Healthcare policy in Lithuania since 1991 (critical reappraisal)

Abstract

Introduction. Until 1990, the Lithuanian healthcare system was functioning under the soviet “Semashko” model. Although it was structurally well developed and based on state-funded health services to all citizens, the soviet healthcare model was marked by some limitations that did not allow to effectively, adequately and timely address population’s health issues. The healthcare system was highly centralised, excessively based on biomedical health model and lacked active involvement of the public in healthcare matters. After the restoration of Lithuania’s independence, a decision was made to reorganise the existing healthcare system. In 1991, Lithuania joined the World Health Organisation and adopted more advanced western health policies and practices in implementing national healthcare reform. The aim of this overall health care reform was to establish a health care system that would be efficient and highly responsive to population’s health issues. Aim. The aim of the study is to characterise and critically reassess major developments and implications of national healthcare policy in Lithuania since 1991. Material and Methods. Analysis of national healthcare policy in Lithuania since 1991 covered the review of the National Health Conception (adopted in 1991) and subsequent major developments in health policy and legislation.[...]