Slovenské zdravotníctvo a jeho REFORMA

Slovensk zdravotnctvoa jehoREFORMA

REFORMA

Racionlny rozvoj systmu

Je to predsa proces ktor nikdy nezana a nikdy nekon!

Motto:Ochybch treba hovori! Nie preto aby sa hadal vinnk, nie preto aby sa vinnk trestal... Kad chyba je zdrojom poznatkov apouen m viac sa ochybch hovor, tm viac je pouench.Sergej Uglov

REFORMN ZKONY576/2004 Z. z. o zdravotnej starostlivosti, slubch svisiacich s poskytovanm zdravotnej starostlivosti a o zmene a doplnen niektorch zkonov 577/2004 Z. z. o rozsahu zdravotnej starostlivosti uhrdzanej na zklade verejnho zdravotnho poistenia a o hradch za sluby svisiace s poskytovanm zdravotnej starostlivosti 578/2004 Z. z. o poskytovateoch zdravotnej starostlivosti, zdravotnckych pracovnkoch, stavovskch organizcich v zdravotnctve a o zmene a doplnen niektorch zkonov

REFORMN ZKONY579/2004 Z. z. o zchrannej zdravotnej slube a o zmene a doplnen niektorch zkonov 580/2004 Z. z. o zdravotnom poisten a o zmene a doplnen zkona . 95/2002 Z. z. o poisovnctve a o zmene a doplnen niektorch zkonov 581/2004 Z. z. o zdravotnch poisovniach, dohade nad zdravotnou starostlivosou a o zmene a doplnen niektorch zkonov

REFORMA ZDRAVOTNCTVAA REFORMN ZKONY Strategick zmery reformy zdravotnctva: odpoji zdravotnctvo od ttneho rozpotu zi rozsah zdravotnej starostlivosti odpolitizova zdravotnctvo

REFORMA ZDRAVOTNCTVAA REFORMN ZKONYLegislatva prijat v oktbri 2004, bola doteraz 6x rozsiahle novelizovanDnes je jasn, e to bol len experiment. (na objednvku Svetovej banky)Obavy a vhrady odbornej verejnosti sa naplnili!

Zkon o poskytovateoch ...Redukcia stavovskch organizciNepovinn lenstvo v komorePrenos kompetenci ttnej sprvy vedenie registra vydvanie licenci disciplinrna prvomoc len voi lenom komory

Zkon o poskytovateoch...Stomatolgovia boli zaraden zo zkona medzi pecialistovOrganizcia, evidencia a kontrola sstavnho vzdelvania pre vetkch zubnch lekrov, aj nelenovSystm manarstva kvality povinnos zo zkona od 1. 4. 2007

DOPADY tzv. REFORMY ZDRAVOTNCTVA Dopady na obanaFinann za obanov vzdravotnej starostlivosti (spoluas) je vyia (v mld. Sk)r.2001 r. 2002 r. 2003 r. 2004 r. 20056,3 7,0 10,5 16,0 18,4Zhorila sa dostupnosZhorila sa kvalitaZhorili sa podmienky

Graf3

111

1.13270777481.03164556961.3170731707

1.18766756031.06962025321.4390243902

1.29624664881.17299578061.5365853659

1.4276139411.28270042191.7073170732

1.55495978551.3354430382.5609756098

1.73324396781.41350210973.9024390244

1.91689008041.55063291144.4658536585

2.05227882041.65189873424.8756097561

2.20911528151.75527426165.512195122

2.36997319031.84599156126.343902439

Trend rastu HDP

Trend rastu vdavkov obyva.

Trend rastu verejnch zdrojov

Pred nstupom ministra Zajaca

Po nstupeministra Zajaca

Rast HDP

Rast verejnch zdrojov na ZS

Rast vdavkov obyvatestva

% rastu voi r. 1998(r.1998 = 100%)

Vvojov trendy

graf

graf

111

1.13270777481.03164556961.3170731707

1.18766756031.06962025321.4390243902

1.29624664881.17299578061.5365853659

1.4276139411.28270042191.7073170732

1.55495978551.3354430382.5609756098

1.73324396781.41350210973.9024390244

1.91689008041.55063291144.4658536585

2.05227882041.65189873424.8756097561

2.20911528151.75527426165.512195122

2.36997319031.84599156126.343902439

Trend rastu HDP

Trend rastu vdavkov obyva.

Trend rastu verejnch zdrojov

Pred nstupom ministra Zajaca

Po nstupeministra Zajaca

Rast HDP

Rast verejnch zdrojov na ZS

Rast vdavkov obyvatestva

% rastu voi r. 1998(r.1998 = 100%)

Vvojov trendy

udaje

7466.35

8455.79

8865.72

9675.75

10655.71

11605.46

12935.41

14305.14

15315.11

16485.05

17684.95

HDP vmld. Sk

Verejn zdroje ako % z HDP

HDP (mld Sk)

podiel VV na HDP

Trendy vvoja

List3

19981999200020012002200320042005200620072008

HDP vmld. Sk7468458869671065116012931430153116481768

Verejn zdroje zdravotnctva v mld. Sk47.4048.9050.7055.6060.8063.3067.0073.5078.3083.2087.50

Platby obyvatestva v mld.Sk4.105.405.906.307.0010.5016.0018.3119.9922.6026.01

Rast HDP1.001.131.191.301.431.551.731.922.052.212.37

Rast verejnch zdrojov na ZS1.001.031.071.171.281.341.411.551.651.761.85

Rast vdavkov obyvatestva1.001.321.441.541.712.563.904.474.885.516.34

Verejn zdroje ako % z HDP6.355.795.725.755.715.465.415.145.115.054.95

Verejn zdroje a platby obyv. spolu ako % z HDP6.906.436.396.406.376.366.426.426.426.426.42

Zdroj: MF SR, MZ SRVysvetlivky: p - predpoklad SLK

+ 5,9 mld. Sk

Celkom verejn zdroje na zdravot. starostlivosa vdavky na 1 obana/rok v SR a v R

r. 2003 r. 2004 R SR R SR Poet obyvateov 10,2 5,4 10,2 5,4 Celkom za rok 172 mld K 63 mld Sk 187 mld K 70 mld Sk

Na obana/rok 548 292 607 331

Zdroj: MF R, MF SR

Graf1

0

0

4.1

5.4

5.9

6.3

7

10.5

16

18.31

Platby obyvatestva v mld.Sk

Hrok1

163.6363636364

Rok1996199719981999200020012002200320042005200620072008

Platby obyvatestva v mld.Sk004.15.45.96.3710.51618.312022.626

Hrok1

0

0

0

0

0

0

0

0

0

0


Hrok2

Hrok2

0

0

4.1

5.4

5.9

6.3

7

10.5

16

18.31


Hrok3

ZADLOVANIE SYSTEMU

MBD0028BB3A.xls

Graf1

-7.745

-7.948

-7.985

-4.346

-6.877

-6.505

-7.665

-6.09

-4.621

-2.864

vytvoren dlh v prslunom roku (mld.Sk)

Hrok1

2,993,085ZZ t

2,472,860ZZ ost

6,155,590

910,377

643,209

4,600,000

6,153,586ZP

1996199719981999200020012002200320042005

vytvoren dlh v prslunom roku (mld.Sk)-7.75-7.95-7.99-4.35-6.88-6.51-7.67-6.09-4.62-2.86

Hrok1

0

0

0

0

0

0

0

0


Hrok2

Hrok3

MBD001B6716.xls

Graf2

-7.745

-7.948

-7.985

-4.346

-6.877

-6.505

-7.665

Rozdiel zdrojov a nkladov v b.c.

