Slovakia
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Healthcare System
Slovakia operates a universal healthcare system, which provides comprehensive coverage to all its residents. The system is primarily funded through a combination of compulsory health insurance contributions, taxes, and additional state budget allocations.
The Ministry of Health is the main governing body responsible for overseeing and regulating the healthcare system in Slovakia. The system is managed at the national level, with the implementation of policies and services being carried out by regional health insurance companies. These regional insurance companies are overseen by the Health Care Surveillance Authority (HCSA).
Slovak citizens and residents receive a range of healthcare services and benefits, including primary and specialized care, inpatient and outpatient services, preventative care, maternity care, dental care, and prescription medications. Emergency care is also provided to all individuals, regardless of their insurance status. In order to access healthcare benefits, individuals must be registered with one of three public health insurance companies in the country. Residents are automatically enrolled in the system through their employment or social security benefits. Unemployed individuals, pensioners, and those with specific social statuses are also covered by the system.
Slovakia has implemented a National Health Information System (NHIS), which serves as the central repository for electronic health records, claims data, and registries. Healthcare providers are required to submit patient data electronically, allowing for a more efficient and streamlined healthcare system. The NHIS also enables better coordination between healthcare providers and supports evidence-based decision-making in healthcare policy and management.
Registries
Database: NCZI Cancer Registry (Slovakia)
Sponsor, manager or home institution: Národné centrum zdravotníckych informácií.
Primary purpose: to provide comprehensive and accurate information on the occurrence of oncological diseases in a defined population, enabling the evaluation and control of the impact of oncology in the community and informing public health priorities and cancer control activities.
Type of information: No data dictionary was found for this database.
Available type of information: Estimated incidence of malignant tumors and incidence indicators according to diagnosis; Gender; Year; Age group; Territory and stage [1].
Source of Information: Data reported by relevant intelligence units (SJ) and healthcare providers (PZS) who are obligated to report patients with malignant tumors.
Data level: Patient level.
Available data level: Regional level.
Number of Records: Unknown.
Date Range: 1997 to 2012.
Cancer Areas of Interest: Malignant tumors and carcinomas in situ (C00-C96, D00-D09); Lips, oral cavity and pharynx (C00 – C14); digestive organs (C15 – C26); Respiratory and intrathoracic organs (C30 – C39); Bones and articular cartilage (C40 – C41); Melanoma and other skin cancers (C43 – C44); Mesothelium and soft tissue (C45 – C49); Breast (C50); Female genital organs (C51 – C58); Male genitalia (C60 – C63); Urinary system (C64 – C68); Eye, brain and other parts of the CNS (C69 – C72); Thyroid and other endocrine glands (C73-C75); Imprecisely determined, secondary and non-specific locations (C76 – C80); Lymphatic, hematopoietic and related tissue (C81 – C96); Carcinomas in situ (D00 – D09).
Data access: Partially publicly available [2]. Instructions to request data for restricted content [3].
Contact information: Information [4].
Database: DATACube Deaths Registry
Sponsor, manager or home institution: Štatistický úrad SR.
Primary purpose: The collection and processing of data for the purposes of demographic statistics in accordance with the standards of the European statistical system.
Type of information: Date of death; Date of birth; Birth number of the deceased; Gender of the deceased; Educational attainment; Employment; State, district, and municipality of death; Place of death; Place of birth; Nationality; Permanent residence; Condition; Life expectancy in hours (in case of death within 24 hours); Where the death occurred; Birth weight; Was the father of the child the husband of the mother?; Cause of death according to clinical findings and 4-digit mark (code); Final diagnosis according to the performed autopsy and 4-digit mark (code) [5].
Available type of information: The most frequent causes of death of population, Autopsies and share of autopsies by causes of death; Causes of death; Year; Month; Age; Mean age; Age-group; Sex; Area; Region, District and permanent residence [6].
Source of Information: Statistical survey through the statistical report.
Data level: Patient level.
Available data level: National level.
Number of Records: Unknown.
Date Range: 1993 onwards.
Cancer Areas of Interest: Neoplasms (C00-D48).
Data access: Partially publicly available. Publicly available data can be found [7] at Population > Status and Movement of the Population > Demographic Process > Death. Instructions to request data for restricted content [8].
Contact information: Information [9].
Electronic Health Records
Database: National Register of Electronic Health Books
Primary Purpose: To collect and process personal health data for the maintenance of electronic health records, health statistics, state health policy, and healthcare quality improvement
Sponsor, manager, or home institution: The National Center for Health Information (NCZI).
Number of records: Unknown.
Data source: Data inserted by healthcare providers.
Date range: Unknown.
Contact information: Information [10].
Latest Policymaking Initiatives
Reports: National Oncology Institute
Sponsor, manager or home institution: Národný Onkologický Inštitútu.
Primary purpose: To function as a clinical-research, academic, and educational platform to support the National Oncology Program in various areas, including epidemiology, science, research, prevention, screening, diagnosis, treatment, and supportive care.
Type of information: The most common cancers; Cancer diseases; Overview of the availability of palliative care in the health system; Number of capacities in palliative care; Availability of original oncology treatment; Cost-effectiveness of colorectal cancer screening; Participation in opportunistic colorectal cancer screening; Number of breast, cervical, colorectal and lung screenings; Rate of participation in screenings; estimated rate of coverage; Share of clinical stages of malignant tumors; Number and percentage of clinical stages of malignant tumors; List of verified screening mammography workplaces; Number of women invited to a screening mammography examination; Relative rate of women's participation in mammography screening; Number of diagnosed malignancies during mammography screening.
Data level: National and regional level.
Access to information: Access annual reports [11]. Screenings information [12]; Epidemiological report of cancer diseases [13].
Report: EU Country Cancer Profile 2023
Sponsor, manager or home institution: OECD and European Commission.
Primary purpose: To provide reliable data on cancer prevention and care, identifying trends, disparities, and inequalities among EU Member States and regions to guide interventions under Europe's Beating Cancer Plan.
Type of information: National cancer burden; Cancer incidence and mortality; Risk factors for cancer; Early detection programs (screenings); Cancer care performance, The impact of COVID-19 on cancer care.
Data level: National level.
Access to information: Access Information [14].
Compilation: ESMO Patient Guides
Sponsor, manager or home institution: European Society for Medical Oncology
Primary purpose: To translate complex medical language into understandable information for patients.
Available guides: Tumor Pain; Adverse Effects of Immunotherapy; Life after an Oncological Diagnosis;AML; CML; Follicular Lymphoma; Gliomas; Head and Neck Cancer; Liver Cancer; Endometrial Carcinoma; Cervical Carcinoma; Colorectal Cancer; Bone Sarcomas; Non-Small Cell Lung Carcinoma; Pancreatic Cancer; Prostate Cancer; Breast Cancer; Testicular Cancer; Ovarian Cancer; Multiple Myeloma.
Type of information: Information on each guide varies for each cancer type. Generally, guides provide definitions, explanations of causes, diagnosis, treatment, treatment options, care after treatment, among others.
Access to information: List of guides [15].
Quality of Life and Palliative Care Research
List of Articles: Quality of Life [16] and Palliative Care [17].
