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Country profiles of health system responses to the crisis | Montenegro
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User charges
• No response reported.
Changes to health service planning, purchasing and delivery
Prices of medical goods
• Improvements in drug procurement through revising existing list of
reimbursed medicines (new list since 2012).
• Strengthened prescription monitoring systems since 2010.
Salaries and motivation of health sector workers
• Abolition of some health care workers' pay-related benefits (2010).
Payment to providers
• No response reported.
Overhead costs: restructuring the Ministry of Health and purchasing agencies
• No response reported.
Provider infrastructure and capital investment
• Funds for construction of facilities and procurement of equipment of high
technological value allocated from the state budget from 2010 onwards;
implementation was delayed for the procurement of medical equipment,
which continued to be financed through the health insurance fund.
Priority setting or protocols to change access to treatments, coordination
of care and patterns of use
• Development of new and the revision of existing guidelines in order to include
different areas of medicine and health care (2011).
• Establishment of a commission for HTA (2010).
Waiting times
• In attempt to reduce long waiting lists and waiting times, the Health Insurance
Fund was permitted to contract private health care providers to provide
specific services (e.g. in vitro fertilization, cardiology, internal medicine,
ophthalmology, radiography and ultrasound diagnostics and hyperbaric
oxygen therapy) (2010).
Health promotion and prevention
• Excise duties on tobacco and alcohol (2011).