Rozdiel zdrojov a nkladov v b.c. {mld.Sk}

List1

Ukazovate19951996199719981999200020012002

Priemern vdavky ZP na poistenca/mesiac507.15641.45701.97758.12768.06782.6845.98866.12

Priemern vdavky ZP na 1 EAP/mesiac450.05569.49622.93672.76677.21694.48750.73772.22

Priemern vdavky ZP na1 poistenca t-tu/mesiac580.48734.53803.47867.73871.89895.75968.3987.34

Platba ttu za poistenca/mesiac181269269270283283336385

Rozdiel platby ttu za ENP k vdavkom ZP/1 poist.-326.15-372.45-432.97-488.12-485.06-499.6-509.98-481.12

List1

-7.745

-7.948

-7.985

-4.346

-6.877

-6.505

-7.665



List2

Za obdobie 1996-2002 na za-bezpeenie zdravotnej starostlivosti ilo do systmu na hradu poskytnutej zdravotnej starostlivosti o 41,4 mld. Sk menej, ako boli nklady za realizovan vkony. as tohto deficitu bola kompenzovan mimorozpotovmi zdrojmi (8,5 mld.Sk) as sa prejavila ako vonkajie zadenie systmu, podstatn as vak zostala ako skryt zadenie neboli tvoren reprodukn fondy, nezabezpeovala sa ani prost reprodukcia v zdravotnckych zariadeniach...

List3

Graf2

0-7.751996

0-7.951997

4.1-7.99-12.09

5.4-4.35-9.75

5.9-6.88-12.78

6.3-6.51-12.81

7-7.67-14.67

10.5-6.09-16.59

16-4.62-20.62

18.31-2.86-21.17


vytvoren dlh v roku (mld.Sk)

vvoj dlhu po odpotan platieb obyvatestva

Zadlovanie a platby obyvatestva

Hrok1

163.6363636364

Rok1996199719981999200020012002200320042005200620072008

Platby obyvatestva v mld.Sk004.15.45.96.3710.51618.312022.626

vytvoren dlh v roku (mld.Sk)-7.75-7.95-7.99-4.35-6.88-6.51-7.67-6.09-4.62-2.86

vvoj dlhu po odpotan platieb obyvatestva-12.09-9.75-12.78-12.81-14.67-16.59-20.62-21.17

Hrok1

0

0

0

0

0

0

0

0

0

0


Hrok2

000

000

000

000

000

000

000

000

000

000


vytvoren dlh v roku (mld.Sk)

vvoj dlhu po odpotan platieb obyvatestva

Zadlovanie a platby obyvatestva

Hrok3

Hrok3

0

0

4.1

5.4

5.9

6.3

7

10.5

16

18.31


ZADLOVANIE SYSTEMU

MBD0028BB3A.xls

Graf1

-7.745

-7.948

-7.985

-4.346

-6.877

-6.505

-7.665

-6.09

-4.621

-2.864


Hrok1

2,993,085ZZ t

2,472,860ZZ ost

6,155,590

910,377

643,209

4,600,000

6,153,586ZP

1996199719981999200020012002200320042005

vytvoren dlh v prslunom roku (mld.Sk)-7.75-7.95-7.99-4.35-6.88-6.51-7.67-6.09-4.62-2.86

Hrok1

0

0

0

0

0

0

0

0


Hrok2

Hrok3

MBD001B6716.xls

Graf2

-7.745

-7.948

-7.985

-4.346

-6.877

-6.505

-7.665



List1

Ukazovate19951996199719981999200020012002

Priemern vdavky ZP na poistenca/mesiac507.15641.45701.97758.12768.06782.6845.98866.12

Priemern vdavky ZP na 1 EAP/mesiac450.05569.49622.93672.76677.21694.48750.73772.22

Priemern vdavky ZP na1 poistenca t-tu/mesiac580.48734.53803.47867.73871.89895.75968.3987.34


Rozdiel platby ttu za ENP k vdavkom ZP/1 poist.-326.15-372.45-432.97-488.12-485.06-499.6-509.98-481.12

List1

-7.745

-7.948

-7.985

-4.346

-6.877

-6.505

-7.665



List2

Za obdobie 1996-2002 na za-bezpeenie zdravotnej starostlivosti ilo do systmu na hradu poskytnutej zdravotnej starostlivosti o 41,4 mld. Sk menej, ako boli nklady za realizovan vkony. as tohto deficitu bola kompenzovan mimorozpotovmi zdrojmi (8,5 mld.Sk) as sa prejavila ako vonkajie zadenie systmu, podstatn as vak zostala ako skryt zadenie neboli tvoren reprodukn fondy, nezabezpeovala sa ani prost reprodukcia v zdravotnckych zariadeniach...

List3

Platy lekrov v zdravotnckych zariadeniach SRr. 2004 tarifn platy

v zriaovateskejpsobnosti MZ 17 707 Sk (466 )

v zriaovateskej psobnosti VC 17 130 Sk (451 )

neziskovorganizcie 14 881 Sk (392 )

priemern platv nrod. hospodrstve 15 825 Sk (417 )Zdroj : SOZ ZaSS, SR

Platy lekrov v zdravotnckych zariadeniach v r. 2004(vrtane prac. pohotovosti, ktor je v priemere 200 h.)

SR R v zriaovateskej psobnosti MZ 29 519 Sk 35 909 K (45 245 Sk) v zriaovateskejpsobnosti VC 30 818 Sk 36 583 K (46 094 Sk)

neziskov organizcie 29 031 Sk 32 346 K (40 756 Sk) Zdroj: SOZ ZaSS, LOK R Zkladn mzdy, bez sluiebMzdy so slubami cca 200 hod/mes.

