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27-31 August 2019
Poznań, Poland
Europe/Warsaw timezone
programme last update: 23 August 2019
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Contribution Paper

Poznań, Poland - Morasko Kampus, room: 3.160

Characteristic features of post-socialist medicine in Estonia


  • Dr. Andres KUPERJANOV

Primary authors



In 1991, the medical system of Estonia underwent changes: the new family physician service was implemented, requiring many medical diploma holders to re-train for a wider-profile reception of patients, including the health of the family as a whole. The system of specialist doctors continued to function. Every citizen pays social tax and health insurance tax (in addition to the pension fund and unemployment insurance payments), which should ensure that (s)he receives medical services in the national system free of charge. As an alternative, paid services and visits to private doctors are available, but the predominant majority of people prefer the state system due to the good doctors and high-quality equipment. Nevertheless, the entire medical system has been affected by the considerable level of migration of trained doctors and nurses to other countries (Scandinavia, USA). A certain balance is achieved through the influx of properly trained medical professionals from Belarus, Ukraine, etc. The range of pharmaceutical products has changed too (as recommended by the State Agency of Medicines), with several innovations that include e-prescriptions. It is still clear that the contributions are not sufficient to cover the costs of the expensive pharmaceutical products needed to treat all rare and unexpected diseases, perform special surgeries. How is this problem being solved? In addition to applications submitted to various EU foundations, charitable initiatives have been very effective. Our report examines the direction, performance and location of charitable initiatives in the general medical service context. Reserch is supported by grants IUT 22-5, TK 145.