Estonian Health Care System. Jevgenia Makarova Kristel Kaur Tallinn 2006. Geographical and historical figures. • Area: 45.215 km² • Bordered by the Russian Federation to the east and Latvia to the south • Population: 1,4 million • Male: 46 % female: 54 % • Urban: 69 % rural: 31 %.
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• Area: 45.215 km²
• Bordered by the Russian Federation to the
east and Latvia to the south
• Population: 1,4 million
• Male: 46 % female: 54 %
• Urban: 69 % rural: 31 %
• Life expectancy:
male: 66,3 years female: 76,7 years
• Birth rate: 8,7 / 1000 population
• Average salaries: 500 Euro
• Average pension: 150 Euro
• 1940 occupation of Estonian Republic by
• 1991 independence of the Estonian
→ total reform of the health care system
• Today’s number of acute hospitals: 19
Inpatient and outpatient treatment. 24-hour first aid.
613 beds altogether.
Departments of general surgery, neurosurgery and neurology, cardiovascular surgery, cardiology and critical coronary care unit, trauma section and orthopedics, internal medicine, eyes, ear, nose and throat, thoracic surgery, urology, maxillae-facial surgery, intensive care unit.
Consultative Clinic of the Mustamae Hospital.
The doctors of this clinic work at the Mustamae Hospital.
Inpatient and outpatient treatment of all mental diseases. There is also a modern paid department of non-psychotic disabilities with sauna, private rooms etc where it is possible just to cure your stress or any other problems.
There are the biggest Gynecologic and Maternity Clinic in Estonia and one of the best equipped and modern eye disease centers in Estonia.
Also has trauma center.
Inpatient and outpatient departments of pediatrics, ear-nose and throat diseases, traumatology and orthopedics, surgery, hemato-oncology.
All the doctors are highly educated and speak English.
Dermatology Clinic Neurology ClinicPsychiatric ClinicInternal Diseases ClinicDental Clinic
24-hour Hotline for emergency medical care; medical exams for adults and children; screenings and diagnostic tests; mammograms; annual flu shots; dentists(including 24-hour emergency dental care); ambulance service; home visits; gynecological and pregnancy care, etc.
All persons insured with the Health Insurance Fund have a family practitioner.
A person not residing in Estonia may also visit a family practitioner.
No referral is needed to visit a psychiatrist, gynaecologist, dermatovenerologist, ophthalmologist, dentist, pulmonologist (for tuberculosis treatment), infection specialist (for HIV/AIDS treatment), surgeon or orthopaedist (for traumatology).
When visiting the new physician one should present an abstract of his/her medical record.
During the Soviet era, paediatricians worked as primary care doctors in special children’s polyclinics. It was common for patients to bypass polyclinics and health centres, visiting specialists directly.
These lists cannot contain
fewer than 1200 or more than 2000 patients (except in specific cases such as
occur in some rural areas or on some islands).
The average patient list size is
which used to be polyclinics), although some doctors have taken out loans to
build new facilities.
hours a week, and practices should be open for at least 8 hours a day. In primary
care, patients should be able to see their family doctor on the same day for acute
problems; patients with chronic conditions have the right to see their family
doctor within three days.
The 2002 results show that all patients withacute problems are able to access their family doctor on the same day, and that97% of patients with chronic conditions see their family doctor within threedays.
though there is a shortage of trained family nurses.
Taking blood pressure
Measuring blood sugar with a glucometer
Inserting a catheter in the bladder, inserting a permanent catheter, maintenance of catheters
Change of dressing and care for ostomy
Removal of stitches from wounds
Removal of casts
Prevention of bedsores
Care for wounds, incl. bedsores
Rehabilitation therapy at home
These graduates are seen as themain resource for further training of basic and specialist nurses.