Poskytovatelia zdravotnej starostlivosti:

ustavine s konfrontovan sproblematickm aplikovanm novej legislatvy vpraxizvil sa ich odchod za prcou mimo SR (pre nzke platy anestabilitu profesionlneho ivota)vzah lekr pacient sa vrazne zhoril (najm vdsledku asto sa meniacej legislatvy aniektorch aktivt MZ SR)

Poskytovatelia zdravotnej starostlivosti:

Novou legislatvou sa vrazne zvila administratvna za zdravotnckych zariaden. Prjmy poskytovateov zdravotnej starostlivosti sa oproti ich nkladom v celkovom priemere znili (dsledkom rastu vstupov, limitovanch prjmov od poisovn a zniovania objemu zloh)za svoje sluby dostvaj relne menej peaz od zdravotnch poisovn (za cca 20% uznanch vkonov nemocnice nedostan zaplaten)Dolo k vraznej redukcii zdravotnckych pracovnkov v nemocniciach a zrove aj k zneniu miezd v absoltnej hodnoteDostvaj menej a musia dva viac

Repetitio est mater studiorum... a preto si pripomeme:Poskytovatelia dostvaj menej a musia dva viac(zdravotnej starostlivosti)

Obania platia viac a dostvaj menej(poistenci, pacienti)

Financovatelia s v neistom legislatvnom prostred s nepredvdatenmi a monmi a existennmi dopadmi

Politici pociovali potrebu zsadnch zmien, bez hlbieho skmania verili a v dobrej viere spravili chybu ktor musia naprva

(zdravotn poisovne)(vlda, poslanci)

NA ZVER V SHRNEDnes sa d tvrdi, e cieom a zmyslom tzv. Zajacovej reformy bolo:Vytvori zo zdravotnch poisovn a.s.Vytvori z najvznamnejch zdravotnckych zariaden a.s.Na zklade doterajch poznatkov sa d kontatova, e ku skutonej reforme zdravotnctva zatia nedolo.Dolo len k zmene legislatvy a k zmene vlastnckych vzahov.Verejn peniaze plyn do skromnch rk, zvila sa finann za obyvatestva na vdavky na zdravie, znila sa dostupnos zdravotnckych sluieb, vzrstli nklady poskytovateov zdravotnej starostlivosti a nezvili sa ich prjmy.

Podiel vdajov na zdravotnctvo z HDP (%) v ttoch E

ACZDKSFFDHNLNPLSKESCHGBPodiel na HDP (%)8,07,08,36,69,511,66,98,17,86,05,17,78,411,77,6

Graf1

8

7

8.3

6.6

9.5

11.6

6.9

8.1

7.8

6

5.1

7.7

8.4

11.7

7.6

Podiel na HDP (%)

Hrok1

ACZDKSFFDHNLNPLSKESCHGB

Podiel na HDP (%)878.36.69.511.66.98.17.865.17.78.411.77.6

ACZDKSFFDHNLNPLSKESCHGB

Podiel na HDP (%)878.36.69.511.66.98.17.865.17.78.411.77.6

Hrok1

Podiel na HDP (%)

Hrok2

Hrok3

Zloit problmy nemajjednoduch rieenia!akujem Vm za pozornosPrjemn zvyok da!MUDr. Jn Gai

tt plat zdravotn poistenie za 60% obyvateov SR!Naalej sa zachoval princp tzv. solidarity so ttom:

Rok Vka odvodu Skuton priemern nklady Rozdiel na zdravotn poistenie na poistenca ttu nklady - odvody (v Sk na mesiac) (v Sk na mesiac) (v Sk na mesiac)

2001 14 % zv.z. 2 400 Sk 336 (9,08 ) 887 (23,3 ) -551 (14,5 )2002 14 % zv.z. 2 750 Sk 385 (10,4 ) 970 (25,5 ) -585 (15,4 )2003 14 % zv.z. 2 890 Sk 405 (10,9 ) 1 045 (27,5 ) -640 (16,8 )2004 14 % zv.z. 3 664 Sk 485 (12,8 ) 1 420 (37,4 ) -935 (24,6 )2005 4 % zv.z. 14 365 Sk 576 (15,2 ) 1 890 (49,7 ) -1 271 (33,5 )

Prjmy a vdavky na poistencov ttu

Graf1

0.3456329163

0.4151596483

0.3748564007

0.3436648063

0.3515913616

0.33629604

0.3788049605

0.3969072165

0.3875598086

0.3415492958

0.3047619048

% krytia nkladov

% krytia nkladov

platby ttu 95 a 2002

ROKPlatba vSkVpoet z vymeriavacieho zkladuPoet ENPSPOLU v Sk

r.19943413,7% z 10% z vymer.zkl. 2 450,- Sk3,338,2351,361,999,880

r.199518113,7% z 54% z vymer.zkl. 2 450,- Sk3,283,5177,131,798,924

r.199626913,7% z 80% z vymer.zkl. 2 450,- Sk3,215,73710,380,399,036

r.199726913,7% z 80% z vymer.zkl. 2 450,- Sk3,229,64610,425,297,288

r.199827013,7% z 73% z vymer.zkl. 2 700,- Sk3,241,20010,501,488,000

r.199928313,7% z 76,5% z vymer.zkl. 2 700,- Sk3,241,73511,008,932,060

r.200028313,7% z 76,5% z vymer.zkl. 2 700,- Sk3,247,89111,029,837,836

r.200133614% z vymer.zkl. 2 400,- Sk3,234,05313,039,701,696

r.200238514% z vymer.zkl. 2 750,- Sk3,303,24715,261,001,140

r.200340514% z vymer.zkl. 2 890,- Sk3,303,52216,055,116,920

r.200448514% z vymer.zkl.3664,- Sk3,303,72419,227,673,680

r.20055764% z vymer.zkl.14365,-Sk3,303,84622,836,183,552

platby ttu 95 a 2002

34

181

269

269

270

283

283

336

385

405

485

576

Platba vSk

Platba ttu za ENP vSk/mesiac

vdavky na obyvateov

r. 95r. 96r. 97r.98r. 99r.2000r.2001r.2002*/

Vdavky celkom28,251,40335,445,93241,940,90344,003,24943,907,45345,840,09849,629,299

Vdavky na zdravotn starostlivos27,246,55733,782,03737,474,80341,071,68542,119,83044,067,24247,993,07949211770

Poet obyvateov ( SR)5,367,7905,378,9325,387,6505,393,3825,398,6575,402,5475,402,5475,402,547

Priemern vdavky na obyv./mesiac422.99523.37579.64634.60650.16679.73740.28759.08

Platba ttu za poistenca/mesiac181.00269.00269.00270.00283.00283.00336.00385.00

Deficit platby ttu za ENP ku vdavkom na 1 obyvatea-241.99-254.37-310.64-364.60-367.16-396.73-404.28-374.08

