REPORTS ON DEVELOPMENTS REGARDING THE REPORTS ON DEVELOPMENTS REGARDING THE CHAMBERS OF PHYSICIANS IN COUNTRIES OF CHAMBERS OF PHYSICIANS IN COUNTRIES OF

CENTRAL AND EASTERN EUROPE CENTRAL AND EASTERN EUROPE

CROATIAN MEDICAL CHAMBERCROATIAN MEDICAL CHAMBER

PPrim. Hrvoje Minigo,rim. Hrvoje Minigo, M.D. M.D.

Prim.Katarina Sekelj-Kauzlarić, MDPrim.Katarina Sekelj-Kauzlarić, MD

History -1History -12020 years ago years ago

On November 20,1891 the On November 20,1891 the Law on the Law on the establishment of medical chambers in establishment of medical chambers in German, German, Polish, Czech, Slovenian and Croatian Polish, Czech, Slovenian and Croatian provinces entered into force upon being signed provinces entered into force upon being signed by Emperor Franz Josephby Emperor Franz Joseph..Task:Task:

1.1. tto represent a medical standpointo represent a medical standpoint2.2. to to give their advice on health matters when the give their advice on health matters when the

government needs it and asks for itgovernment needs it and asks for it3.3. but were also allowed to do that on their own but were also allowed to do that on their own

initiativeinitiative

History – 108 and 88 years ago History – 108 and 88 years ago

The medical chamber was founded in The medical chamber was founded in 1903 for Split and Dalmatia1903 for Split and Dalmatia

In 1923 a new chamber was founded for In 1923 a new chamber was founded for Croatia, Slavonia and Međimurje with Croatia, Slavonia and Međimurje with main office in city of Zagrebmain office in city of Zagreb

History – 65 years agoHistory – 65 years ago

On January 9,1946On January 9,1946 Council of Public Health of FNRJ Council of Public Health of FNRJ (Federal People's Republic of Yugoslavia) announced (Federal People's Republic of Yugoslavia) announced the suspension of work of the suspension of work of proffesional chambersproffesional chambers and determined that, until further notice, the role of the and determined that, until further notice, the role of the Chamber is assumed by the Council of Chamber is assumed by the Council of PPublic ublic HHealth ealth including: registration of medical doctors, a certificate of including: registration of medical doctors, a certificate of acquired rights for general medical practice, internship, acquired rights for general medical practice, internship, etc.etc.

AAll other functions of the Chamber (decision on rights for ll other functions of the Chamber (decision on rights for local medical practice, disciplinary action and criminal local medical practice, disciplinary action and criminal proceeding notifications) are assumed by Regional proceeding notifications) are assumed by Regional People’s CommitteesPeople’s Committees

History -16 years agoHistory -16 years ago

In 1995 the In 1995 the CChamber was re-hamber was re-establishedestablished under a new name - the under a new name - the Croatian Medical ChamberCroatian Medical Chamber

History -16 years agoHistory -16 years ago

On June 27,1995On June 27,1995 at the Assembly attended by at the Assembly attended by 110 delegates, the Chamber adopted the 110 delegates, the Chamber adopted the Statute, and Minister of Health welcomed Statute, and Minister of Health welcomed everyone with the wordseveryone with the words : :

“ “ The Chamber should be a bridge between The Chamber should be a bridge between the state, administrative bodies and medical the state, administrative bodies and medical practitioners, because until now medical practitioners, because until now medical practitioners were not involved enough, if at practitioners were not involved enough, if at all, in making crucial decisions concerning all, in making crucial decisions concerning thetheir professionir profession.“ .“

History – 8 years ago History – 8 years ago

In 2003 In 2003 the the Medical PrMedical Professionofession Act Act established the rights and duties of established the rights and duties of medical doctors and the powers and medical doctors and the powers and activities of the Chamber activities of the Chamber

