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Document Typology: Legislative document
Methodology addressed by the publication:International Classification of Functioning, Disability and Health
Name of author(s): Martynas Bieliauskas,Kristina Aputyte
Name of publisher: Lietuvos medicinos biblioteka
Language of the publication: Lithuanian
Language of the review: Lithuanian
Standartizuotos klinikines kalbos idiegimas pasaulio medicinos informacinese sistemose yra visuotine siekiamybe ir didelis zingsnis i prieki gerinant sveikatos prieziuros kokybe bei sauguma. Vis daugiau saliu prioritetiniu standartu tokios kalbos diegimui pasirenka SNOMED CT - issamiausia pasaulyje klasifikacijos ir terminologijos sistema, kuria sudaro tarpusavyje susietos savokos, skirtos ligu, proceduru, laboratoriniu testu, vaistu, mikroorganizmu, dietu, topografijos, geografijos, aplinkos bei socialiniu veiksniu ir kitu medicinos aspektu kodifikavimui.
Lietuvos medicinos biblioteka rengia projekta "Vieningo medicininiu terminu klasifikatoriaus sukurimas kokybisku elektroniniu paslaugu pletrai sveikatos prieziuros istaigose", kuris itrauktas i valstybes projektu sarasa pagal e. sveikatos sistemos 2009-2015 metu pletros programos igyvendinimo priemoniu plana, vykdoma vadovaujantis Ekonomikos augimo veiksmu programos prioriteto "Informacine visuomene visiems" igyvendinimo priemone "Elektronines sveikatos paslaugos".
Reviewer's comments on the document:
In 1989, after regaining its independence, Lithuania inherited an extremely centralised health care system that mainly conditioned ineffective health care management and resource usage. The above situation was an outcome of the former Soviet health care policy, as it did not encourage people or the state to treasure or safeguard its citizens' health . The Soviet model of medicine that existed in Lithuania was based exclusively on the exaggerated focus and development of the hospital level, whereas the need to develop the primary health care (PHC) level was practically ignored.
The situation has changed a lot though, and the current Lithuanian health policy states that priority shall be given to the development of primary health care . Speaking of the very concept of primary health care, it should be stated that it first was offered in 1978 in Alma- Ata, Kazakhstan. Later on the primary health care concept, policy and strategy were further developed in such documents as "Health to Everybody – 2000" and "Health in the 21st Century" [3]. As regards the health care policy, the above documents are considered of utmost importance in Lithuania as well as other EU countries. During the health care reform, the Lithuanian government came to a decision that the greater part of the health care budget should be allocated to primary health care establishments – consolidation of their basis and improvement of respective personnel qualification, which was expected to lead to a rise in the latter's work efficiency.
In 1992, the training programme of general practitioners (GPs) was renewed in Lithuanian higher medical schools, and in 1996 the GP Statute was ratified under Lithuanian Health Norm MN 14:1996. District physicians and paediatricians were retrained as GPs, which requires more thorough competence than being a physician, as GPs are supposed to be capable of consulting, diagnosing and providing primary level help in all area. They have to be competent in internal disease treatment and can send patients to secondary level specialists merely in exceptional cases. The number of general practitioners in Lithuania is increasing, and it amounted to 1,150 at the beginning of 2003
Vykdant projekta, bus konsultuojamasi su Valstybiniu patologijos centru, turinciu ketveriu metu sioje srityje patirti ir vykdziusiu bandomuosius SNOMED CT terminologijos vertimus. Taip pat su Tarptautines sveikatos terminologijos standartu pletros organizacija (IHTSDO) ir jos naremis, vykdanciomis medicininiu terminu vertimus i nacionalines kalbas
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