Director of the Institute for Economic and Social Reforms (INEKO) Dušan Zachar sees in the nationalization of the Emergency Medical Service (ZZS) Risks of corruption and clientelism. “The risk of political nominations and ineffective public resources,” would increase, ” He stated for TASR.
“We would lose the valuable base of comparison, the innovative pressure from private ambulances, it would be necessary to find in a short period of time and At the time of consolidation, a relatively large package of public finances to buy a large number of ambulances and rescue settlements (…), since it would be a state monopoly, we would risk stagnation for this reason, as no one would push the state monopoly, ”he said.
Even in the introduction of priority law of state and public entities to operate rescue would be according to him increased the risk of corruption. “It would be even more ‘stuck hands’ to get They asked for consideration for their (in) engagement in the tender. They would gain a privileged position, which would increase the value of their decision, ”Zachar said. He added that Such a step would be distorted by the market and could trigger conflicts between different ministries or providers.
On the proposals to pass the ZZS system under the administration of “urgent” hospitals, Zachar noted that Not all hospitals would be interested in such a role. According to him, the operation of ambulances requires sources, capacities and know-how that many hospitals do not have. “It certainly suits many hospitals when other, specialized entities provide an emergency medical service and do not have to burden it. After all, only a few hospitals were involved in the current tender, ”he concluded.
In connection with the abolished tender for ambulances multiple organizations are requested fundamental changes in the ZZS system. The Medical Trade Union and Rescue Union Calls for the strengthening of the role of the State, the Association of Employers’ Associations and Associations and Association of Hospitals of Slovakia propose Assign ambulances to hospitals with urgent income.
According to the Minister of Health Kamil Šaška (Voice-SD), the system has proved to be bad under the current conditions, the next procedure will be “crystal clean”. Professional analyzes should further show how to set up rescue as possible. Three possible solutions were presented – nationalization of ambulances, priority right of state and public organizations for ambulances and incorporation of ambulances into the so -called. an integrated rescue system.
