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Chapter 6 | The impact of the crisis on the health system and health in Latvia 211 Appendix 6.1 Major crisis related events and changes in the health system in Latvia, 2009–2012 Date Event/action 2009 Discontinuation of the “Development Programme of Out-patient and In-patient Health Care Providers” because of the economic crisis Consolidation of state functions into fewer institutions: closing down of the Public Health Agency, the State Centre of Medical Professional Education and the State Agency of Health Statistics and Medical Technologies; creation of the Centre of Health Economics to replace the State Medicines Pricing and Reimbursement Agency; closing down of the State Compulsory Health Insurance Agency and assigning its functions to three institutions: the Health Payment Centre, Centre of Health Economics and the Health Inspectorate Reduction in the number of staff at the Ministry of Health and its agencies Rapid reduction in the number of hospitals providing statutory services from 72 to 43 (some of the hospital closures had been planned for a long time) Creation of the state Emergency Medical Service, incorporating the State Centre of Emergency and Disaster Medicine, thus centralizing and rationalizing the provision of emergency medical assistance in the country Approval of the Safety Net Strategy by the Cabinet of Ministers (funding provided by the World Bank) 2010 Law “On the Rights of Patients” 2011 Cabinet approval of the Public Health Strategy 2011–2017 Cabinet approval of the “Regulation of the National Health Service”: creation of the NHS as the result of merging the Health Promotion Centre with the Centre of Health Economics 2011/2012 Reform of the pharmaceutical reference pricing system 2012 Creation of the Centre for Disease Prevention and Control as the new national institute of public health Political decision to introduce the Nord-DRG system for payment of hospitals: preparatory work for implementation (piloting started in 2013) Reform of Regulations No. 899 (“On the Reimbursement of Expenditures for Medicinal Products and Medicinal Devices”), introducing 50% reimbursement for all prescription medicines (beyond those listed in the positive list) for children up to 24 months and 25% for all pregnant women (including up to 42 days after childbirth) Note: Nord-DRG: Nordic Diagnosis-related Group scheme.
212 Economic crisis, health systems and health in Europe: country experience References Bite I (2010). Annual national report 2010, pensions, health and long-term care, Latvia. Cologne, ASISP (Analytical Support on the Socio-Economic Impact of Social Protection Reforms) (http://www.socialprotection.eu/files_db/902/ANR_2010_ Latvia.pdf, accessed 29 October 2014). Bite I (2012). Annual national report 2012, pensions, health and long-term care, Latvia. Cologne, ASISP (Analytical Support on the Socio-Economic Impact of Social Protection Reforms) (http://www.socialprotection.eu/files_db/1261/asisp_ANR12_ LATVIA.pdf, accessed 29 October 2014). Brigis G (2010). Global and local financial crisis: a challenge to the national health system. Example of Latvia. World Medical Journal, 56: 173–175. Cabinet of Ministers (2008). Latvia’s economic stabilisation and growth revival programme. Riga, Cabinet of Ministers of the Republic of Latvia (http://helios-web. saeima.lv/saeima9/lasa?dd=LP1007_0c, accessed 25 October 2014). Cabinet of Ministers (2012). Ziņojums par veselības aprūpes sistēmas strukturālās reformas norisi un plānotajiem pasākumiem tās tālākai īstenošanai [Report on the health care structural reform process and future developments]. Riga, Cabinet of Ministers of the Republic of Latvia (http://www.mk.gov.lv/lv/mk/tap/?pid=40143813, accessed 29 October 2014). Central Statistical Bureau of Latvia (2009). Results of the survey on health of Latvia’s population. Riga, Central Statistical Bureau of Latvia (http://www.csb.gov.lv/en/notikumi/ results-survey-health-latvia-s-population-27174.html, accessed 29 October 2014). Central Statistical Bureau of Latvia (2013). Database. Riga, Central Statistical Bureau of Latvia (http://data.csb.gov.lv, accessed 29 October 2014). Cochrane L (2009). Latvia’s credit risk rises to record on bankruptcy concern. Bloomberg, 27 February (http://www.bloomberg.com/apps/news?pid=newsarchive&sid= ax2zgkO07EV4, accessed 29 October 2014). Currie C et al., eds. (2012). Social determinants of health and well-being among young people. Health Behaviour in School-aged Children (HBSC) study: international report from the 2009/2010 survey. Copenhagen, WHO Regional Office for Europe (Health Policy for Children and Adolescents, No. 6). Delna (2013). Parex bankas pārņemšana valsts kontrolē [Takeover of Parex by the state]. Riga, Delna (Latvian branch of Transparency International) (http://www.deputatiuzdelnas.lv/notikumu-hronika/banku-krizes/parex-bankasparnemsana-valsts-kontrole.html, accessed 29 October 2014). Economist Intelligence Unit (2009). Latvia, country profile 2009. New York, Economist Intelligence Unit.
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Economic crisis, health systems and
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The European Observatory on Health
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Keywords: DELIVERY OF HEALTH CARE E
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List of abbreviations ACS Health in
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Acknowledgements This book represen
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Preface This book maps health polic
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Part I Country case studies
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Albania Genc Burazeri and Enver Ros
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Country profiles of health system r
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Austria Thomas Czypionka and Maria
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Azerbaijan Fuad Ibrahimov Economic
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Bulgaria Antoniya Dimova and Mina P
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Czech Republic Tomáš Roubal and J
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Estonia Triin Habicht and Mall Lein
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Finland Jan Klavus and Lauri Vuoren
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France Karine Chevreul, Karen Berg
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Kazakhstan Ninel Kadyrova and Tata
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Latvia Uldis Mitenbergs and Maris T
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Malta Natasha Azzopardi Muscat Econ
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Norway Anne Karin Lindahl and Jon M
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Ukraine Valeria Lekhan and Mariia T
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