The health care of the Republic of Croatia has been in constant change since the beginning of the 1990s and is facing numerous problems. Given the structure of the state, the Government and state institutions have a major role in health management and are a major provider of health services. The thesis deals with the role of the state in the development of the quality of the health system and the provision of health services to end users - patients, but also employees (health professionals). With regard to globalization, changes in the world, and accession to the European Union, the trends are changing and the way of life of the population is changing which is more than visible in the era of the of the Covid-19 pandemic. In order to monitor such changes, the health care system needs to be more adaptable and ready to provide the needed services. In the Republic of Croatia, there is no quality database that would serve to measure the quality of the entire health system, but there are certain indicators that can be a good guide if the system is compared with other countries. From this it can be determined that the quality of the health care system of the Republic of Croatia is worse than the average of the European Union, and such an unfavorable situation is additionally endangered by a bad financial model. All of the above leads to the conclusion that there is a need for a quality reform that would be fully implemented. Concrete proposals, which would contribute to the development of the health system and increase the quality of health services to the satisfaction of users, but also the economy of the Republic of Croatia should focus primarily on health care, public and private sources of funding, efficiency and effectiveness of health facilities, renovation of buildings and equipment. and better conditions for health professionals.