Health Policy in the Baltic Countries since the beginning of the 1990s

Vaida Bankauskaite, Julia S O'Connor

    Research output: Contribution to journalArticle

    10 Citations (Scopus)

    Abstract

    AbstractThe objective of this article is to compare the development of health policies in three Baltic countries, Estonia, Latvia and Lithuania in the period from 1992 to 2004 and reflect on whether key dimensions of these policies are developing in parallel, diverging or even converging in some respects. The paper identifies the similarity in the overall goals and compares the policy content in primary health care, the hospital sector and financing. We conclude that health policy in Estonia, Latvia and Lithuania has been progressing in parallel towards a Western European social insurance funding model, developing a primary care system anchored on a general practitioner service and lessening the hospital orientation of the pre-1990s system. There is evidence of both convergence and divergence across the three countries and of progress in the direction of EU15 in key health policy and outcome characteristics. These patterns are explained partly by differing starting points and partly by political and economic factors over the 1992–2004 period.
    LanguageEnglish
    Pages155-165
    JournalHealth Policy
    Volume88
    Issue number2-3
    DOIs
    Publication statusPublished - Dec 2008

    Fingerprint

    Health policy
    Latvia
    Lithuania
    Estonia
    General practitioners
    Economic factors
    Divergence
    Primary care
    Social insurance
    Primary health care
    Health outcomes
    Financing
    Funding

    Keywords

    • Estonia
    • Latvia
    • Lithuania
    • Policy
    • Convergence
    • Health system
    • Health reform

    Cite this

    Bankauskaite, Vaida ; O'Connor, Julia S. / Health Policy in the Baltic Countries since the beginning of the 1990s. In: Health Policy. 2008 ; Vol. 88, No. 2-3. pp. 155-165.
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    Health Policy in the Baltic Countries since the beginning of the 1990s. / Bankauskaite, Vaida; O'Connor, Julia S.

    In: Health Policy, Vol. 88, No. 2-3, 12.2008, p. 155-165.

    Research output: Contribution to journalArticle

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    AB - AbstractThe objective of this article is to compare the development of health policies in three Baltic countries, Estonia, Latvia and Lithuania in the period from 1992 to 2004 and reflect on whether key dimensions of these policies are developing in parallel, diverging or even converging in some respects. The paper identifies the similarity in the overall goals and compares the policy content in primary health care, the hospital sector and financing. We conclude that health policy in Estonia, Latvia and Lithuania has been progressing in parallel towards a Western European social insurance funding model, developing a primary care system anchored on a general practitioner service and lessening the hospital orientation of the pre-1990s system. There is evidence of both convergence and divergence across the three countries and of progress in the direction of EU15 in key health policy and outcome characteristics. These patterns are explained partly by differing starting points and partly by political and economic factors over the 1992–2004 period.

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