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Best Practice

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Document Typology: Conference
Target groups: Health Workers,Policy Maker and Administrators
country Where It Took Place: Lithuania
Name of compiler: Aldona Droseikienr
name of institution: Lithuanian multiple sclerosis union
role: Project manager
language Of The Description: English
title: National health policy and reforms
description Of The Best Practice:
In order to attain more efficient work of health care institutions, their functions and management are decentralized. Aiming at this, the Ministry of Health keeps direct control of the national institutions while the municipal and regional health care institutions function independently, accounting to the local municipalities.The role of the Ministry of Health in the arrangement of medical care on local level is manifests itself in the regulation of the basic health care budget, methodical support, the control of the general principles in
arranging general medical care and counselling based on the feedback and having performed the comparative analysis of the population health status. The Lithuanian health care system is based on three documents:Lithuanian Health Concept (confirmed by the Parliament in 1991), Lithuanian Health Programme (confirmed by the Parliament in 1998) and the State Long Term Development Strategy (confirmed by the Parliament in 2002.)
These documents form a comprehensive and unanimous basis for the health care system development until 2010:
The prospective directions and principles of reform for the health care system are formulated in the Lithuanian National Health Concept;
• The terms of reference, aims and tasks as well as the means for the attainment of the strategic targets outlined in the Lithuanian national health concept are shaped in the Lithuanian Health Programme;
• The State Long Term Development Strategy describes the development of the possibilities for health care system, as well as foresees the weaknesses and threats of the development process.
Results:
In order to implement health strategy, a complex of state programmes is created, to fulfil which an appropriate budget is formed and management and other realisation measures are foreseen. The state programmes are aimed at improving the health status of the population; diminishing the lag between health indicators among separate social and professional groups and the general level of population health; disease prevention, avoidable mortality and disability. State and municipality health programmes and plans of activities of NGOs standing for public health. The other source of financing is state investments, which are fully or partially funded by the state or are linked to the state’s commitments. In 2004 the minister of health confirmed the strategy for implementation of the tasks and targets of the health care reform. An analysis was performed, the results of which provide data for highlighting some positive and very significant changes in the development of health care system, namely: • During the analysed period, a proper and necessary legal basis was being created quite fast which gave a possibility to ensure political management and the continuity of the solved problems.
Quality indicators:
Use of methodologies in order to involve the citizens in the field of training and education health system
Comment:
Integration into the EU is bringing about changes in the health needs and the conditions of their delivery, raising standards for economic, social, health and other requirements and inducing the necessity
to speed up the renovation of the health care sector. The essence of these changes is to boost state expenditure and to change the structure of financing.
At present the policy of the Government of the Republic of Lithuania is to support the national
health reform, which has set itself two aims complementing each other:
Evaluation:
The basic evaluation indicators for separate problem areas are presented in the health care reform goals and tasks implementation strategy. Additional evaluation indicators can be chosen for every separate case,depending on the existing situation and the aim of the assessment. The list of evaluation indicators has to be reviewed on a regular basis, taking into account the improvements of information collection system at the Department of Statistics of the Republic of Lithuania and applying the methodology of the World Health
Organization and introducing the health care evaluation component of the European Union.

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