Health Care In Latvia
Current Situation And Challenges In the Future
Health Care In Latvia
Current Situation And Challenges In the Future
Ingrīda Circene
Minister for Health of the Republic of Latvia
Riga, 2012.10.17.
General Facts
Area: 64, 589 km2
Density: 34.2/km2
Population: 2,067,887
GDP per capita: US $11,620
(World Bank, 2010)
Natural growth of population: -3.71
19.04.23 2
1Data source : Central Statistical Bureau
http://www.csb.gov.lv/statistikas-temas/iedzivotaji-galvenie-raditaji-30260.html
Population(2011)
Population(2011)
Population: 2,067,887
Males: 45.8%
Females: 54.2%
19.04.23 3
Data source : Central Statistical Bureau
http://www.csb.gov.lv/statistikas-temas/iedzivotaji-galvenie-raditaji-30260.html
The Most Common Causes of Mortality
(per 100 000 inhab.)
The Most Common Causes of Mortality
(per 100 000 inhab.)
19.04.23 4
Allocation of Health Care Resources
Allocation of Health Care Resources
Law on State budget – determines scale of subsidy for health care (public financing through general taxation)
Payments for health care services are determined by the Regulations of the Cabinet of Ministers
Incomes of medical institutions are formed from payments for provided health care services; paid by states budget, patients’ fee and incomes from paid services
19.04.23 Sagatavots Veselības ministrijā 5
Health Care Budget 2003 – 2013 in Comparison With GDP
Health Care Budget 2003 – 2013 in Comparison With GDP
19.04.23 6
Public Expenditure for Health Care
2005-2011 (LVL per capita)
Public Expenditure for Health Care
2005-2011 (LVL per capita)
19.04.23 Sagatavots Veselības ministrijā 7
Parliament
Government
Ministry of Health
Health Inspectorate
Centre for Diseases Prevention and
Control
National Health Service
Administration of financial resources,
contracts with medical institutions on provision of health care services
paid by the state; organization of cancer screening organization.
Public health analysis, surveys, statistics,
epidemiological safety, preventing diseases including infectious
and rare diseases
Supervision and control (medical care,
environmental hygiene, drinking
water, noise, cosmetics, chemicals,
drugs etc.)
Legislation
Policy planning
19.04.23 Sagatavots Veselības ministrijā 8
Health Care Organization Health Care Organization
At present health care system is based on the residence principle
Negative list of benefits – the state pays for all services except those that are excluded from the scope
Health care benefits are available at the state, municipal level and at private inpatient and outpatient health care institutions
Sagatavots Veselības ministrijā19.04.23 9
Main Challenges in the FutureMain Challenges in the Future
to improve accessibility to the primary health care;
to develop out-patient health care services; public health as the priority, especially healthy
aging; to sustain availability of reimbursed medicines; to develop new health financing model; to facilitate medical tourism to introduce well timed treatment in order to
decrease the time of illness or prevent from forecasted (predictable) disability
19.04.23 Sagatavots Veselības ministrijā 10
To enlarge a GPs’ team by providing additional nurse for general practitioners
To increase accessibility of GPs To promote active involvement of the GPs in disease
prevention To ensure more effective management of patients with
chronic diseases To tackle the spread of infectious diseases To motivate GPs to provide broad range of health care
services to patients
Measures to Improve Accessibility of Primary Health
Care Services
Measures to Improve Accessibility of Primary Health
Care Services
19.04.23 Sagatavots Veselības ministrijā
Development of the Out-patient Health Care Services
Development of the Out-patient Health Care Services
Home care shall be provided at home if patient
needs a regular (permanent) out-patient treatment Promote day hospitals Set up observation beds in emergency hospitals Evaluate pre-hospital emergency care team and their
localization points in rural areas
19.04.23 Sagatavots Veselības ministrijā 12
Healthy AgingHealthy Aging
19.04.23 13
Health and life expectancy are still linked to socio-economic circumstances
Tackling health inequalities requires comprehensive collaboration of the government and actions in all policy fields
Our aim is to maintain, improve and restore the health of the population of Latvia, to prolong life expectancy (incl., the reduction of the differences in life expectancy between men and women), and make the lived years of life as healthy as possible.
Other Priorities Other Priorities
Maternal and child health care; Health promotion and prevention (according to
the Public Health Strategy for 2011-2017)• health education in schools;• programme for prevention and treatment of
diseases of heart and circulatory system;• programme for prevention of diabetes;• development of the mental health care;• promotion of the cancer screening
19.04.23 Sagatavots Veselības ministrijā 14
New Model of Health Care Financing
New Model of Health Care Financing
The concept of new model of health care financing - to link eligibility to receive health services to the payment of an earmarked income tax (or other)
Main objectives:• to motivate people to pay taxes;• to attract additional financial resources to the health sector and to
improve accessibility;• to develop a sustainable health care financing system
Increased financial resources are foreseen to be directed to the improvement of accessibility of out-patient health care services reimbursable medicinal products and to raise the salaries of medicinal professionals
19.04.23 Sagatavots Veselības ministrijā 15
New Model of Health Care Financing II
New Model of Health Care Financing II
Acording to the proposed model there will be provided a minimum health care services for all citizens (tax payers and non-payers) - emergency medical assistance, diagnostics, treatment of particular diagnosis and compensation of 100% reimbursed medicines
Planned health care services paid by state will be provided to tax payers, persons insured by state and persons who will make the particular contributions to the state budget
19.04.23 Sagatavots Veselības ministrijā 16
Medical TourismMedical Tourism
Products and services of health tourism in Latvia have a high added value and good exporting potential;
Development of this sector would contribute to the country’s economic growth as well as the improvement of the public welfare
Ministry of Health has contributed into the Latvia’s Tourism Marketing Strategy for 2010 to 2015 and has taken the neccessary measures to promote medical tourism in Latvia
19.04.23 Sagatavots Veselības ministrijā 17
Thank you!Questions?Thank you!Questions?
Contribution into the health sector is a breakthrough in the economic
development!