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STRATEGY FOR HEALTH CARE DEVELOPMENT IN MONTENGRO

Published date: 15.12.2003 15:36 | Author: Strategija razvoja zdravstva Crne Gore

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By adopting Health policy in the Republic of Montenegro until 2020, Montenegro has joined an unique international process implementing papers of the World Health Organization 'Health for all in XXI Century' and '21 objectives for the 21st Century'. The health care policy strategy established by way of this document is founded on improving the quality of health of the population, by adapting and improving activity of the health care system in harmony with financial abilities.

Health policy in the Republic of Montenegro until 2020 represents the foundation for legislative, platform and action programs, with the objective to make health care more efficient and better quality and to include health care in Montenegro in the European and World health development process.

Health policy in the Republic of Montenegro until 2020 has defined general objectives for health policy.

1. Extending life expectancy
Preventing premature death and thus increasing life expectancy is the primary objective for health policy and the basic objective for the health care system, which is achieved through disease prevention measures and treatment of the ill.

2. Improving quality of life relating to health
Health problems influence the quality of life for citizens and decrease their ability to work and function. Health problems also influence the way the family functions, community and the entire society. Improving the quality of life and preventing its decline because of health problems – is the second primary objective for health policy.

3. Decreasing differences in health
Differences in the state of health and access to the health care system among socio-economic classes of society are present in all societies. The objective for health policy is to decrease and influence these differences through targeted and active measures for redistribution of health assets and resources towards vulnerable groups of society.



4. Financial risk Insurance

Health problems may cause considerable negative financial consequences to citizens and their families. Medical science, together with expenditure for treatment and prevention of disease grows faster than the economic basis of society. Therefore it is necessary to introduce adequate forms of financing for health care, which shall provide access to required health care, and thus distribute financial risk, so that citizens are not placed in financial danger in cases of illness.


The health system represents one of the most complex systems of any nation. Taking into consideration its importance and influence on the state of health of the population in any country, as well as its large economic influence, the State carries out a number of measures for planning and managing the health care system with the intention to provide rational and stable financing and a quality health care system, aimed at basic health care within the framework of available resources. In all countries due to the ageing population and the introduction of new and expensive medical technology there is an ever-present increase to expenditure for proving health care service.

The health care system of Montenegro had represented part of the health care system of the former SFRY, which was characterized by irrational and inefficient organization while promoting access to all health care rights. In that way a picture was formed that citizens have rights to any kind of health care service, regardless of necessity, but without previously developing the conscience of citizens that every health care service has its price and that health care is not free.

The reasons for health care reform should be looked for in the inefficiently functioning health care system and a number of identified problems, from inadequately organized health care services, methods of collecting and allocating resources, absence of an adequate system that monitors and controls different segments of the health system and insufficient quality of the service provided. All of these problems have been present for many years in the health care system. The health insurance and health care system reforms shall penetrate all segments and shall have strong implications on events in other segments of society.
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