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Evaluation of primary health care reform in Estonia

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  • Koppel, Agris
  • Meiesaar, Kersti
  • Valtonen, Hannu
  • Metsa, Andrus
  • Lember, Margus
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    Abstract

    Estonia began to reform its health care system by reorganizing primary health care (PHC). Ten years ago, the health care system was inefficient, supply was biased towards institutional care, and PHC was almost non-existent in the western understanding: it was provided by different specialists in policlinics, and the financial basis of the system was in crisis. The reform had the following aims: to develop PHC by introducing family medicine, to guarantee the whole population access to family doctors' services, and to secure stable funding for these services. In 1998, a new phase in the reform was introduced through the creation of a new funding system for primary care services. The aim of this paper is to present a practically applicable set of indicators to evaluate PHC reform in terms of health economics criteria and then to apply these indicators in evaluation of the Estonian PHC reform.

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    Bibliographic Info

    Article provided by Elsevier in its journal Social Science & Medicine.

    Volume (Year): 56 (2003)
    Issue (Month): 12 (June)
    Pages: 2461-2466

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    Handle: RePEc:eee:socmed:v:56:y:2003:i:12:p:2461-2466

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    Keywords: Estonia Primary health care reform Evaluation Set of indicators;

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    Cited by:
    1. Põlluste, Kaja & Kasiulevičius, Vytautas & Veide, Sarmite & Kringos, Dionne Sofia & Boerma, Wienke & Lember, Margus, 2013. "Primary care in Baltic countries: A comparison of progress and present systems," Health Policy, Elsevier, vol. 109(2), pages 122-130.
    2. Akinci, Fevzi & Mollahaliloğlu, Salih & Gürsöz, Hakki & Öğücü, Fatma, 2012. "Assessment of the Turkish health care system reforms: A stakeholder analysis," Health Policy, Elsevier, vol. 107(1), pages 21-30.
    3. Samuel S. Lieberman & Adam Wagstaff, 2009. "Health Financing and Delivery in Vietnam : Looking Forward," World Bank Publications, The World Bank, number 2594, July.
    4. Groenewegen, Peter P. & Dourgnon, Paul & Greß, Stefan & Jurgutis, Arnoldas & Willems, Sara, 2013. "Strengthening weak primary care systems: Steps towards stronger primary care in selected Western and Eastern European countries," Health Policy, Elsevier, vol. 113(1), pages 170-179.

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