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In the recent years in Slovakia occurred some negative changes in settings of the health system which deflected steady relationships in the system and significantly changed the motivation of their participants. It deepened the inefficiency use of healthcare resources. In the foreground of urgent problems is the unresolved issue of ensuring health policy objectives, the availability and quality of health care and the financial sustainability of the system. The indebtedness of Slovak hospitals disproportionately increases and in international comparison of results of healthcare is Slovakia gradually moving away from developed countries. One form of increasing the efficiency of the health system is to support the development of day surgery, which in Slovakia in during its 15 years of existence stagnating and reached only a level of 7%. The aim of the study is to analyze the level of implementation of pediatric day surgery in Slovakia, with special focus on possible regional discrepancies, based on the data available from the National Health Information Centre. This topic was chosen due to specificity of pediatric population compared to the adult one. Analysis revealed uneven trends in the number of completed pediatric day surgery procedures and specified regional disparities. Extreme fluctuations in the proportions of day surgery and traditional in-hospital surgical care suggest deliberate misuse of reporting methodology by some healthcare providers (reporting day surgery procedures as in-hospital care) in various regions during the analyzed period. This observation may be caused by the instability of reimbursement system. With respect to the financial issues, the importance of health insurance companies is obvious, as they have the right to set their own payment strategies and are responsible for the contractual relations with the health care providers. To achieve positive progress in the pediatric day surgery in Slovakia, it is necessary to adjust the active health policy in the country in a way that the balance among the quality of health care, costs, efficiency and equality is achieved.

System of day surgery in Slovakia: analysis of pediatric day surgery discrepancies in the regions and their importance in strategy of its development