National Development Strategy Croatia 2030: Roadmap for a Better Future

Required actions
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Review existing revenue collection policies and identify additional revenue sources such as widening 
of the payers base and/or increasing contributions from general tax revenue or earmarked taxes.
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Review distribution of funds among different levels of care and services and secure more funding for 
primary care and prevention activities.

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Croatia 2030: Roadmap for a Better Future
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Use targeted co-payments to control inappropriate utilization of medical services.
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Adjust the current payment system for hospital care (possibly starting with a pilot coupled with impact 
evaluation and ongoing monitoring) for improving efficiency, optimizing care delivery networks and 
data driven service planning. 
•
Improve public procurement process and increase coverage of centralized procurement of medicines, 
commodities, and devices as well as general supplies in the health sector.
•
Increase application of health technology assessment (HTA) to prioritize services based on cost and 
effectiveness results. 
•
Conduct comprehensive evaluation of service delivery across all levels of care including primary, 
emergency, inpatient and long-term care to identify gaps and future directions to improve care inte-
gration, health system costs, efficiency, access and quality.
•
For primary care, mapping and evaluation of preventive activities should be considered within the 
larger framework of NCD prevention and control
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Identify options for the reconfiguration of the hospital sector, considering different models (merger, 
functional integration, reshaping etc.), and assess readiness against preconditions for reconfiguration 
(IT tools, human resources, required legal changes, payment mechanisms, clinical pathway, training 
materials etc.).
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Use rich information basis collected in different parts of the system, to connect and integrate treatments 
between different care providers. 
•
Engage professional associations on curriculum for on-the-job training and continuing professional 
development. 
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Clearly define roles and responsibilities of institutions in charge for quality measurement and improve 
their capacity and use more effectively available health data to monitor and improve quality of care 
providers.
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Pilot new quality improvement initiatives to address quality gaps in priority areas (i.e. diabetes, heart 
conditions, cancer). 
•
Build national capacity in data analytics including integration of provider and patient dashboards into 
the existing infrastructure and practices. 
•
Develop or update nationally adapted clinical guidelines and patient pathways for the prevention and 
control of selected high burden NCDs. 
•
Expand primary care facilities at local level.
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Continue with investments in advanced facilities for “modern” diseases, such as cancers, addictions, 
cardiovascular diseases, and dementia. 
•
Support investments in IT tools and specialized trainings enabling more effective use of data, to steer 
the health care system and improve governance capacity. 
•
Provide support for projects aiming to increase the effectiveness of the health care delivery systems at 
a local level to support the poorest and most vulnerable elderly citizens. 
•
Design and implement national level public health interventions to reduce NCDs and other age-related 
health issues. 
•
Develop an evidence-based Active and Healthy Aging Strategy and Action Plan with inputs, with a 
clearly defined whole-of-government approach to aging with age sensitive policies and programs in 

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B.
Assuring sustainability in the domestic economy 
Poverty and social protection