Subsequently both public and private providers have been integrated into one social insurance-funded model managed by the Health Insurance Fund of North Macedonia.
The public hospital sector is seen as inefficient and is unpopular with both patients and professional staff.
[5] According to the Euro health consumer index the Macedonian health system made the most remarkable advance of any country in the history of their Index, from 27th to 16th place in 2014, because by implementing a real time e-Booking system they reduced waiting lists so significantly.
From July 2013, any GP can make a booking at any specialist or heavy diagnostic equipment in the country in real time while the patient is present.
[6] The Doctor’s Chamber of Macedonia complains that there is a discrepancy between the available funds and the quality of service expected, that facilities are not used efficiently, equipment is outdated and staff are not used effectively.