ФИНАНСИРАЊЕ НА ЗДРАВСТВЕНАТА ЗАШТИТА НА НАСЕЛЕНИЕТО ВО РЕПУБЛИКА МАКЕДОНИЈА
FINANCING OF THE PUBLIC HEALTH IN THE REPUBLIC OF MACEDONIA

Summary/Abstract: The aim of this work is to conduct an analysis that concerns the financing of the public health in the Republic of Macedonia. The Public Health Service of Republic of Macedonia is a system based on health insurance. The obligatory health insurance and the governance of the resources are realized by the Health Insurance Fund. The health insurance is universal and the health protection is all-embracing. The obligatory health insurance fulfills 95 % from the total public finances for health protection and additional rights and activities included in the health insurance. The other 5% are realized by additional financial resources: participation, cash payment and voluntary health insurance. In 2005 the number of insured employees with obligatory health insurance was 1.898.334 persons, which shows an increase of 11.638 persons compared to 2004. The planned income of the Fund in 2005 is 15.703.079,00 denars, while the realization of the planned income in the same year is 15.249.563,00 denars, with index of realization 97,11. The planned outcome of the Fund in 2005 is 15.703.079,00 denars, and their realization is 15.205.641,00 denars, with index of realization 96,83. At the end of 2005, the total payment obligations of the Health Insurance Fund were 2.331.130.643,00 denars. At the end of 2004 the total payment obligations of the Fund were 2.141.200.794,00 denars, that shows an increase of 13,92% in 2005. From the analysis we can see that despite the increase of the number of insured employees, the payment obligation of the Health Insurance Fund marks an increase due to nonrealized payment obligations towards the Fund in 2005.

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