INDICATORS

Main problems: There are problems on the administrative level; responsibilities are
unclear and some reluctance occurs. At the moment CNIPH is almost alone responsible
of all health data. The Health Insurance Institute is responsible for some data and is not
obliged to share existing data with public health sector.
Ongoing and/or expected improvements: Record linkage is expected to improve and
up to now no obstacles are foreseen in trying to link data from different sources, keeping
in mind obligation for complete personal data protection. All Croatian primary health
care units have their own patient registers and 95% of GP offices are computerised and
networked. They have person-oriented data, history and case data piled together for
each “episode”, procedures and treatment included. Up to now only aggregated data
have been delivered to public health sector, but it is envisaged that individual data at
national level will be available from 2009. A pilot HIS along with EHIS requirements
is planned for 2009.
Possible solutions for implementation: National level needs coordination, additional
resources and organisational changes. Ministry of Health might need suggestions from
Eurostat. Implementation should lead to permanent process of improvement.
Country Report, data availability
ECHIM Survey, data availability
Health Status
Health Determinants
Health Care
Record linkage, present
Record linkage, future
Implementation prerequisites
Main problem: Funding / manpower
Main improvement: E-health records being implemented
Main solution: Include ECHI recommendations in national health strategies
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