Ukazovater. 1995r. 1996r. 1997r.1998r. 1999r.2000r.2001r. 2002r. 2003r. 2004r. 2005

Priemern vdavky ZP na obyv./mesiac524648718786805842887970104514201890


Rozdiel platby ttu za ENP ku vdavkom ZP/1 obyv.-343-379-449-516-522-559-551-585-640-935-1314

% krytia nkladov34.6%41.5%37.5%34.4%35.2%33.6%37.9%39.7%38.8%34.2%30.5%

&C&"Arial CE,Tun"Vvoj vdavkov zdravotnch poisovn na zdravotn starostlivos za 1 obyvatea/mesiac a platby ttu za 1 ekonomicky neaktvneho poistenca

vdavky na obyvateov

&C&"Arial CE,Tun"&11Vvoj vdavkov zdravotnch poisovn na zdravotn starostlivos za 1 obyvatea/mesiac a platby ttu za 1 ekonomicky neaktvneho poistenca

Priemern vdavky ZP na obyv./mesiac

Platba ttu za poistenca/mesiac

Rozdiel platby ttu za ENP ku vdavkom ZP/1 obyv.

porovnanie prj,.vd.na 1 obyv.

% krytia nkladov

% krytia nkladov

grafy

Vvoj prjmov a vdavkov v zdravotnch poisovniach v tis. Sk

Tab. . 1

r. 1995r. 1996r. 1997r.1998r. 1999r.2000r.2001

Prevod z minulho obdobia992,1001,811,1001,456,6001,158,2001,811,3252,057,9291,901,915

Prjmy zpoistnho26,002,40034,462,40037,610,00039,619,33440,565,34643,432,49848,223,05050,124,965

- vber poistnho EAP18,726,90023,732,90026,809,00028,552,93428,973,84631,756,38034,628,750

- platba ttu za ENP7,131,80010,322,90010,425,60010,505,50010,878,30011,150,15813,193,800

- platba NP (FZ)143,700406,600375,400560,900713,200525,960400,500

Ostatn prjmy beneho obdobia1,494,2003,563,9003,381,7002,479,3003,278,8302,204,7371,024,645

z toho:

- nvratn fin. vpomoc zo R0001,270,0002,730,000400,000400,000

- piky, very000994,100177,93500

Disponibiln zdroje celkom28,488,70039,837,40042,448,30043,256,83445,655,50147,695,16450,403,757

Vdavky celkom28,251,40335,445,93241,940,90344,003,24943,907,45345,840,09849,634,004

v tom:

Na zdravotn starostlivos27,246,55733,782,03737,474,80341,071,68542,119,83044,067,24247,997,784

Zkladn fond26,936,69133,204,32436,459,27740,091,46341,061,87042,786,87546,975,157

- stavn starostlivos9,092,8129,839,8909,683,37818,177,02318,525,20418,531,69418,990,662

- vdavky na lieky7,626,34110,174,5299,822,71912,249,14112,436,27714,054,38415,853,976

- zdrav.pomcky1,284,3971,148,2521,232,2121,309,7701,094,394

- PAS4,673,6887,393,4894,993,2154,425,1624,309,0735,061,6014,841,407

- AS (v r.2001 vtane poliklink)003,317,6561,943,0391,666,5712,073,9323,090,907

- ostatn spolu4,395,5985,277,1825,690,4263,297,0982,892,5331,755,4941,195,549

Rezervn fond204,899450,903412,826265,673252,755190,792182,895

elov fond104,967126,810602,700714,549805,205786,743777,710

Sprvny fond1,004,8461,663,8951,751,2001,923,9041,763,0541,772,8561,636,220

Ostatn (vrtane spltok verov)002,714,9001,007,66024,569302,83262,022

Zvzky celkom3,142,2002,941,1698,296,04212,022,82312,797,86715,844,41517,779,866

zvzky: za lieky773,0002,138,0003,838,6813,463,8394,688,6836,620,466

vkony zdr.starostl.1,426,0004,481,0006,280,7544,620,9475,115,7343,997,215

ostatn:742,1691,677,0421,903,3884,713,0811,056,6195,255,887

- z toho nvratn fin.vpomoc645,7751,270,0004,000,0004,400,0003,391,217

- ostatn714,606583,379567,985

Pohadvky celkom1,264,9002,503,6736,379,62513,836,75816,058,66320,182,58826,145,723

z toho: na poistnom1,088,9001,705,4003,582,5937,587,1919,047,4619,871,30811,045,823

Poet obyvateov ( SR)5,367,7905,378,9325,387,6505,393,3825,398,6575,402,5475,402,547

TVORBA A ERPANIE ZDROJOVTvorba zdrojoverpanie zdrojov

Graf1

1895219.812567071202475.8592

1816517.514534721483543.3536

2136971.045406661788019.8336

2335736.275472881942107.552

2506175.039009844206612.66303772

2649681.844051645082002.12546779

2307228.19257225120273.63319341

2644572.439535495266841.20998916

3235674.620055096442419.26105339

4462860.580392876742619.99891754

5037942.054016576296973.61303663

4472147.643866352278233.74913485

4339107.558139341018805.3568

4495769.31201491900216.9792

4272991.26449075812927.808

3267689.60260926637990.2144

2259004.86926433557557.8624

Nklady na ZS 2002

zdroje na ZS (ENAP-385 Sk)

vekov kategrie

zdroje - nklady v tis. Sk

Zdroje a nklady na zdravotn starostlivos

list1

Vekov kategriaNklady na ZS 2002zdroje na ZS (ENAP-385 Sk)zdroje na ZS(ENAP-558Sk/439K)

od 0 do 4 rokov1,895,2201,202,4761,742,809

od 4 do 9 rokov1,816,5181,483,5432,150,175

od 10 do 14 rokov2,136,9711,788,0202,591,468

od 15 do 19 rokov2,335,7361,942,1082,814,795

od 20 do 24 rokov2,506,1754,206,6134,305,434

od 25 do 29 rokov2,649,6825,082,0025,177,087

od 30 do 34 rokov2,307,2285,120,2745,198,997

od 35 do 39 rokov2,644,5725,266,8415,347,818

od 40 do 44 rokov3,235,6756,442,4196,526,485

od 45 do 49 rokov4,462,8616,742,6206,830,603

od 50 do 54 rokov5,037,9426,296,9746,373,363

od 55 do 59 rokov4,472,1482,278,2342,629,041

od 60 do 64 rokov4,339,1081,018,8051,476,606

od 65 do 69 rokov4,495,769900,2171,304,730

od 70 do 74 rokov4,272,991812,9281,178,217

od 75 do 79 rokov3,267,690637,990924,672

od 80 rokov2,259,005557,558808,097

SPOLU54,135,29051,779,62157,380,397

Deficit v SRx-2,355,669x

Prebytok v SRxx3,245,107

Vekov kategriaNklady na zdrav.starost.2002ZDROJE na ZS - pri 5,6% PNZDROJE na ZS - pri 0% PN

