European Observatory on Health Systems and Policies

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Estonia

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Online HiT With modifications since publication of printed version 1. Introduction 1.1 Geography and sociodemography 1.2 Economic context 1.3 Political context 1.4 Health status 2. Organization and governanceLast modified: 07/08/2018 2.1 Overview of the health system 2.2 Historical background 2.3 OrganizationLast modified: 07/08/2018 2.4 Decentralization and centralization 2.5 Planning 2.6 Intersectorality 2.7 Health information management 2.8 Regulation 2.9 Patient empowerment 3. Financing 3.1 Health expenditure 3.2 Sources of revenue and financial flows 3.3 Overview of the statutory financing system 3.4 Out of pocket payments 3.5 Voluntary health insurance 3.6 Other financing 3.7 Payment mechanisms 4. Physical and human resources 4.1 Physical resources 4.2 Human resources 5. Provision of services 5.1 Public health 5.2 Patient pathways 5.3 Primary / ambulatory care 5.4 Specialized ambulatory care / inpatient care 5.5 Emergency care 5.6 Pharmaceutical care 5.7 Rehabilitation / intermediate care 5.8 Long term care 5.9 Services for informal carers 5.10 Palliative care 5.11 Mental health care 5.12 Dental care 5.13 Complementary and alternative medicine 5.14 Health services for specific populations 6. Principal health reforms 6.1 Analysis of recent reforms 6.2 Future developments 7. Assessment of the health system 7.1 Stated objectives of the health system 7.2 Financial protection and equity in financing 7.3 User experience and equity of access to health care 7.4 Health outcomes, health service outcomes and quality of care 7.5 Health system efficiency 7.6 Transparency and accountability 8. Conclusions 8. Conclusions

Reform log

01 August 2018 - Collection of genetic data to boost the development of personalised medicine Read more 06 June 2018 - The Estonian Health Insurance Fund takes on more responsibilities for pharmaceuticals pricing and reimbursement as of 2018Read more 23 May 2018 - Tax on sugar-sweetened beverages not announced by the PresidentRead more 23 May 2018 - Scaling-up action against HIV epidemicRead more

Health policy updates

Governance changes to the Estonian Health Insurance Fund published 07/08/2018 Changes to the pharmaceuticals reimbursement scheme published 12/06/2018 A five-year transition plan to broaden the health insurance revenue base started in 2018 published 23/05/2018

HiT Profile Estonia

Vol. 15 No. 6 2013: This is the latest published version of the health systems in transition profile (HiT) for Estonia written by Taavi Lai, Triin Habicht, Kristiina Kahur, Marge Reinap, Raul Kiivet, Ewout van Ginneken. Download HiT full version

HSPM members for Estonia Institute of Family Medicine and Public Health Praxis Center for Policy Studies

Contributors Authors: Raul Kiivet, Riina Sikkut, Triin Habicht, Marge Reinap, Kristiina Kahur, Kaija Kasekamp, Laura Aaben. Editors: Anne Spranger, Suzanne Edwards

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