (Ed. Vehovec Maja), Zagreb: Ekonomski institut, 2014;51–75.
  5. Croatian Health Insurance Fund. Health insurance in the Republic of Croatia, Zagreb: Croatian Health Insurance Fund, [Internet]. 2022. Available from https://hzzo.hr/en/national-contact-point-ncp/health-insurance-republic-croatia
  6. Džakula A, Sagan A, Pavić N, Lončarek K, Sekelj-Kauzlarić K. Croatia Health system review, Health Systems in Transition, 2014;16(3):1–162, Available from https://apps.who.int/iris/handle/10665/128604
  7. Poturica Gerić K, Smajla N, Klasić K. Analysis and comparison of health insurance systems in Croatia and Germany. Am Int J Contemp Res 2016;6(3):32–46.
  8. ESPAD, Overview of the cigarettes prevalence in lifetime Croatia, ESPAD. 2022. Available from https://data.espad.org
  9. Markelić M, Muslić Lj, Jovičić Burić D, Lanščak, N, Križan H, Musić Milanović S. Europsko istraživanje o pušenju, pijenju i uzimanju droga među učenicima 2019. (European Survey on Smoking, Drinking, and Taking of Drugs among Students 2019), Zagreb: Hrvatski zavod za javno zdravstvo. 2022.
  10. ESPAD. Overview of the cannabis prevalence in lifetime Croatia, ESPAD. 2022. Available from https://data.espad.org
  11. European Commission. Do you eat fruit and vegetables daily? Brussels: European Commission. 2019. Available from https://ec.europa.eu/eurostat/web/products-eurostat-news/-/DDN-20190401-1?inheritRedirect=true
  12. Ministarstvo zdravstva. Nacionalna strategija razvoja zdravstva 2012-2020. (National Healthcare Strategy 2012-2020). Zagreb: Ministarstvo zdravstva. 2012.
  13. The Croatian Bureau of Statistics. Number and Composition of Persons in Paid Employment in Legal Entities, according to National Classification of Activities, 2007 version and by Sex, Results from JOPPD Forms. 2022.
  14. Croatian Health Insurance Fund. Rad bolnica u Hrvatskoj 2020. Godine (The Functioning of Hospitals in Croatia in 2020), Zagreb: Croatian Health Insurance Fund). 2021. Available from https://www.hzjz.hr/wp-content/uploads/2021/07/Rad-bolnica-u-2020.pdf
  15. Šimović H, Mihelja Žaja M, Primorac M. Fiscal (un)sustainability of the Croatian healthcare system: additional impact of the COVID-19 crisis. Public Sector Econ 2021;45(4):495–515. DOI: 10.3326/pse.45.4.5
  16. Vončina L, Arur A, Dorčić F, Pezelj-Duliba D. Universal Health Coverage in Croatia: Reforms to Revitalize Primary Health Care, Universal Health Care Coverage Series 29, Washington DC: World Bank Group. 2018.
  17. Numbeo.org. Health Care Index by Country. 2020. Available from https://www.numbeo.com
  18. North DC. Institutional Change and Economic Performance. Cambridge: Cambridge University Press; 1990.
  19. Acemoglu D, Robinson JA. Why Nations Fail: The Origins of Power, Prosperity, and Poverty. New York: Crown Publishers; 2012.
  20. The Ministry of Health and Welfare of the Republic of Korea. National Health Insurance: Population Coverage, Contribution Rate & Benefit Payment, Seoul: The Ministry of Health and Welfare of the Republic of Korea. 2018. Available from https://www.mohw.go.kr/eng/hs/hs0110.jsp?PAR_MENU_ID=1006&MENU_ID=100610
  21. OECD. OECD Health Policy Overview Health policy in Korea, Paris: OECD. 2016. Available from https://www.oecd.org/korea/. OECD. OECD Health Policy Overview Health policy in Korea, Paris: OECD. 2016. Available from https://www.oecd.org/korea/Health-Policy-in-Korea-April-2016.pdf
  22. Health Insurance Review and Assessment Service. 기타제도. Wonju: Health Insurance Review and Assessment Service. 2022. Available from https://www.hira.or.kr/dummy.do?pgmid=HIRAA020020000000&WT.gnb=%EA%B8%B0%ED%83%80%EC%A0%9C%EB%8F%84
  23. Lee C. Is universal health insurance superior in terms of healthcare payment? Estimating financial burden of healthcare in Korea: 2009 to 2019. Inquiry 2022;59:469580221135957. DOI: 10.1177/00469580221135957
  24. Kang HT. Current status of the national health screening programs in South Korea. Korean J Fam Med 2022;43(3): 168–173. DOI: 10.4082/kjfm.22.0052
  25. Shin D W, Cho J, Park J H, et al. National general health screening program in Korea: history, current status, and future direction. Precision Future Med 2022;6(1):9–31. DOI: 10.23838/pfm.2021.00135
  26. Kim HB, Lee SA, Lim W. Knowing is not half the battle: Impacts of information from the National Health Screening Program in Korea. J Health Econ 2019;65:1–14. DOI: 10.1016/j.jhealeco.2019.01.003
  27. National Health Insurance Service. Notice on Health Screening, Wonju: National Health Insurance Service, 2023. Available from https://www.nhis.or.kr/nhis/healthin/wbhaca04500m01.do. 2023
  28. Ministry of Health and Welfare, 제4차 암관리종합계획 (2021–2025) (The Fourth General Cancer Management Plan 2021–2025), Sejong: Ministry of Health and Welfare, 2021a. Available from http://www.mohw.go.kr/react/al/sal0301vw.jsp?PAR_MENU_ID=04&MENU_ID=0403&CONT_SEQ=364800&page=82
  29. Ministry of Health and Welfare, 제3차 (2021-2025) 국가건강검진종합계획 (The Third General National Health Screening Plan 2021–2025), Sejong: Ministry of Health and Welfare, 2021b. Available from http://www.mohw.go.kr/react/al/sal0301vw.jsp?PAR_MENU_ID=04&MENU_ID=0403&CONT_SEQ=365745&page=1
  30. Daily Medi. 430 billion Items of Health Information by the National Health Insurance Service. Seoul: Daily Medi. 2023. Available from https://www.dailymedi.com/news/news_view.php?wr_id=881517
  31. Cheol Seong S, Kim YY, Khang YH, et al. Data resource profile: the National Health Information Database of the National Health Insurance Service in South Korea. Int J Epidemiol 2017;46(3):799–800. DOI: 10.1093/ije/dyw253
  32. Kim MK, Han K, Lee SH. Current trends of big data research using the Korean National Health Information Database. Diabetes Metab J 2022;46(4):552–563. DOI: 10.4093/dmj.2022.0193
  33. Cho S, Kim H. Healthcare big data-based artificial intelligence utilization strategy. HIRA Res 2021;1(2):196–207. DOI: 10.52937/hira.21.1.2.196
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