od 0 do 4 rokov1,895,2201,202,4761,202,476

od 4 do 9 rokov1,816,5181,483,5431,483,543

od 10 do 14 rokov2,136,9711,788,0201,788,020

od 15 do 19 rokov2,335,7361,942,1081,942,108

od 20 do 24 rokov2,506,1754,206,6134,342,444

od 25 do 29 rokov2,649,6825,082,0025,225,611

od 30 do 34 rokov2,307,2285,120,2745,245,322

od 35 do 39 rokov2,644,5725,266,8415,410,174

od 40 do 44 rokov3,235,6756,442,4196,617,789

od 45 do 49 rokov4,462,8616,742,6206,984,501

od 50 do 54 rokov5,037,9426,296,9746,570,023

od 55 do 59 rokov4,472,1482,278,2342,520,618

od 60 do 64 rokov4,339,1081,018,8051,018,805

od 65 do 69 rokov4,495,769900,217900,217

od 70 do 74 rokov4,272,991812,928812,928

od 75 do 79 rokov3,267,690637,990637,990

od 80 rokov2,259,005557,558557,558

SPOLU54,135,29051,779,62153,260,127

Deficit v SRx-2,355,669-875,162

Strata na PNx-1,480,506x

kategria platiteaNklady na ZS 2002zdroje na ZS (ENAP-385 Sk)zdroje na ZS(ENAP-558Sk/439K)

ENAP (od 0 do 14 rokov)5,848,7084,474,0396,484,451

ENAP (od 15 do 19 rokov)2,335,7361,942,1082,814,795

EAP (od 20 do 39 rokov)10,107,65819,675,73020,029,337

EAP (od 40 do 49 rokov)7,698,53513,185,03913,357,087

EAP (od 50 do 59 rokov)9,510,0908,575,2079,002,404

ENAP (od 60 do 74 rokov)13,107,8682,731,9503,959,554

ENAP (nad 75 rokov)5,526,6941,195,5481,732,768

SPOLU54,135,29051,779,62157,380,397

Deficit zdrojov 2002x-2,355,669x

Prebytok zdrojov 2002xx3,245,107

27,316,2821484496041,435,97627,316,282

18,008,0054,501,3151.5168966123

kategria platiteaNklady na ZS 2002zdroje na ZS - pri 5,6% PNzdroje na ZS - pri 0% PN

EAP (od 20 do 39 rokov)10,107,65819,675,73020,059,205

EAP (od 40 do 49 rokov)7,698,53513,185,03913,602,290

EAP (od 50 do 59 rokov)9,510,0908,575,2079,254,988

Deficit v SRx-2,355,669-875,162

Strata na PNx-1,480,506x

Rok 2003RSR

Poet obyvateov10,2 mil.5,4 mil.

Finann zdroje na zdravotnctvo (bez priamych platieb obanov)162 mld. K59 mld. Sk

Finann zdroje na obyvatea496,3 EUR260,1 EUR

Porovnanie zdrojov na obyvatea100.0%52.4%

list1

00

00

00

00

00

00

00

00

00

00

00

00

00

00

00

00

00

Nklady na ZS 2002


vekov kategrie

zdroje - nklady v tis. Sk

Zdroje a nklady na zdravotn starostlivos v r.2002

list2

000

000

000

000

000

000

000

000

000

000

000

000

000

000

000

000

000

&CRon deficit zdrojov na zdravotn starostlivos z dvodu niieho odvodu poistnho za PN v roku 2002 v SR (deficit 1,48 mld.Sk)

Nklady na zdrav.starost.2002

ZDROJE na ZS - pri 5,6% PN

ZDROJE na ZS - pri 0% PN

000

000

000

000

000

000

000

&CRon nklady a zdroje na zdravotn starostlivos v SR poda vekovch skupn v roku 2002 (v mil.Sk)

Nklady na ZS 2002


zdroje na ZS(ENAP-558Sk/439K)

00

00

00

zdroje na ZS - pri 5,6% PN

zdroje na ZS - pri 0% PN

Ron deficit zdrojov na zdravotn starostlivos z dvodu niieho odvodu poistnho za PN v SR za rok 2002 (deficit 1,48 mld.Sk)

