Osnovni pravci razvoja zdravstvenog osiguranja u Republici Srbiji (1922-2014)

Abstract

Health insurance, as a form of social insurance, to insured people provides the right to health care and other rights in the area of health insurance. There is a long history of the development of health insurance in Serbia. The development of health insurance in Serbia is seen through three periods: to the First World War; between the two world wars and after World War II. In the world there are different forms of health care financing, different forms of ownership of the buildings and equipment in health care, different coverage of population with health insurance, as well as different content and scope of the health insurance rights. However, depending on the dominant source of funding, prevailing ownership and size of population covered by health care, the health care system of each country, can be classified into one of three basic models. The choice of model health care system is conditioned by historical, economic, social, cultural and other factors. Changes in these circumstances, the national health care systems move from one model to another. The current health care system in Serbia, formally speaking, belongs to the Bismarck model of the obligatory health insurance, while essential to the transition between the compulsory health insurance and a national health service (Beveridge model), without sufficient autonomy in deciding the Republican Fund and with a significant state intervention. We think that should keep the concept of the compulsory health insurance. If it continues to develop the model of mandatory health insurance, it is necessary to eliminate the existence of a dualism between state authorities and health insurance in the implementation of health insurance. Every duality is a major obstacle to the successful functioning of health insurance.