In 1993 the National Insurance Agency was created, covering social benefits, sick pay and health insurance. A separate health insurance system was developed in 1995.
Home nursing services and home social care services are rigidly separated in Slovakia for funding and delivery purposes. It is said that palliative care patients make up 60% of the former, though the nurses are not trained in this work.8 Home social care services are mostly run by Christian charities. Volunteers have no official recognition within the health or social care system; 3 NGOs in the country train volunteers, but they are not recognised by the Labour Code which requires that all workers must be rewarded financially.
It appears that the country's healthcare problems are compounded by vested interests within medicine, a preoccupation with the interests of hospitals and hospital-based physicians and an unhelpful segregation of health and social care.
Health care expenditure (US$) per capita, Central and Eastern Europe
Source: WHO Regional Office for European Health for All database and HiTs
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