CMC (HLK) todayCMC (HLK) today

Croatian Medical Croatian Medical Chamber is an Chamber is an autonomous and autonomous and independent professional independent professional organization with a status organization with a status of legal personality and of legal personality and public authoritpublic authorityyIt protects the rights and It protects the rights and represents the interests represents the interests of medical doctorsof medical doctorsIt promotes medical It promotes medical practicepractice

Croatian Medical ChamberCroatian Medical ChamberPublic authoritiesPublic authorities

Health Care ActHealth Care Act – Official Gazette no. 121/03, – Official Gazette no. 121/03,

44/05, 48/05, 85/0644/05, 48/05, 85/06 Act on PhysiciansAct on Physicians - Official Gazette no. 121/03 - Official Gazette no. 121/03

- keeps the register of physicians- keeps the register of physicians - issues, renews and revokes licences for- issues, renews and revokes licences for independent workindependent work - expert supervision over physicians’ work- expert supervision over physicians’ work - determines and gives approval to prices of- determines and gives approval to prices of services provided by private doctorsservices provided by private doctors

Chamber activities Chamber activities ((Section 38 of the Medical Profession ActSection 38 of the Medical Profession Act))

In addition to public authorities, the Chamber performs the In addition to public authorities, the Chamber performs the following tasks:following tasks:promotes and safeguards social status and reputation of promotes and safeguards social status and reputation of medical doctors,medical doctors,brings the Code of Medical Ethics and Deontology and brings the Code of Medical Ethics and Deontology and monitors and supervises its implementation and monitors and supervises its implementation and sanctions violationssanctions violationsin collaboration with medical schools and professional in collaboration with medical schools and professional medical societies, it organizes, supervises and evaluates medical societies, it organizes, supervises and evaluates the continuous professional training of doctorsthe continuous professional training of doctorsprovides an opinion in the process of establishment, provides an opinion in the process of establishment, relocation and termination of private health care facilities relocation and termination of private health care facilities and private practiceand private practice

Chamber activities Chamber activities ((Section 38 of the Medical Profession ActSection 38 of the Medical Profession Act))

Represents medical doctors in contracts with Represents medical doctors in contracts with national and other national and other insurance companies in order insurance companies in order to evaluate medical practice in the process of to evaluate medical practice in the process of medical service price list formationmedical service price list formationProposes the basic health care networkProposes the basic health care networkGives suggestions and expert opinions in the Gives suggestions and expert opinions in the preparation of regulations regarding the preparation of regulations regarding the development of medical practice, health care development of medical practice, health care and medical professionand medical professionPerforms other duties and tasks in accordance Performs other duties and tasks in accordance with the law and other regulationswith the law and other regulations

Number of medical practitioners in Croatia Number of medical practitioners in Croatia and the basic structureand the basic structure

(( 1.01.2011. 1.01.2011.))The total number of members of the Croatian Medical Chamber: The total number of members of the Croatian Medical Chamber: 17 17 975975 The total number of licensed medical doctors in Croatia: The total number of licensed medical doctors in Croatia: 17 645 (100%)17 645 (100%)The total number of medical doctors employed in health care facilities: The total number of medical doctors employed in health care facilities: 12 12 771771 (72% (72% of the of the total number of licensed medical doctorstotal number of licensed medical doctors) ) The total number of specialists in the hospital system: The total number of specialists in the hospital system: 70077007 (39% ) (39% ) Private practitioners in a contractual relationship with the Croatian Institute for Health Private practitioners in a contractual relationship with the Croatian Institute for Health Insurance (HZZO): Insurance (HZZO): 3208 (3208 (18% )18% )Private practitioners without a contractual relationship with HZZO:Private practitioners without a contractual relationship with HZZO: 501 501 ((33%)%)Medical doctors (specialists and general medicine) outside the healthcare facilities, Medical doctors (specialists and general medicine) outside the healthcare facilities, employed at the Institute of Public Health, Ministry of Defence of the Republic of Croatia employed at the Institute of Public Health, Ministry of Defence of the Republic of Croatia (MORH), HZZO, pharmaceuticals, government and public administration, funds, etc.(MORH), HZZO, pharmaceuticals, government and public administration, funds, etc. : : 2362 2362 (1(133% )% )Retired doctors working part-time (licensed): Retired doctors working part-time (licensed): 26264444 (15% ) (15% )

