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Country Chapters: Croatia

Selection of Sector:

Transparency International Croatia team selected the health sector as the sector in which the project would be implemented. The health sector was chosen based on the agreement of the team members that health services for the poor are in the most urgent need of improvement in terms of both quality and transparency of the work of public health institutions. As the poor are highly susceptible to contraction of chronic diseases due to their living conditions, transparent and efficient work of public health institutions, namely hospitals, is crucial for this particularly vulnerable group.

Justification for Selection:

TI Croatia team members have detected lack of transparency and information about waiting times in hospitals and nursery homes as an area of public interest that could be improved by making waiting lists for diagnostics and surgeries as well as application for nursery homes public, which was made the final objective of the project. Bearing in mind privacy laws and laws that regulate protection of personal data, it was agreed that the lists could be published using codes or assigned numbers instead of patients' names. One hospital in the area of the city of Zagreb was selected for the implementation of pilot project due to its advanced level of computerization of services and on-going ICT projects.

Liaison with Stakeholders:

Implementation of the project in a public health institution requires obtaining a permission from the Ministry of Health, which TI Croatia project team has foreseen as a possible obstacle due to the recent changes in the Government and consequently, in the administration staff.  As an alternative solution, liaison was established with the City of Zagreb City Office for Health, Labor and Social Welfare in order to examine the possibility of publicizing waiting lists for nursery homes which are in the domain of the City Office.

The Ministry of Health and Social Welfare has welcomed TI Croatia's initiative and a written permission was granted to proceed with the project in the selected sector.

The Head of the City of Zagreb Office for Health, labor and Social Welfare welcome this idea and approved actions to be undertaken.