Ron nklady v tis.Skeny+muieny+muieny+mui

1999/20002000/20012001/2002

od 0 do 4 rokov1,978,6312,019,0151,791,447

od 4 do 9 rokov1,666,9711,618,8461,717,054

od 10 do 14 rokov1,866,2241,896,8172,019,962

od 15 do 19 rokov1,967,0981,983,3462,207,843

od 20 do 24 rokov2,264,1012,217,9692,368,950

od 25 do 29 rokov2,081,5722,189,2902,504,599

od 30 do 34 rokov1,869,5351,933,0012,180,896

od 35 do 39 rokov2,191,2012,253,2042,499,769

od 40 do 44 rokov2,897,1712,899,6623,058,506

od 45 do 49 rokov3,720,1953,888,1674,218,497

od 50 do 54 rokov3,698,1034,136,3724,762,090

od 55 do 59 rokov3,472,2143,764,4914,227,276

od 60 do 64 rokov3,359,9663,662,2494,101,521

od 65 do 69 rokov3,748,3943,989,5024,249,604

od 70 do 74 rokov3,360,1863,730,9404,039,024

od 75 do 79 rokov2,622,6512,867,8513,088,768

od 80 rokov1,594,2741,864,0682,135,313

SPOLU44,358,48846,914,79151,171,122

535.9781132628570.7005750217492.3156085768

342.7526825099357.459038869392.8020866176

358.2600351563377.4730102957403.4024180438

377.8459234724389.8334379419438.7089546964

445.9563937455455.5825053183486.5120104114

469.7932849998490.8051799406547.1368195505

460.3238695285493.2708091534559.3111230989

514.4843769176539.4058236827611.5638218524

633.7405245837651.5605442073717.6725600964

820.79382739853.9950588715939.2679189649

1019.18918821811079.17483819111183.9458755145

1125.02186181251228.25625069121336.5367661164

1266.184703071397.55158409481503.5715965739

1454.36446798761594.68914082381728.4604101487

1510.61747999821695.00745272281796.7208589295

1473.70899083531632.5548789161742.3870095959

1103.68145131431252.23190077071374.4886574106

755.8405447863814.0759600364883.6843913661

VZP-eny IR 2001

VZP-eny IR2002

VZP-eny IR2003

604.7297594511631.1898853078594.0703777508

388.1171636791398.4103054376464.0594546006

361.7118947557379.0761821573425.0682459027

320.2746675073330.6348627492392.9674160371

300.2344296008303.6332373445342.5730094368

300.1165200544311.2277058045352.1793096101

333.0354126275348.3942785939391.6433011746

388.4106637949397.5050346489454.4201603908

495.5125044767508.1338143156551.2349540476

652.9847623151669.6423081477721.8223228493

877.9430767368916.5008646663982.3037068707

1103.68806890311187.22087666731306.7525176395

1251.89113838671315.60205551921456.0246023808

1477.22826425681590.57310792531739.7973548297

1581.90663871421720.79564842861875.7131172498

1579.43404425641696.91489483311854.2308870551

1169.9135567011279.52396508851454.0514493097

v.priemer 5ZP-mui IR 2001

v.priemer 5ZP-mui IR2002

v.priemer 5ZP-mui IR2003

645.4193785513564.9115733839471.2126769627576.5546545304478.1879509985

383.6922571855468.5170924292389.4351464435347.2433716565353.9143971444

349.8612269511458.1013607546353.1464719942330.8503893825353.4278157102

311.8017194342378.735333766304.9617970159272.5321735372322.5039533637

298.0170169066333.8145974693286.9666533887246.5456309538275.6364621428

297.1931182191327.6336032923300.195192644271.360759884287.1314067958

335.2052726959354.1433939475314.5730741934313.4217999726314.4602404403

392.7689808047411.7319167713375.647805284351.4996959665356.7194260013

500.8371597982545.6284181434457.754950495460.7491816694423.7019895885

657.9408164339721.8800758517570.0495235036621.9578440668591.7033740907

878.7878576001944.7028458844876.7644665461806.0689520841782.6014686248

1109.92613650261241.0977033865962.96411688871022.6219432457993.9038038353

1256.48841767391411.48544520551116.31486340481117.5192868721183.2133676092

1462.14859580521852.22305260131372.40398126461333.03285271041366.9127659574

1563.70709417862094.57993981951445.54138398921363.19666911581468.802356722

1540.86673771522260.21767645221664.51926121371344.16608513611577.8329604773

1113.3847522992106.79715864251478.29193697871283.46714579061376.7123115578

627.4281552753595.0910794691506.3303669733511.118283754478.7133409041

IR2001-mui VZP

IR2001-mui SZP

IR2001-mui Apollo

IR2001-mui Sid.Istota

IR2001-mui Dvera

671.9923637865529.5988376265456.1974139501631.889254386542.8301075269631.1898853078

401.8367749862435.3749132719392.631996901352.4738381334372.6201769102398.4103054376

373.3398174198432.3903482468370.2408313631357.9391304348377.5323521432379.0761821573

325.6314597818366.4752227889326.8836363636302.1882508478322.8685164529330.6348627492

306.0854967187309.0056084819316.4635782152265.9044637322285.4909788002303.6332373445

311.7430782905316.6831961609317.9598534575284.5519584826312.407293666311.2277058045

354.2184776494340.495265027332.9799146515352.2903544001332.0410484296348.3942785939

405.1822398993397.409132451389.941090634372.5510232591363.1504339441397.5050346489

522.1247230821515.8761480101474.5959080629466.9971410641441.4545385722508.1338143156

678.1140777773707.9693603239617.7940351634642.389698231590.4181918586669.6423081477

931.128355443946.8275710108858.4551986779877.4398382204798.9221147782916.5008646663

1197.18173937461256.80889484431105.28001729171147.35405224381049.71629485941187.2208766673

1335.93113853041425.28388814911117.72002362671222.61362158651145.72653975361315.6020555192

1586.58113757191827.10687551981503.71612450271462.08631826191441.12444608571590.5731079253

1693.79126997772222.86864323581677.17342419081571.27164254891572.93285635661720.7956484286

1653.28861111112546.00479041921574.64681295721512.79031670911532.58430458431696.9148948331

1244.10520400142108.08388814911323.96157283291296.28586224751204.23120728931279.5239650885

665.4205469059593.0417001141538.1556681832554.7690595821502.9193594778627.9281234502

IR2002-mui VZP

IR2002-mui SZP

IR2002-mui Apollo


IR2002-mui Dvera

IR2002-mui v.priemer

535.9781132628465.0701519842405.4720672788495.0817785527422.642021978506.2690497807

342.7526825099432.9906491726339.6578737989314.985924852335.8383900929349.462016255

358.2600351563474.3404417671348.3658259364344.3313303757352.5619047619369.6517181074

377.8459234724443.2287050898385.6104430054415.2974501169457.4111960285394.7725483218

445.9563937455576.0836743333475.572971465510.9929754139548.4577637574476.7256149102

469.7932849998640.8863479342499.2560706402539.6917425228617.5661910424512.1095456247

460.3238695285588.4325026574505.6859355765488.2150279211557.8994643273491.3393811804

514.4843769176598.1630335419497.6376714792500.5400322784524.0441321686524.5035840117

633.7405245837731.7426420036593.8884323796573.3580211813612.4199610662638.6855534407

820.79382739940.2931565468771.9050646323757.196522819767.818400062826.7938376551

1019.18918821811141.5486795775947.7883986334922.3110953634968.23872939641021.4310383064

1125.02186181251291.355173576993.36595132971009.8305166007997.05869501891120.3332377854

1266.184703071594.66475613711201.62942651211148.46528050221173.1923617621276.9546136321

1454.36446798761920.49870448661370.87730061351315.16600247361495.11821086261471.531247696

1510.61747999821981.30915438321475.40269331021358.88762645911379.8495130381518.569952667

1473.70899083532127.91547958221473.6212342791333.50843727071524.37093023261489.4355371629

1103.68145131432021.85270170241272.26167437951177.33571077231303.57702776271133.5929415729

755.8405447863777.7630397718616.3442094815646.9349292009636.7489088397731.7064181763

IR2001-eny VZP

IR2001-eny SZP

IR2001-eny Apollo

IR2001-eny Sid.Istota

IR2001-eny Dvera

IR2001-eny v.priemer

570.7005750217443.9523486391421.5367868598554.099894948488.33148295541.1990225165

357.459038869398.318983104344.7102416878321.9531147109344.8227348132356.8336279022

377.4730102957443.0249117708383.2177317214355.9850286999374.1225889413383.7314773703

389.8334379419430.4062441367389.682704183408.7078638833433.7868817959399.0001982009

455.5825053183510.8079491715417.5396804437481.0780356935528.8937064775464.9447698462

