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Препоръка No. R (99) 21 относно критериите за управление на списъците на чакащите и записването на часове в сферата на здравеопазването
(30 September 1999, at the 681st Meeting of the Ministers' Deputies)

The Committee of Ministers, under the terms of Article 15.b of the Statute of the Council of Europe,

Considering that the aim of the Council of Europe is to achieve greater unity between its members and that this aim may be pursued, inter alia, by the adoption of common action in the public health field;
Bearing in mind Article 11 of the European Social Charter on the right to the protection of health;
Recalling that Article 3 of the Convention on Human Rights and Biomedicine requires that Contracting Parties provide "equitable access to health care of appropriate quality";
Noting the relevance of the World Health Organisation’s Health 21 programme for the European region;
Having regard to Recommendation No. R (97) 17 of the Committee of Ministers on the development and implementation of quality improvement systems (QIS) in health care;
Considering that the collection of medical data raises special concerns with regard to data protection, especially where the data are to be collected or used for purposes other than immediate health benefits to the individual;
Having regard to the Convention for the Protection of Individuals with regard to Automatic Processing of Personal Data (ETS No. 108) and to Recommendation No. R (97) 5 on the protection of medical data;
Considering that waiting lists and waiting times have become used increasingly as benchmarks of accessibility to health care and of the overall effectiveness of the health care system;
Aware that waiting times and waiting lists give focus to particular parts of the health care system, mainly elective surgical care;
Aware that waiting lists and waiting times may appear when the demand for health care exceeds availability;
Aware that the final objective of a health care system should be to eliminate both undue delays in access to health care and undue waiting lists altogether;
Considering that policies to address waiting times will need to reflect the relative priorities for achieving improvements in the whole health system;
Conscious of the differences between member states as far as the size of the problem and approach to the management of waiting lists and waiting times in health care are concerned;

Recommends that the governments of the member states:

- review the existence and role of waiting lists and waiting times in their health care systems; and, where necessary,

- develop comprehensive and coherent strategies for the management of waiting lists and waiting times in health care, taking into account the criteria set out in the appendix to this recommendation and the principle of equity in access to health care;

- ensure that the recommendation is brought to the attention of all the relevant actors;

- adopt the legislative or other measures necessary to give effect to the principles set out in the appendix to this recommendation.
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