Health in North Macedonia

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Life expectancy at birth in North Macedonia Life expectancy by WBG -North Macedonia.png
Life expectancy at birth in North Macedonia

The Health in North Macedonia is improving. The Macedonian life expectancy in 2016 was 74 for men and 78 for women. In 2015 it was estimated that 11.44% of the Macedonian population had diabetes, costing about $403 per person per year. [1] In 2015 it had the fourth highest rate of death from non-communicable diseases in Europe (637 per 100,000). [2]

Contents

Healthcare

The country inherited a large health infrastructure after independence in 1991 with good well-distributed public health services. Private hospitals were opened and primary care was privatised. Subsequently both public and private providers have been integrated into one social insurance-funded model managed by the Health Insurance Fund of North Macedonia. The public hospital sector is seen as inefficient and is unpopular with both patients and professional staff. [3] 90% of the population are within 30 minutes of a health service. [4]

Expenditure on healthcare was $851 per head in 2014, 6.5% of GDP. [5]

According to the Euro health consumer index the Macedonian health system made the most remarkable advance of any country in the history of their Index, from 27th to 16th place in 2014, because by implementing a real time e-Booking system they reduced waiting lists so significantly. From July 2013, any GP can make a booking at any specialist or heavy diagnostic equipment in the country in real time while the patient is present. They rated Macedonia 16th in Europe in 2015. [6]

The Doctor’s Chamber of Macedonia complains that there is a discrepancy between the available funds and the quality of service expected, that facilities are not used efficiently, equipment is outdated and staff are not used effectively. [7]

Hospitals

Notable hospitals in North Macedonia include the following:

Related Research Articles

<span class="mw-page-title-main">Geography of North Macedonia</span>

North Macedonia is a country situated in southeastern Europe with geographic coordinates 41°50′N22°00′E, bordering Kosovo and Serbia to the north, Bulgaria to the east, Greece to the south and Albania to the west. The country is part of the wider region of Macedonia and makes up most of Vardar Macedonia. The country is a major transportation corridor from Western and Central Europe to Southern Europe and the Aegean Sea. North Macedonia is a landlocked country but has three major natural lakes: Lake Ohrid, Lake Prespa and Lake Dojran. It has a water area of 857 km2, while its land area is 24,856 km2.

<span class="mw-page-title-main">Clinic</span> Outpatient health care facility

A clinic is a health facility that is primarily focused on the care of outpatients. Clinics can be privately operated or publicly managed and funded. They typically cover the primary care needs of populations in local communities, in contrast to larger hospitals which offer more specialized treatments and admit inpatients for overnight stays.

<span class="mw-page-title-main">St. Clement of Ohrid University of Bitola</span>

The University St. Kliment Ohridski in Bitola is a public university in North Macedonia. Headquartered in Bitola, it also has faculties in Prilep, Ohrid, Veles, Kichevo and Skopje. It was founded on 25 April 1979, but the name of St. Clement of Ohrid was not given until late 1994. As of 2018–19 school year, a total of 4,139 students are enrolled at the university.

<span class="mw-page-title-main">Health in Morocco</span>

Morocco became an independent country in 1956. At that time there were only 400 private practitioners and 300 public health physicians in the entire country. By 1992, the government had thoroughly improved their health care service and quality. Health care was made available to over 70% of the population. Programs and courses to teach health and hygiene have been introduced to inform parents and children on how to correctly care for their own and their families' health.

<span class="mw-page-title-main">Health in Turkey</span> Overview of health in Turkey

The healthcare system in Turkey has improved in terms of health status especially after implementing the Health Transformation Program (HP) in 2003. "Health for All" was the slogan for this transformation, and HP aimed to provide and finance health care efficiently, effectively, and equitably. By covering most of the population, the General Health Insurance Scheme is financed by employers, employees, and government contributions through the Social Security Institution. Even though HP aimed to be equitable, after 18 years of implementation, there are still disparities between the regions in Turkey. These discrepancies can be seen in terms of infant mortality between rural and urban areas and different parts of the country, although these have been declining over the years. While the under-5 mortality rate in Western Marmara is 7.9, the under-5 mortality rate in Southeastern Asia is two times higher than Western Marmara, with the rate of 16.3 in 2021.

<span class="mw-page-title-main">Health in Ghana</span>

In precolonial Ghana, infectious diseases were the main cause of morbidity and mortality. The modern history of health in Ghana was heavily influenced by international actors such as Christian missionaries, European colonists, the World Bank, and the International Monetary Fund. In addition, the democratic shift in Ghana spurred healthcare reforms in an attempt to address the presence of infectious and noncommunicable diseases eventually resulting in the formation of the National Health insurance Scheme in place today.

Healthcare in Georgia is provided by a universal health care system under which the state funds medical treatment in a mainly privatized system of medical facilities. In 2013, the enactment of a universal health care program triggered universal coverage of government-sponsored medical care of the population and improving access to health care services. Responsibility for purchasing publicly financed health services lies with the Social Service Agency (SSA).

<span class="mw-page-title-main">North Macedonia</span> Country in Southeast Europe

North Macedonia, officially the Republic of North Macedonia, is a landlocked country in Southeast Europe. It shares land borders with Greece to the south, Albania to the west, Bulgaria to the east, Kosovo to the northwest and Serbia to the north. It constitutes approximately the northern third of the larger geographical region of Macedonia. Skopje, the capital and largest city, is home to a quarter of the country's population of 1.83 million. The majority of the residents are ethnic Macedonians, a South Slavic people. Albanians form a significant minority at around 25%, followed by Turks, Roma, Serbs, Bosniaks, Aromanians and a few other minorities.

The Republic of Moldova has a universal health care system.

