NATIONAL STRATEGY FOR INFORMATION
SOCIETY DEVELOPMENT AND ACTION PLAN
46
The Macedonian health care system shall ensure a centralised electronic database of health
related data of the population of the Republic of Macedonia, which in compliance with the Data
Protection Law, shall be accessible to:
1. HIF for executing of the payments and monitoring over the expenses;
2. Health care institutions for an insight into the history of the patients (anamnesis) and keeping
of medical and financial records;
3. Public Health Care Institute (PHCI) for keeping of health care statistics and proposing, i.e.
monitoring of health policies;
4. Other participants in the health care system that need and are allowed to have a controlled
access to medical and to the health-financial data.
MH shall provide for a centralised database for:
1. Accredited health care institutions and pharmacies;
2. licensed professional medical personnel;
3. nomenclature of diseases, health care services and other;
4. Register of registered medicines.
HIF shall provide for electronic databases for:
1. information on various insurance packages, in compliance with the established policies of
the MH;
2. Register of health care institutions with which the HIF has concluded contracts;
3. Register if insured persons;
4. Register of employers and/or other health insurance paying parties.
HIF and PHCI shall continue with their current functions, however, with increased efficacy, as a
result to the improved insight into the health care and in the financial records.
2.5.2 Objectives
O5.01 - quick access for the patients to the health care services;
O5.02 - quick access to the medical history (anamnesis) of the patient from any location, i.e.
health care institution;
O5.03 - up-dated overview of the health-financial data for the purpose of improvement of
the liquidity and the control over the expenses, with ultimate objective - improvement
of the financial performances of the HIF;
O5.04 - electronic exercising of rights regarding health insurance;
O5.05 - increasing of the quality of services through electronic following of the medical
records and the treatment (evidence based decision-making);
O5.06 - improvement of quality of medical statistics and efficiency in the implementation of
health care policies;
O5.07 - securing of high quality information for the needs of education, researches and
development of medical professionals;
O5.08 - harmonising of the quality and the standards of the health care system and of the
he health care services with those of the European Union.
The information technology that shall be introduced in the health care system, should meet the
following standards:
• interoperability of the systems and standard protocols for exchange of data;
• application of the widely adopted and unified nomenclature and encoding systems;
NATIONAL STRATEGY FOR INFORMATION SOCIETY DEVELOPMENT AND ACTION PLAN