Implementation of day surgery system in Slovakia was launched in recent years but complex analysis of its functionality is not available. To assess current status, expert panel was created to identify principal strengths, weaknesses, opportunities and threats (SWOT) and multi-level SWOT analysis performed to evaluate the level of functionality/multi-functionality. Total value of weaknesses (W = 4.9176) outweighed total value of strengths (S = 4.79291), while total value of opportunities (B = 108) outweighed total value of threats (R = 71). As such, Slovak day surgery system can be described as functional concept limited by incorrect setting of particular components. Financial issues appear to be leading barrier of its development as current reimbursement policy is demotivating and further investments are needed to improve insufficient and vulnerable infrastructure. Attention should be paid to systematic analysis of feedback data by all important stakeholders involved in the field to provide validated arguments for systemic adjustments.
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