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Sustainablity of Estonian health system

The Estonian Health Insurance Fund, in collaboration with the Ministry of Social Affairs and the WHO Regional Office for Europe, was conducting in 2009 an in-depth analysis of the Estonian health financing system’s mid- and long-term sustainability.

The analysis addresses: the foundations of health financing in Estonia; how Basic principles and values have driven the development of the social health insurance  system in the country; how those are understood by different stakeholders and the relative weight they apply to different principles/values; whether the principles/values have changed over time, and what effect this could have on the health insurance  system’s future development; the performance of the health financing system and its ability to cope with future challenges.

During the process there were two workshops for health system leaders and stakeholders.

Opening seminar were held in April 3, 2009. Workshop agenda, presentations and summary are available here.

Draft report was consulted with stakeholders in October 20, 2009. Workshop agenda and presentations are available here. Workshop summary is available here.

The launce of the report “Responding to the challenge of financial sustainability in Estonia’s health system” was in March 5, 2010. Conference agenda and presentations are available here.

Read the full report and executive summary

On year on

In autumn 2011, nearly one and a half year later, it is the right time to decide whether and how the recommendations, made back then, have been taken into account. The report “Responding to the challenge of financial sustainability in Estonia’s health system: one year on” presented on October 4, 2011, sums up the situation. The aim of the new short analysis is to address the main changes in the financing of health care since April 2009 when the preparation process of the initial report was launched. The analysis does not focus on assessing the impact of the analysis for 2010, but reviews the development in the areas that were pointed out in the report as potentially having a major impact on the financial sustainability of the health system.

Read the follow-up analysis here