published: 16.09.2013, 18:38 | updated: 16.09.2013 18:45:46
Prague - Minimally one third of Czech hospitals are threatened with collapse, the crisis committee of hospitals, trade unions and patients warned today and discussed the situation with Prime Minister Jiri Rusnok.
The emergency committee demands more money for hospitals still this year, else they will only be capable of providing reduced care at the year´s end.
The committee said all hospitals are in a crisis, irrespective of their size and establisher. It said hospitals are increasing their internal debt and many are insolvent even though this is not much evident outwardly as yet.
More money is also demanded by private doctors.
"Promises to raise the insurance payments for some groups of inhabitants [such as children or the unemployed] covered by the state are not enough because they will only come next year. We see an amendment to the decree on payments for treatments that has caused the crisis to be passed," Eduard Sohlich, chairman of the Association of Bohemian and Moravian Hospitals, said.
He told CTK after the meeting with Rusnok that the latter agrees with higher health insurance payments made by the state and that only its level is yet to be agreed on.
Rusnok, however, requires analyses of the technical implementation of a possible amendment to the decree on treatment payments and on a loan to the state General Health Insurance Company (VZP).
Sohlich said the emergency committee will submit them as soon as possible for the crisis to start to be solved.
"Planned operations are being adjourned and the internal debt is rising," Jaroslava Kunova, chairwoman of the Association of Hospitals, told journalists.
She said payments of up to two billion crowns are overdue. This year´s decree on payments for treatments has cut hospitals´ incomes by six billion crowns and the state has drawn another six billion crowns from hospitals in the form of a higher VAT, Kunova said.
The crisis committee wants payments to hospitals to be raised minimally to 105 percent. It said a yearly indexation of the payments made by the state for certain groups of inhabitants and exemption of medicines and health care material and equipment from VAT would avert a repetition of crises.
The coalition of out-patient doctors has called on health insurance companies and the Health Ministry to give the same additional volume of financial means they will give to hospitals to out-patients surgeries as well.
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