Current documents in MedicalDental care strategy in Estonia

Current documents in Medical/Dental care strategy in Estonia Piret Väli Estonian Dental Association 17 -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 n n n Health policy - investment to health 2006 Public health development plan 20092020 Dentistry development plan 2004

Public health Policy – investment to health Consensus position n Importrance of health policy, main principles n 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), n Lisbon strategiy (2000), Patients rights European harta (2002), EU Directive 89/391/EEU etc

n n n n 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: 1 HIV) 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 n n n 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

n n Health promotion literacy education behaviour

Public health development plan 2009– 2020 n n n 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 n n 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 n n n Orthodontics Maxillofacial surgery Dentistry Changes in October 2011! New - restorative dentistry

Development plan for orthodontic tretment n n 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 n Estonia, Norway, Denmark, Finland 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 n Changes in patients complaint system - Patient Protection Authorities initiative n

EDA development plan n n E-health Informaton sheets for patients Prevention project etc. Negotiations with the government about reinbursement!

Thank You!