1 / 20

Factors affecting development

Imaging in Estonia – incentives to integrate Peeter Ross, MD President Estonian Society of Radiology MIR 2009 Riga. Factors affecting development. Compulsory health insurance since 1992 Health insurance tax – 13% (paid by employer) Income tax – 21% (flat tax) Fee for service or DRG

brenna-gilbert
Download Presentation

Factors affecting development

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Imaging in Estonia – incentives to integratePeeter Ross, MDPresidentEstonian Society of RadiologyMIR 2009Riga

  2. Factors affecting development • Compulsory health insurance since 1992 • Health insurance tax – 13% (paid by employer) • Income tax – 21% (flat tax) • Fee for service or DRG • 5,0% of GDP for healthcare in 2005 and 2006 • Health care service providers are municipal, governmental or private • All public hospitals are incorporated into private law • Wide range of e-services and high bandwidth connectivity • Internet • 75% of population (15-74 years) use regularly internet (2009) • Wide spectrum of mobile internet services

  3. Radiology. Current figures • Approximately 200 radiologists (+34 residents) • 149 radiologist per one million inhabitants • Country-wide PACS • Radiologists • Referring physicians • Equipment • X-ray - 143 (one unit per 9400 inhabitants) • CT - 19 (70 000) • MRI - 10 (135 000) • Angiography - 5 (270 000) • Mammography - 6 (225 000) • Nuclear medicine - 5 (270 000)

  4. Last decade developmentNumber of units

  5. Last decade development Units per 1 million inhabitant

  6. IT solutions in radiology • Country-wide PACS • 39 radiology departments all over Estonia are connected • Accessible for radiologists and referring physicians • Radiology images • Work in progress • Non-radiology images (endoscopy, eye fundus, dermatology etc.) • ECG • Additionally 6 hospital PACS´es • Estonian country-wide Health Information System • Referrals and Reports

  7. Economic growth in Estonia

  8. Economic growth in Estonia

  9. Incentives of different parites • Interested parties • State • Health care policy • Guarantee radiology services for citizen • Health Insurance Fund • Effectiveness (reduce costs) • Society of Radiology • Professional working environment • Quality • International cooperation • Major health care providers • Competitive services

  10. Important events (1) • 1991 – Establishment of Estonian Society of Radiology • Specification of radiology procedures • Accreditation of departments • Sertification of radiologists • 1992 – Compulsory Health Insurance • 1994 – Radiation Act (modified 2004) • 1998 – Decree of Minister of Social Affairs regarding use of ionizing radiation in health care

  11. Important events (2) • 1997 – Primary care reform • 2000 – Estonian Hospital Master Plan 2015 • Decreasing the total number of hospitals from 68 to 15 by 2015 • 2001 – Health Services Organization Act • Hospitals are either foundations or joint-stock companies • 2001 – Estonian Radiology Master Plan 2015 • 2005-2009 – Acquiring resources to triple the number of CT, MR and angio units • 2006 – Foundation of Estonian PACS

  12. Estonian Radiology Master Plan 2001-2015 • Conditions for the radiology department in central or regional hospital by 2005 • Availability of X-ray, ultrasound, CT, MRT, NM, interventional radiology • Electronic referral and report • Electronic archiving of radiology exams – country-wide PACS • Implementation of clinical-radiological meetings • Support from biomedical engineers • Implemented quality system of radiology service

  13. Estonian Radiology Master Plan 2001-2015 • Definition of radiologists workload • By examination units

  14. Important decisions in relation to economy

  15. Important decisions in relation to economy Consolidation of resources – increase in purchasing power

  16. Important decisions in relation to economy Consolidation of resources – increase in purchasing power

  17. Conclusions • Economic recession fosters health care reforms • Reform options • Policy change • New reimbursement schemes • Innovation • It is important for radiology community to be involved in development of health care policy

  18. Thank you! Peeter.Ross@itk.ee

More Related