<span class="mw-page-title-main">Healthcare in Serbia</span>

Healthcare in Serbia is delivered by means of a universal health care system.

<span class="mw-page-title-main">Healthcare in the United States</span>

Healthcare in the United States is largely provided by private sector healthcare facilities, and paid for by a combination of public programs, private insurance, and out-of-pocket payments. The U.S. is the only developed country without a system of universal healthcare, and a significant proportion of its population lacks health insurance. The United States spends more on healthcare than any other country, both in absolute terms and as a percentage of GDP; however, this expenditure does not necessarily translate into better overall health outcomes compared to other developed nations. Coverage varies widely across the population, with certain groups, such as the elderly and low-income individuals, receiving more comprehensive care through government programs such as Medicaid and Medicare.

<span class="mw-page-title-main">Health in North Korea</span>

North Korea has a life expectancy of 74 years as of 2022. While North Korea is classified as a low-income country, the structure of North Korea's causes of death (2013) is unlike that of other low-income countries. Rather, causes of death are closer to the worldwide averages, with non-communicable diseases – such as cardiovascular disease – accounting for two-thirds of the total deaths.

Croatia has a universal health care system, whose roots can be traced back to the Hungarian-Croatian Parliament Act of 1891, providing a form of mandatory insurance of all factory workers and craftsmen. The population is covered by a basic health insurance plan provided by statute and optional insurance and administered by the Croatian Health Insurance Fund. In 2012, annual compulsory healthcare related expenditures reached 21.0 billion kuna.

<span class="mw-page-title-main">Health care systems by country</span>

Examples of health care systems of the world, sorted by continent, are as follows.

Serbia ranked 65th in the world in life expectancy in 2018 with 73.3 years for men and 78.5 years for women. As of 2018, it had a low infant mortality rate. As of 2017, it had 2.96 practicing physicians per 1,000 people.

<span class="mw-page-title-main">Healthcare in Luxembourg</span>

Healthcare in Luxembourg is based on three fundamental principles: compulsory health insurance, free choice of healthcare provider for patients and compulsory compliance of providers in the set fixed costs for the services rendered. Citizens are covered by a healthcare system that provides medical, maternity and illness benefits and, for the elderly, attendance benefits. The extent of the coverage varies depending on the occupation of the individual. Those employed or receiving social security have full insurance coverage, and the self-employed and tradesmen are provided with both medical benefits and attendance benefits. That is all funded by taxes on citizens' incomes, payrolls and wages. However, the government covers the funding for maternity benefits as well as any other sector that needs additional funding. About 75% of the population purchases a complementary healthcare plan. About 99% of the people are covered under the state healthcare system.

Health in Malta has seen improvements in recent years, with one of the highest life expectancies in Europe. Malta has a good overall quality of health and has seen rapid growth and improvement in key health indicators. Malta has seen significant development in the practice of mental health which has been supported by new infrastructure and increased government health spending. The introduction of health-focused government initiatives, particularly around nutrition, alcohol, smoking, and health will likely contribute to the further improvement of overall health nationwide.

Government-guaranteed health care for all citizens of a country, often called universal health care, is a broad concept that has been implemented in several ways. The common denominator for all such programs is some form of government action aimed at broadly extending access to health care and setting minimum standards. Most implement universal health care through legislation, regulation, and taxation. Legislation and regulation direct what care must be provided, to whom, and on what basis.

<span class="mw-page-title-main">Healthcare in Kosovo</span>

In the past, Kosovo’s capabilities to develop a modern health care system were limited. Low GDP during 1990 worsened the situation even more. However, the establishment of the Faculty of Medicine in the University of Pristina marked a significant development in health care. This was also followed by launching different health clinics which enabled better conditions for professional development.

Environmental issues in North Macedonia include air and water pollution, deforestation, threats to endemic species and climate change. There is substantial degree of pollution in the air, water and land of North Macedonia. According to 2019 estimates, the country is considered to have one of the highest degrees of pollution in Europe.

References

  1. "Top 10: Which country has the highest rates of diabetes in Europe? The UK's position might surprise you…". Diabetes UK. 27 August 2015. Retrieved 20 December 2015.
  2. Ballas, Dimitris; Dorling, Danny; Hennig, Benjamin (2017). The Human Atlas of Europe. Bristol: Policy Press. p. 66. ISBN   9781447313540.
  3. Milevska Kostova, N.; Chichevalieva, S.; Ponce, N. A.; Van Ginneken, E.; Winkelmann, J. (2017). "The former Yugoslav Republic of Macedonia: Health System Review". Health Systems in Transition. Vol. 19, no. 3. U.S. National Library of Medicine. pp. 1–160. PMID   28485716.
  4. "Health care system in the Republic of Macedonia – current situation and development perspectives". January 2008. Retrieved 27 December 2018.
  5. "The former Yugoslav Republic of Macedonia". WHO. 2018. Retrieved 27 December 2018.
  6. "Outcomes in EHCI 2015" (PDF). Health Consumer Powerhouse. 26 January 2016. Archived from the original (PDF) on 6 June 2017. Retrieved 27 January 2016.
  7. "Challenges in the healthcare system of the Republic of Macedonia". FOMOSO. 14 March 2018. Retrieved 4 February 2019.
  8. 1 2 3 4 5 6 7 8 9 "Medical Assistance in North Macedonia". U.S. Embassy, Skopje. Retrieved January 5, 2021.
  9. "General Hospital Ohrid". General Hospital Ohrid. Retrieved January 5, 2021.
  10. "Institute for prevention, treatment and rehabilitation of cardiovascular diseases - Ohrid". en.cardioohrid.mk.
  11. "Презентации". Traortoh (in Macedonian). Archived from the original on 2022-09-24. Retrieved 2024-09-24.