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Estonia: health system review / World Health Organization. Regional Office for Europe;European Observatory on Health Systems and Policies;Koppel, Agris;Kahur, Kristiina;Habicht, Triin;Saar, Pille;Habicht, Jarno;van Ginneken, Ewout

Tác giả : World Health Organization. Regional Office for Europe;European Observatory on Health Systems and Policies;Koppel, Agris;Kahur, Kristiina;Habicht, Triin;Saar, Pille;Habicht, Jarno;van Ginneken, Ewout

Nhà xuất bản : World Health Organization. Regional Office for Europe

Năm xuất bản : 2008

Tùng thư : Health Systems in Transition, vol. 10 (1)

Chủ đề : 1. Delivery of Health Care -- organization and administration. 2. Estonia. 3. Evaluation Studies. 4. Health Care Reform. 5. Health Systems Plans. 6. Healthcare Financing. 7. Publications.

Thông tin chi tiết

Tóm tắt :

227 p.Estonian version by Tartu Ülikool, Tervishoiu Instituut The Health Systems in Transition (HiT) profiles are country-based reports that provide a detailed description of a health system and of policyinitiatives in progress or under development. HiTs examine different approaches to the organization, financing and delivery of health services and therole of the main actors in health systems; describe the institutional framework, process, content and implementation of health and health care policies; and highlight challenges and areas that require more in-depth analysis. Estonia has vigorously and quite successfully reformed its health system over the last decades. Whereas incremental changes are observed in the last five years,larger scale legislative reforms had been implemented since the early 1990s and at the beginning of this century. The current system is built on solidarity based health financing; a modern provider network based on family-medicine centred primary health care (PHC); modern hospital services and more attention for public health. This has resulted in a steadily increasing life expectancy and continuously high population satisfaction rates with access and quality. However, as in any health system, a number of challenges remain. They include reducing inequities in health status and health behaviour; improving control of and responding to the consequences of the high rates of HIV andrelated conditions; improving regulation of providers to ensure better public accountability; and sustaining health expenditures and human resources on a level that ensures timely access and high quality of care. The last challenge isparticularly important in the face of rising patient expectations and increased costs and volume of health care services. If solidarity and equity are to be maintained and guaranteed for the future, additional resources need to be found from public sources of revenue.

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https://iris.who.int/handle/10665/107891