Cost of primary health care in the Republic of Serbia for the period 2006-2008

Abstract

Introduction. Primary health care in the Republic of Serbia is predominantly funded by the Republic Health Insurance Fund (RHIF). From the total income of health centers and institutes at the primary level, with no pharmacy and pharmacies (Kosovo excluded), 84% in 2008 was paid by RHIF. Frequency of participation ranged from 63-95% and it was stable in all observed years. The aim of this study was to determine the expenditures for primary health care for each insured person in statistically defined districts in the Republic of Serbia, with an emphasis on prevention participation. Material and Methods. Retrospective and comparative analysis of health statistics from the database of the Institute of Public Health of Serbia (IPHS) and financial data from the RHIF for the period 2006-2008 was done. Results. Observed by the districts in 2008, in Vojvodina, the lowest expenditure for primary health care had North Backa District (5,207 RSD) and greatest was in West Backa District (6,632 RSD) per capita. In the central Serbia territorial difference was much greater, ranging from 3,574 RSD in the District Morava to 6,701 RSD per capita in the District Toplica and Nisava. Expenditures for direct health care of RHIF per capita in the reporting period continuously have grown. Conclusion. The results showed that the largest cost for primary care for the insured person in the districts of Serbia was registered in the Nisava and Toplica (6,701 RSD) and lowest in the district of Morava (3,574 RSD) per capita.

Uvod. Primarna zdravstvena zaštita u Republici Srbiji se dominantno finansira od Republičkog zavoda za zdravstveno osiguranje (RZZO). U ukupnim prihodima domova zdravlja i zavoda na primarnom nivou, bez apoteka i apotekarskih ustanova (isključujući Kosovo i Metohiju), RZZO je u 2008. godini učestvovao s prosečno 84%. Interval učešća je bio 63-95% i gotovo je istovetan u svim posmatranim godinama. Cilj rada je bio da se utvrde rashodi za primarnu zdravstvenu zaštitu po svakom osiguranom licu u statistički definisanim okruzima u Republici Srbiji, s osvrtom na preventivu. Materijal i metode rada. Izvršena je retrospektivna i komparativna analiza zdravstvenih statističkih podataka iz baze Instituta za javno zdravlje Srbije 'Dr Milan Jovanović Batut' i finansijskih podataka iz RZZO u periodu 2006-2008. godine. Rezultati. Posmatrano po okruzima u 2008. godini, u Vojvodini je najniže rashode za primarnu zdravstvenu zaštitu po stanovniku imao Severnobački okrug (5.207 dinara), a najviše Zapadnobački (6.632 dinara). U centralnoj Srbiji teritorijalne disperzije su znatno veće: od 3.574 dinara po stanovniku u Moravičkom okrugu do 6.701 dinar po stanovniku u Nišavskom i Topličkom okrugu. Rashodi za neposrednu zdravstvenu zaštitu RZZO po stanovniku su se u posmatranom periodu kontinuirano povećavali. Zaključak. Rezultati istraživanja su pokazali da je za primarnu zdravstvenu zaštitu po osiguranom licu u Republici Srbiji najviše potrošeno u Nišavskom i Topličkom okrugu, a najmanje u Moravičkom.