Download EHL Juhatuse tegevus

Current documents in
Medical/Dental care strategy
in Estonia
Piret Väli
Estonian Dental Association
17-18.18.11 Baltic Dental Meeting
Sigulda Latvia
“None of the health indicators in Europe
are not just result of coincident – these
are direved directly from these political
desicions and conditions where nations
are living“
William Farr, 1866
Policy documents
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Health policy - investment to health 2006
Public health development plan 20092020
Dentistry development plan 2004
Public health Policy –
investment to health
Consensus position
 Importrance of health policy, main principles
 Main documents – Ottawa harta (1986), enviroment
and health European harta (1989), Jacarta
declaration (1997), WHO framepolicy „Health for
everyone“ (1998), Verona challenge (2000), EU
Public health program (2003–2008), amended
European Social harta (2000), European
constitution(2000),
 Lisbon strategiy (2000), Patients rights European
harta (2002), EU Directive 89/391/EEU etc
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Avarage prognostic life expectation men 66 and
women 77
Death due to poison injuries under 14 y.
Raising psychological problems and addictions.
Suicide 15–29-y. Of age main death cause
New HIV cases ratio- Estonia has I place in EU
(100:1HIV) in age group 15-49.
Raising of multiresistent tuberculosis cases
Raising HIV –positiv pregnant women
V. Depending on the needs, egual and efficiant
health system development
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To insure to all in need
accessibility to quality health
services.
Health insurance to all Estonian people
Define state and employers obligations
and people risk on their own account in
using and paying for health services
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Health
Health
Health
Health
promotion
literacy
education
behaviour
Public health development
plan 2009–2020
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Health Consumer Powerhouse. (2007).
Euro Health Consumer Index 2007.
Stockholm- efficiency and cost efficieny
of health sytem is one of the highest in
EU
Satisfaction with the medical services
are hight specially about dental services
Health behavior is still poor
Main goal
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Healthy life expectation 2020 for men at
60 and women 65 years. Avarage life
expectation for men 75 and for women
84 years.
Page 49 prioritise health promotion and
prevention
Development plans in
dentistry in 2004
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Orthodontics
Maxillofacial surgery
Dentistry
Changes in October 2011!
New - restorative dentistry
Development plan for
orthodontic tretment
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Expectations 60 orthodontists in year
2015 (1:25000 by WHO)
Orthodontic treatment under 19 y. free
for: - cleft lip and palate patients
- prognathia with sagital overbite
over 9 mm
- progenia
-retained incisors or canines etc.
BALTIC E-HEALTH
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Estonia, Norway, Denmark,Finland and
Lithuania have joined together in search
for a solution in the transnational
exchange of health information and
data. Tele-radiology is the first area in
which this solution has been applied,
and a successful pilot project involved
the exchange of data and radiology
images among Danish,Estonian and
Lithuanian hospitals.
Current poltical discussions
Changes in Advertising law
- Competition Authorities iniciative to
change the law
 Changes in patients complaint system
- Patient Protection Authorities initiative
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EDA development plan
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E-health
Informaton sheets for patients
Prevention project etc.
Negotiations with the government
about reinbursement!
Thank You!