Medical doctors, Croatian citizens, working abroad: Medical doctors, Croatian citizens, working abroad: 229797 (1, (1,66%% )) Medical doctors, foreign citizens, working in Croatia:Medical doctors, foreign citizens, working in Croatia: 7979 (0,5% ) (0,5% )

Relation of CMC to other bodiesRelation of CMC to other bodies

1.1. Ministry of Health – the CMC gives its Ministry of Health – the CMC gives its opinions on ministry’s proposals of acts, opinions on ministry’s proposals of acts, decisions etc.; representatives from CMC decisions etc.; representatives from CMC participate in working groups/committees participate in working groups/committees of the Ministryof the Ministry

2.2. Croatian Institute for Health Insurance – Croatian Institute for Health Insurance – similarsimilar

3.3. Croatian Medical Association – good Croatian Medical Association – good cooperation with expert societiescooperation with expert societies

Relation of CMC to other bodies (2)Relation of CMC to other bodies (2)

President of the CMC is a member of President of the CMC is a member of - the Parliamentary Commitee for the Parliamentary Commitee for

health issues.health issues.- the Board of directors of National the Board of directors of National

agency for quality and accreditationagency for quality and accreditation

Expectations and requests to the Expectations and requests to the CChamberhamber

Membership Membership - unconditional protection of medical - unconditional protection of medical doctors on all fields of work and activities doctors on all fields of work and activities Health authoritiesHealth authorities - unconditional support of all - unconditional support of all decisions made by government, sanctioning doctorsdecisions made by government, sanctioning doctorsTheThe political o political oppositionpposition - unqualified criticism of - unqualified criticism of government actions and proposalsgovernment actions and proposalsPatientsPatients - unconditional support to their demand, - unconditional support to their demand, guarantee of quality and accessibility of health guarantee of quality and accessibility of health services, protection of patients' rights before the services, protection of patients' rights before the decisions of health care administration, sanctioning decisions of health care administration, sanctioning doctors doctors

The answer lies The answer lies

in the experience of organized activities of medical doctors in in the experience of organized activities of medical doctors in this areathis area

in a joint operation of all members through the Chamber bodies, in a joint operation of all members through the Chamber bodies, and respecting the principles of democracy and established and respecting the principles of democracy and established proceduresprocedures

in complete independence of the work of Chamber bodies of in complete independence of the work of Chamber bodies of any political or individual influences any political or individual influences

in constructive cooperation and proactive approach to problems in constructive cooperation and proactive approach to problems

2011. Report 2011. Report

April 15, 2011April 15, 2011 Croatian Medical Chamber had an Croatian Medical Chamber had an opening of new main office in Zagreb,(Tuškanova street opening of new main office in Zagreb,(Tuškanova street 37)37)

June 18, 2011June 18, 2011 Croatian Medical Chamber finished the Croatian Medical Chamber finished the elections and we have new leadership up to 2015. elections and we have new leadership up to 2015.

September 2011,September 2011, activities in harmosnisation of activities in harmosnisation of

specialisation training were finished specialisation training were finished (based on specialties defined in Directive 2005/36/EC)

New main office in ZagrebNew main office in Zagreb

ReceptionReception

Reception and waiting roomReception and waiting room

President's officePresident's office

Secretary officeSecretary office

Meeting roomsMeeting rooms

Thank you for your attention !Thank you for your attention !

Contact: Contact:

Croatian Medical ChamberCroatian Medical Chamber

Zagreb, Tuškanova 37, Zagreb, Tuškanova 37, Croatia Croatia

Phone: +385 1 45 00 830Phone: +385 1 45 00 830

Fax: +385 1 46 55 465 Fax: +385 1 46 55 465

E-mail: E-mail: hhrvoje.minigo@hlk.hr

www:hlk.hr www:hlk.hr