Current documents in Medical/Dental care strategy in Estonia

1. Current documents in Medical/Dental care strategy in Estonia Piret Väli Estonian Dental Association 17-18.18.11 Baltic Dental Meeting Sigulda Latvia

2. “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

3. Policy documents • Health policy - investment to health -2006 • Public health development plan 2009-2020 • Dentistry development plan 2004

4. Public health Policy – investment to health Consensus position • Importrance of health policy, main principles • Main documents – Ottawa harta (1986), enviroment and health Europeanharta (1989), Jacarta declaration(1997), WHO framepolicy „Health for everyone“(1998), Verona challenge(2000), EUPublic health program (2003–2008), amended European Social harta (2000), European constitution(2000), • Lisbon strategiy (2000), Patients rights European harta (2002), EU Directive 89/391/EEU etc

5. 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 (100:1HIV) in age group 15-49. • Raising of multiresistent tuberculosis cases • Raising HIV –positiv pregnant women

6. V. Depending on the needs, egual and efficiant health system development • To insure to all in need accessibility to quality health services. • Health insurance to all Estonian people • Define stateandemployers obligations and peoplerisk on their own account in using and paying for health services

7. Health promotion • Health literacy • Health education • Health behaviour

8. Public health development plan 2009–2020 • 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

9. Main goal • Healthy life expectation 2020 for men at60 and women65 years. Avarage life expectationfor men75 and for women 84 years. • Page 49 prioritise health promotion and prevention

10. Development plans in dentistry in 2004 • Orthodontics • Maxillofacial surgery • Dentistry Changes in October 2011! New - restorative dentistry

11. Development plan for orthodontic tretment • 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.

12. BALTIC E-HEALTH • Estonia, Norway, Denmark,Finland and Lithuania have joined togetherin search for a solution in thetransnational exchange of health informationand data. Tele-radiology is thefirst area in which this solution hasbeen applied, and a successful pilotproject involved the exchange of dataand radiology images among Danish,Estonian and Lithuanian hospitals.

17. Current poltical discussions • Changes in Advertising law - Competition Authorities iniciative to change the law • Changes in patients complaint system - Patient Protection Authorities initiative

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

19. Thank You!