Legal Regulations of the Health Statistics System and Reflections on the Creation and Implementation of Health Policy in Kosovo

BACKGROUND: Health professionals and health institutions document their professional activities with patients based on health policy and legal framework. This creates valuable medical records not only for health institutions at the three levels, but also for scientific research purposes and government agencies that design policies, laws and strategies and implement and monitor these policies based on the health statistics that form the basis of these policies, as well as for the health system not only at the national level, but also at the regional and local levels. OBJECTIVE: To analyze the impact of the legal framework for health statistics in Kosovo on the planning of health system needs, human and financial resources and other components related to the collection, analysis and processing of data and health statistics, and on the basis of these statistics, to develop sectoral strategies, but also other key strategic documents for decision-making in the health system of Kosovo. METHODS: Decision-makers and stakeholders, as well as other staff involved in the system of health statistics at the three organization levels of the health system in Kosovo, including inspectors from the Health Inspectorate, were interviewed through specific questionnaires. RESULTS: The analysis of the laws, bylaws and other provisions that regulate and directly influence the data system and health statistics in Kosovo revealed that the institutional role is unclear, the legislation is insufficient and in many cases regulations are missing, which are an essential prerequisite for the implementation of the legislation and consequently influence the insufficient decision-making process. CONCLUSION: The research and findings provide sufficient evidence that the Kosovo’s system for health data and statistics has serious shortcomings, starting with the legal framework, organizational structure, functional organization, segregation of duties and responsibilities, pronounced lack of staff, professional profiles and required technology, which in turn affects unreliable decision-making and health policy.