490.8051799406613.6707296542455.5737981196533.5504703449596.1862261889514.0383216271

493.2708091534565.9251301057517.916631016490.2136289485573.9124968985510.7617763851

539.4058236827603.0154413872561.0949925579525.3771063335541.5499186992549.6944947529

651.5605442073698.5356950793644.2352305476593.0212906541636.908172411652.9095284067

853.9950588715925.7402092964876.8694773779778.9841047218808.7231320785859.3927646998

1079.17483819111141.67022913121062.6369378123985.1556626506968.61136291771075.117188867

1228.25625069121349.26542351451148.68125633231117.49571248421032.26614219981220.6056241328

1397.55158409481669.51607651611365.24311232211208.0899919291253.12016965131401.0659771812

1594.68914082382029.06412294651520.80422794121431.19219847561528.7222709981607.6920764799

1695.00745272282192.51203380491478.73329007141430.7890802731530.6234198271691.2818755538

1632.5548789162258.13507178441461.18195050951407.19156414761526.16365873671634.0041634877

1252.23190077072072.90762554251169.77224919091228.61593137261248.80224062351264.731168384

814.0759600364783.3814449903659.4887838557674.7685960655661.3582354923779.9784227249

IR2002-eny VZP

IR2002-eny SZP

IR2002-eny Apollo


IR2002-eny Dvera


583.6335013726656.6291565502511.2583178343689.6343559416618.9215487075594.0703777508

482.4614255157493.2548700387440.0015836358398.0509837809372.167642527464.0594546006

428.0554678232457.4634011874424.2925921813396.0808402292381.6294074024425.0682459027

388.6193394958482.3940878083392.6316309178337.76916284324.848096083392.9674160371

361.7963723689314.6695606751341.6638008469293.8386572116305.8022154316342.5730094368

366.379034034344.5481024039346.1607435477319.9523459962286.6113722999352.1793096101

406.9883896142385.0886015038373.7119845726385.7693234148308.155630105391.6433011746

474.8768299045430.5169091958421.9816773912433.9447822398386.2006817845454.4201603908

576.5597238134534.7757041645499.3516250464520.9112368182444.4102213096551.2349540476

742.6458112956728.8786294074660.418898057698.5631003886601.5553932498721.8223228493

1012.6017995105975.3614789892896.0016299387953.2129732502825.1615593483982.3037068707

1337.15422601861299.86305836321223.42664092661279.6121354781095.98471377321306.7525176395

1491.98977141961429.99380070411247.23747098181486.3519721211281.34383309471456.0246023808

1742.64822376171943.63742123121644.23061630221599.9432410751477.14935988621739.7973548297

1853.97150546972279.02970822281883.96879974531735.052834061618.91324200911875.7131172498

1820.5334652162438.24763655461737.0029940121711.47467166981716.47441860461854.2308870551

1397.6713644022225.51665243381431.2921525.95847923961545.06969376981454.0514493097

738.992865419654.9694938477601.2408781375624.8761026506525.2900462535695.2925143023

IR2003-mui VZP

IR2003-mui SZP

IR2003-mui Apollo


IR2003-mui Dvera

IR2003-mui v.priemer

492.3156085768560.3684738956449.7902752094592.7245142146539.80609319504.9225820125

392.8020866176427.9978230172391.8404027864357.2044333264346.6912650602389.6778616036

403.4024180438439.2030001339451.2778423622403.3632738095375.6540030049409.6788588186

438.7089546964480.8845388442439.1373614663485.4343095266439.8638027488447.575213734

486.5120104114507.8238365155444.2050103209525.2021571463501.8129496403488.8161752041

547.1368195505635.6991067231528.5450634637583.3939993406581.2814571668561.7560006238

559.3111230989634.3252754666544.8946895641549.913669596559.261349988567.8914557081

611.5638218524653.076577924608.9944540365597.7194712397569.4448866867613.3728575355

717.6725600964712.7551222269696.9975044193670.3844866477632.3840362665706.5022013472

939.2679189649951.935434232937.3226565698899.7168009549841.2325061837932.6874700718

1183.94587551451153.72255695391158.76299993681125.86662514461030.07654676261165.3831251755

1336.53676611641337.81049422341268.42859814831290.90887676671117.22457030151318.2274613853

1503.57159657391674.27832225911499.78439117411469.82761395.11475409841513.423747524

1728.46041014872058.18746104951736.65923282781693.56552880221690.93191611611748.3892806167

1796.72085892952151.5312895071799.88801652891687.76078431371784.68910569111810.7412144028

1742.38700959592204.10974409451600.73022994951677.75336597311687.88036932961752.414329062

1374.48865741062035.8426877471284.57085755811418.57822014051458.76972184221396.0180003351

883.6843913661844.1227528263741.6149013148778.0582777975696.0329215326849.4020422844

IR2003-eny VZP

IR2003-eny SZP

IR2003-eny Apollo


IR2003-eny Dvera


876612.961102018.3921978631.352

770341.488896629.8241666971.312

923253.96942969.8881866223.848

1064914.74902182.9921967097.732

1367123.208896977.982264101.188

1297159.14784413.3482081572.488

1100667.036768868.21869535.236

1243350.432947850.9722191201.404

1618730.6521278440.12897170.752

2083371.6481636823.8443720195.492

2044974.3961653128.1843698102.58

1876056.2641596158.13472214.364

1890010.3081469955.5523359965.86

2155610.8081592782.9683748393.776

2001961.141358225.043360186.18

1628233.056994417.9922622651.048

1049561.964544711.7521594273.716

&CRon nklady v roku 2001 na zdravotn starostlivos na poistencov v SR poda vekovej truktry v tis.Sk

eny 1999/2000

mui 2000/2001

eny+mui 2001/2002

000

000

000

000

000

000

000

000

000

000

000

000

000

000

000

000

000

&CRon nklady na zdravotn starostlivos v SR poda vekovej truktry poistencov (v tis.Sk)

eny+mui 1999/2000

eny+mui 2000/2001

eny+mui 2001/2002

111

&CRon nklady na zdravotn starostlivos na muov v SR poda vekovej truktry v tis.Sk

#ODKAZ!

#ODKAZ!

#ODKAZ!

111

&CRon nklady na zdravotn starostlivos na eny v SR poda vekovej truktry v tis.Sk

#ODKAZ!

#ODKAZ!

#ODKAZ!

11

&CPorovnanie ronch nkladov a zdrojov zdravotnho poistenia v SR poda vekovch skupn poistencov v mil.Sk

#ODKAZ!

#ODKAZ!

