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
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.
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.
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.
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.
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.
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.
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.
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.