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OECD Reviews of Health Systems: Latvia 2016 -  Oecd

OECD Reviews of Health Systems: Latvia 2016 (eBook)

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eBook Download: PDF
2016 | 1. Auflage
136 Seiten
OECD Publishing (Verlag)
978-92-64-26278-2 (ISBN)
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Latvia’s health system broadly delivers effective and efficient care to the population within a context of significantly fewer resources – and higher health care needs – than most OECD countries. Latvia has successfully consolidated its hospital sector and strengthened primary care. Average length of stay in hospital fell by almost 15% between 2005 and 2013, and GPs are now required to follow up on patients who called for emergency medical assistance but were not hospitalised. OECD health systems could learn much from these reforms as well as longer-standing institutions, such as Latvia’s feldshers (physician assistants). Latvia nevertheless faces important challenges to improve the performance of its health system. Up to one in five Latvians report forgoing health care because of the cost; waiting times for key diagnostic and treatment services can be long; and inclusion of key treatments in the publicly-funded benefits basket does not always reflect latest best practice. Critically, the health system lags behind many OECD countries in the extent to which data are used to systematically measure, compare and improve the performance of services, especially at more granular provider or local levels. This review aims to support Latvia in continuing reform of its health system, informed by international best practice.



 


Latvia's health system broadly delivers effective and efficient care to the population within a context of significantly fewer resources - and higher health care needs - than most OECD countries. Latvia has successfully consolidated its hospital sector and strengthened primary care. Average length of stay in hospital fell by almost 15% between 2005 and 2013, and GPs are now required to follow up on patients who called for emergency medical assistance but were not hospitalised. OECD health systems could learn much from these reforms as well as longer-standing institutions, such as Latvia's feldshers (physician assistants). Latvia nevertheless faces important challenges to improve the performance of its health system. Up to one in five Latvians report forgoing health care because of the cost; waiting times for key diagnostic and treatment services can be long; and inclusion of key treatments in the publicly-funded benefits basket does not always reflect latest best practice. Critically, the health system lags behind many OECD countries in the extent to which data are used to systematically measure, compare and improve the performance of services, especially at more granular provider or local levels. This review aims to support Latvia in continuing reform of its health system, informed by international best practice.

Foreword 5
Acknowledgements 6
Table of contents 7
Acronyms and abbreviations 9
Executive summary 11
Assessment and recommendations 13
Latvia’s health care needs and health care system 15
Accessibility and quality of the Latvian health system 20
Efficiency and sustainability in the Latvian health system 27
References 34
Chapter 1. Health and health care in Latvia 35
Introduction 36
1.1. Population health and health care needs in Latvia 36
1.2. The health system in Latvia 45
1.3. Resources in the Latvian health system 51
References 59
Chapter 2. Performance of the Latvian health system 61
Introduction 62
2.1. Access to care 62
2.2. Quality of health care provision 73
2.3. Efficiency in the health system 85
2.4. Health system sustainability 91
Notes 102
References 103
Chapter 3. Strengthening primary health care in Latvia 105
Introduction 106
3.1. The structure of primary health care in Latvia 106
3.2. Recent reforms 113
3.3. Performance of primary health care 118
3.4. Strengthening primary health care in Latvia 130
References 135

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