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Stručni ispit za zdravstvene radnike study plan

Stručni ispit za zdravstvene radnike · Give each week a clear focus.

8 weeks · About 6 hours per week

Week 1

Health legislation and organisation of the healthcare system

  • Map the statutory hierarchy that governs Croatian healthcare - Zakon o zdravstvenoj zaštiti, Zakon o obveznom zdravstvenom osiguranju, Zakon o zaštiti prava pacijenata and their podzakonski akti - onto a single-page diagram showing which act governs which decision.

  • Distinguish the competences of the Ministarstvo zdravstva, HZZO, the county public health institutes (NZJZ) and the healthcare institutions themselves, and state one decision each body may take alone.

  • Classify healthcare workers and associate workers by qualification level and licence/komora registration requirement, and state what happens when a licence lapses.

  • Differentiate primary, secondary and tertiary care and name two services delivered at each level plus the access route into each.

Your checkpoint

A one-page organisational/legislative map plus a 20-item self-written quiz on domain 1, scored at 80% or better.

Week 2

Health legislation and organisation of the healthcare system & Compulsory health insurance and healthcare financing

  • Explain how the mandatory health insurance system is organised and financed, naming the main revenue sources of HZZO and what happens when revenue falls short.

  • Identify who counts as an insured person (osiguranik) and who as a dependent family member, and apply those categories to five short case vignettes.

  • Describe the contracting cycle between HZZO and healthcare providers - ugovaranje, standards and norms (standardi i normativi), and payment models such as capitation, fee-for-service and DRG-based hospital payment.

  • Trace the patient pathway from choosing a family physician, through uputnica for specialist care, to hospital admission, noting where insurance rules constrain the route.

Your checkpoint

A flowchart of the patient pathway annotated with the insurance rule that applies at each step, plus five solved vignettes on insured-person status.

Week 3

Compulsory health insurance and healthcare financing

  • Distinguish the three insurance layers - obvezno, dopunsko and dodatno/privatno osiguranje - and state exactly which costs each layer covers.

  • Compute the contribution base and employee/employer split for two worked examples, and explain how contribution collection and HZZO allocation are administered.

  • Explain the patient cost-sharing rules (participacija, dopunsko insurance coverage of it) and apply them to calculate a patient's out-of-pocket amount in three scenarios.

  • List the entitlements that follow from insured status - including travel costs, orthopaedic and prosthetic aids, and cross-border care under EU coordination rules - and the conditions attached to each.

Your checkpoint

Three fully worked cost-sharing calculations showing contributions, participacija and the effect of dopunsko insurance, with all arithmetic shown.

Week 4

Rights and obligations of healthcare workers and patients & Professional ethics, confidentiality and professional accountability

  • Enumerate patients' statutory rights - informed consent, access to medical records, second opinion, confidentiality, refusal of treatment, complaint procedures - and match each to the mechanism that enforces it.

  • Draft the correct institutional response for four scenarios in which a patient right is allegedly breached, identifying who must act and within what timeframe.

  • State the reciprocal obligations of healthcare workers towards patients and towards employers, including the duty to keep records and the duty to report.

  • Explain the basic structure of professional accountability: disciplinary proceedings before the komora, misdemeanour (prekršajni) liability, civil liability and criminal liability.

Your checkpoint

A 30-question timed mixed test on domains 1 and 3 scored at 70% or better, plus a written list of every item missed with its correct answer.

Week 5

Professional ethics, confidentiality and professional accountability

  • Apply the rules of medical confidentiality to eight borderline situations, deciding in each case whether disclosure is permitted, required or forbidden.

  • Explain the elements of valid informed consent and identify the four common defects that invalidate it, illustrating each with a short example.

  • Describe what constitutes a medical error versus a negligent act (liječnička pogreška, nemar), and explain how each is treated in disciplinary, civil and criminal proceedings.

  • Outline the handling of medical documentation - retention periods, patient access, correction, and the confidentiality duties of everyone who handles it.

Your checkpoint

Eight written case analyses on confidentiality and consent, each concluding with an explicit permitted/required/forbidden or valid/invalid verdict and the reasoning.

Week 6

Occupational safety, quality and patient safety in healthcare

  • Summarise employer duties under occupational safety law (Zakon o zaštiti na radu) - risk assessment, training, protective equipment, health surveillance - and match each duty to the responsible role.

  • Describe post-exposure procedure after a needlestick or sharps injury and after contact with blood-borne pathogens, including immediate steps, reporting and follow-up.

  • Explain the core quality instruments in Croatian healthcare - accreditation standards, clinical guidelines, indicators and internal quality committees - and what each is meant to change in practice.

  • Classify patient safety incidents and explain the reporting pathway for adverse events, including the worker's protection when reporting in good faith.

Your checkpoint

A one-page post-exposure and incident-reporting algorithm that a colleague could follow without further explanation.

Week 7

Rights and obligations of healthcare workers and patients & Occupational safety, quality and patient safety in healthcare & Professional ethics, confidentiality and professional accountability

  • Re-test the two lowest-scoring topics from weeks 4 to 6 and resolve each missed item to the level of stating the underlying rule, not just the correct option.

  • Integrate rights and safety: explain how complaint procedures, informed consent and incident reporting interact when a patient is harmed.

  • Practise identifying the domain a question belongs to within five seconds, using 40 mixed items, to cut time lost on misreading.

  • Build a personal error log grouping recurring mistakes by cause - unknown fact, misread stem, confusable term - and set one corrective action per cause.

Your checkpoint

A consolidated error log with at least 30 logged items, each tagged by cause, plus written corrective actions.

Week 8

Health legislation and organisation of the healthcare system & Rights and obligations of healthcare workers and patients & Compulsory health insurance and healthcare financing & Professional ethics, confidentiality and professional accountability & Occupational safety, quality and patient safety in healthcare

  • Complete three full-length timed mock exams under exam conditions and score each one.

  • Review every wrong answer until you can state the governing rule from memory without looking at notes.

  • Recite from memory the ten most examinable statutory definitions and the numerical thresholds (timeframes, percentages, retention periods, contribution rates).

  • Rehearse the final-week logistics: exam format, permitted materials, time allocation per question and a strategy for questions you cannot answer.

Your checkpoint

Three completed mock exams with scores recorded and a one-page final revision sheet of definitions, numbers and thresholds.

Milestones

Week 2: You can explain, without notes, how HZZO is financed and where the patient pathway is constrained by insurance rules; the one-page domain 1 map is complete and correct.

Week 4: Domain 1 and 3 mixed test scored at 70% or better, and every missed item has been written out with its correct answer and the rule behind it.

Week 6: All five domains have been studied at least once; the lowest-scoring domain is identified with evidence, and the post-exposure/incident algorithm is written and self-checked.

Week 8: Three timed mock exams completed with a rising or stable trend, and no domain below 60% on the final attempt.