National strategy for reduction of poverty and social exclusion in the republic of macedonia

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2. Social inclusion in healthcare

  • The priorities in the area of healthcare will be achieved with continuous and good quality realization of the previously mentioned measures and activities, as well as with the normative acts that regulate the specific rights, obligations and responsibilities of everyone involved in this process. The basic prerequisite for the implementation of these normative acts are:

    1. Inform the professional and the broader public about the legal effectuation of the normative act and the significance of the provisions it contains. It is insufficient to publish the act in the Official Gazette of the Republic of Macedonia which is only formally accessible to everyone.

    2. Train the entities responsible for enforcing the regulation, including appropriate dissemination of information to the public.

    3. Train the authorities responsible for supervising the enforcement of the regulation and

    4. Functioning of the systems for protection of the rights established with the legal and judicial system of the Republic of Macedonia (including institutions outside of the health system: judiciary, ombudsman etc.).

    • The reduction of poverty and social exclusion are also under the influence of the following programs: Program for Mandatory Health Insurance of Citizens of the Republic of Macedonia not Covered by the Mandatory Health Insurance System; the National Annual Public Health Program; Program for Active Healthcare for Mothers and Children; Program for Early Detection of Malignant Conditions; Program for Preemptive Measures for Prevention of Tuberculosis among the Population; Program for Protection of the Population against AIDS; Project for Roma Health Mediators etc.

    • 3. Undertaking legal measures and acts that will facilitate equal access to the long term care services for the socially excluded and vulnerable groups by promoting deinstitutionalization of the services and provision of assistance in a home environment and in the institutions. Development of a program for decentralization of the long term care services and improvement of the physical and infrastructure conditions pertinent to long term care in cooperation with the units of local self-government and CSW.

    • 4. Undertaking measures for standardized programs and services, education of professionals and family members which will provide the services of long term care in a home environment. Provide improvement through partnerships with the public institutions directly involved in long term care. Raise the public awareness of the population for promoting the model for long term care and the right of the patients to choose which services they will use.

    • 5. Develop and promote a sustainable financial model for long term care. Develop public – private partnership, concessions primarily for the homes for the elderly (above 65 years of age) and the chronically ill persons in cooperation with the units of local self-government. Promotion of alternative programs and services related to long term care in cooperation with NGOs, religious organizations, individuals, CSW, local communities etc.

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