NKLADY NA ZDRAVOTN STAROSTLIVOS

Graf4

17052109987.3039699300000

11368073324.8693699300000

5100027568.41453699300000

3123656508.3212699300000

2196270949.96754699300000

1674740340.1377699300000

1347921486.79712699300000

1127313447.82651699300000

969914629.291672699300000

852631847.84719699300000

762123636.229203699300000

690235548.537547699300000

631752010.176062699300000

583208428.519593699300000

542227493.829336699300000

507131069.592919699300000

476704425.126545699300000

450048273.362905699300000

426483242.084073699300000

405486628.048992699300000

386649567.177796699300000

369647427.398015699300000

354218951.162428699300000

340151302.283137699300000

327269169.560739699300000

315426704.911144699300000

304501473.253511699300000

294389851.412576699300000

285003485.292931699300000

276266530.146072699300000

268113477.522714699300000

260487426.931343699300000

253338698.320085699300000

246623708.49234699300000

240304053.918458699300000

234345756.435372699300000

228718638.607078699300000

223395803.130613699300000

218353196.363496699300000

213569240.344321699300000

209024520.94979699300000

204701522.344755699300000

200584399.828266699300000

196658784.697979699300000

192911615.949977699300000

189330994.577105699300000

185906056.983061699300000

182626864.634445699300000

179484307.561105699300000

176470019.711267699300000

173576304.491116699300000

170796069.083441699300000

168122766.358282699300000

165550343.369146699300000

163073195.578488699300000

160686126.08144699300000

158384309.201712699300000

156163257.921821699300000

154018794.68423699300000

151947025.163021699300000

149944314.659203699300000

148007266.818371699300000

146132704.408345699300000

144317651.927799699300000

142559319.845527699300000

140855090.294691699300000

139202504.067692699300000

137599248.775747699300000

136043148.053264699300000

134532151.700998699300000

133064326.674106699300000

131637848.831795699300000

130250995.374503699300000

128902137.902705699300000

127589736.038508699300000

126312331.557537699300000

125068542.984088699300000

123857060.607442699300000

122676641.881544699300000

121526107.174068699300000

120404335.834311699300000

119310262.552348699300000

118242873.984596699300000

117201205.623307699300000

116184338.889676699300000

115191398.432136699300000

114221549.613147699300000

113273996.169311699300000

112347978.031018699300000

111442769.289093699300000

110557676.296989699300000

109692035.898119699300000

108845213.768791699300000

108016602.86805699300000

107205621.986474699300000

106411714.386616699300000

105634346.528422699300000

104873006.87349699300000

104127204.762536699300000

103396469.360894699300000

102680348.667285699300000

Hrok1

1.51.3051.16571428571.06622448980.99516034990.94440024990.90814303560.88224502550.86374644680.85053317630.84109512590.83435366140.82953832950.82609880680.82364200490.82188714630.8206336760.819738340.81909881430.81864201020.81831572160.81808265830.81791618450.81779727460.8177123390.81765167070.81760833620.8175773830.81755527360.81753948110.81752820080.81752014340.81751438820.81751027730.81750734090.81750524350.81750374540.81750267530.81750191090.81750136490.81750097490.81750069640.81750049740.81750035530.81750025380.81750018130.81750012950.81750009250.81750006610.81750004720.81750003370.81750002410.81750001720.81750001230.81750000880.81750000630.81750000450.81750000320.81750000230.81750000160.81750000120.81750000080.81750000060.81750000040.81750000030.81750000020.81750000020.81750000010.81750000010.81750000010.81750.81750.81750.81750.81750.81750.81750.81750.81750.81750.81750.81750.81750.81750.81750.81750.81750.81750.81750.81750.81750.81750.81750.81750.81750.81750.81750.81750.81750.81750.8175

0123456789101112131415161718192021222324252627282930313233343536373839404142434445464748495051525354555657585960616263646566676869707172737475767778798081828384858687888990919293949596979899100

69930000069930000069930000069930000069930000069930000069930000069930000069930000069930000069930000069930000069930000069930000069930000069930000069930000069930000069930000069930000069930000069930000069930000069930000069930000069930000069930000069930000069930000069930000069930000069930000069930000069930000069930000069930000069930000069930000069930000069930000069930000069930000069930000069930000069930000069930000069930000069930000069930000069930000069930000069930000069930000069930000069930000069930000069930000069930000069930000069930000069930000069930000069930000069930000069930000069930000069930000069930000069930000069930000069930000069930000069930000069930000069930000069930000069930000069930000069930000069930000069930000069930000069930000069930000069930000069930000069930000069930000069930000069930000069930000069930000069930000069930000069930000069930000069930000069930000069930000069930000069930000070,629,300,000

1705210998711368073325510002756831236565082196270950167474034013479214871127313448969914629852631848762123636690235549631752010583208429542227494507131070476704425450048273426483242405486628386649567369647427354218951340151302327269170315426705304501473294389851285003485276266530268113478260487427253338698246623708240304054234345756228718639223395803218353196213569240209024521204701522200584400196658785192911616189330995185906057182626865179484308176470020173576304170796069168122766165550343163073196160686126158384309156163258154018795151947025149944315148007267146132704144317652142559320140855090139202504137599249136043148134532152133064327131637849130250995128902138127589736126312332125068543123857061122676642121526107120404336119310263118242874117201206116184339115191398114221550113273996112347978111442769110557676109692036108845214108016603107205622106411714105634347104873007104127205103396469102680349

26.44%17.63%7.91%4.84%3.41%2.60%2.09%1.75%1.50%1.32%1.18%1.07%0.98%0.90%0.84%0.79%0.74%0.70%0.66%0.63%0.60%0.57%0.55%0.53%0.51%0.49%0.47%0.46%0.44%0.43%0.42%0.40%0.39%0.38%0.37%0.36%0.35%0.35%0.34%0.33%0.32%0.32%0.31%0.30%0.30%0.29%0.29%0.28%0.28%0.27%0.27%0.26%0.26%0.26%0.25%0.25%0.25%0.24%0.24%0.24%0.23%0.23%0.23%0.22%0.22%0.22%0.22%0.21%0.21%0.21%0.21%0.20%0.20%0.20%0.20%0.20%0.19%0.19%0.19%0.19%0.19%0.19%0.18%0.18%0.18%0.18%0.18%0.18%0.17%0.17%0.17%0.17%0.17%0.17%0.17%0.17%0.16%0.16%0.16%0.16%0.16%

160597.91293982351.98%2%

72070.67%10%

10.03%50%

6448819266812962.962962963

Hrok1

Hrok2

Hrok3

ZVERZ hadiska potreby uzavretia systmu nie je potrebn zavdza retrikn opatrenia v celej kle vkonovJe nevyhnutn venova osobitn pozornos relatvne zkej skupine finanne zvl nronm vkonom

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Slovenské zdravotníctvo a jeho REFORMA