Croatia

Healthcare System

Croatia has a mandatory health insurance system, with the Croatian Health Insurance Fund (CHIF) being its sole insurer and main purchaser. Additional, voluntary health insurance can be purchased individually from the CHIF or private insurers to cover co-payments for services in the benefit package, with over 60% of the population opting for this additional insurance. The main regulatory body of the Croatian health system is the Ministry of Health.

The National Public Health Information System of the Croatian Institute of Public Health (CIPH) collects data for various registries, including a cancer registry. The Central Health Information System (CEZIH), on the other hand, is managed by CHIF and is used to share standardized health data to support delivery of primary, secondary and tertiary healthcare. [1]

Administrative or Claims Data

Central Health Information System

Sponsor, manager or home institution: Croatian Health Insurance Fund.

Type of information: The content of the complete dataset was not found.

Available type of information: Procedures grouper including tables with all categories of procedures, casemix, admission justification, main diagnosis, as well as different sortings such as frequency by category of hospital, by complexity, etc.

Source of information: Data is acquired from all healthcare providers in Croatia [2].

Data level: Patient level.

Available data level: Hospital level.

Number of records: Unknown.

Date range: Unknown.

Available date range: 2010 onwards.

Data access: Partially publicly available data. Reports can be found here.

Information/Contact for data request: Unknown.

Registries

Croatian National Cancer Registry

Primary purpose: Register cancer frequency and mortality in Croatia.

Sponsor, manager or home institution: Croatian Institute of Public Health.

Type of information: Discharged patients and out-of-hospital reports of malignant neoplasm, registers of cancer death.

Source of Information: Reports from health institutions and private practice health workers. The mortality database is sent from the State Statistics Office and the Croatian Institute of Public Health data from the Patient Statistical Forms on magnetic media obtained from the Department of Health Care and Hospital Health Care of the Croatian Institute of Public Health.

Data level: Patient level.

Number of Records: Unknown.

Date Range: 1959 onwards. [3]

Cancer Areas of Interest: Unknown.

Data access: Data is not publicly available. Reports can be found here.

Information/Contact for data request: Instructions to access data here.

Medicinal Products

Primary purpose: List all medicinal products with marketing authorization granted by HALMED and the European Medicines Agency (EMA).

Sponsor, manager, or home institution: Agency for Medicinal Products and Medical Devices (HALMED)

Available information: Medicine name, marketing authorisation number, active substance, pharmaceutical form, manufacturer, marketing authorization holder, marketing authorization date, MA period of validity, classification number, registration number, composition, prescription, type of prescription, distribution, advertising to general public, ATC code and medicinal product marketed in Croatia.

Data access: Data is publicly available here.

European Cancer Information System (ECIS)

Primary purpose: Provide publicly available quantitative data about cancer in Europe's countries.

Sponsor, manager or home institution: Commission's Joint Research Centre (JRC).

Type of databases: Cancer incidence and mortality estimates for 2020, cancer incidence and mortality long-term estimates up to 2040, cancer incidence and mortality registries, and cancer survival.

Type of information: Country/registry, sex, cancer site, age, year, type of projected population and type of indicator.

Source of Information: Hospitals, death certificates, laboratory services and the World Health Organization’s mortality database.

Data level: National level.

Number of Records:

Cancer incidence: 274,184

Cancer mortality: 166,482

Data Range:

Cancer incidence: 2000-2012

Cancer mortality: 2001-2013

Cancer areas of interest (ICD):

Incidence and mortality estimates 2020 and long-term estimates up to 2040

Cancer Incidence and Mortality in Europe

Childhood Cancer Incidence in Europe

Cancer Survival

Link/contact: Contact information can be found here.