The Story of the Estonian Health Insurance Fund. 20 Years of Treatment and Insurance

The Story of the Estonian Health Insurance Fund. 20 Years of Treatment and Insurance
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Grupi autorid. The Story of the Estonian Health Insurance Fund. 20 Years of Treatment and Insurance

I. Development of Health Insurance: 1912–1991

II. Formation of the Estonian Health Insurance System: 1992–2000

The Story of the Health Insurance Act

1991 – Entry into Force of the Health Insurance Act

Formation of Prices of Health Care Services

The Origination and Work of Health Insurance Funds

How the Central Health Insurance Fund Originated

Establishment of the Family Physician System

1994–1997 A Time of Major Changes

Strengthening the Health Insurance Fund’s Status, Adopting the Current Bearing

World Bank Aid and Health Care Reforms

Health Care Reform: Package of New Legislation

Reforms as Seen by a Lawyer

Reforms Take Effect: Like from a Textbook

Establishment of the Hospital Network Development Plan

Change in the Medication Compensation System, Introduction of Reference Prices

III. Entrenching of the Chosen Direction: 2001–2012

Strategic Development Plan

Creation of New Systems

Updating Price Formation for Health Care Services

Origination of the Competency Model and Scorecard System

Selection of Health Care Services Providers

Improving the Quality of Health Care Services

Creation of an Electronic Certificate of Incapacity for Work

Creation of Digital Prescription

Transition from Paper Prescriptions to Digital Prescription

Much Remains to Do

Economic Crisis of 2008–2010

Use of Reserves

Difficult Decisions

Medical Treatment Waiting Lists

About the Future of Health Insurance as Seen by the Health Insurance Fund

A Glance into the Future

The Future Perspectives of Health Insurance

Отрывок из книги

Otto von Bismarck.

The history of sickness insurance extends back to the 19th century when the first sickness insurance act was passed into law in Germany in 1883 at the initiative of Otto von Bismarck. Why was this necessary?

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Tartu General Health Insurance Fund activity report in 1939.

Estonia was conspicuous in Europe with its relatively low proportion of sickness insurance – only 17.9 % of the population was covered. Sickness insurance essentially remained the privilege of industrial workers and recipients of the Vabadusrist (Cross of Liberty). Persons who worked in agriculture, education, or some other sector and the members of their families had to pay for health services themselves. It was not until the latter half of the 1930’s that several acts of legislation went into effect that extended sickness insurance to civil servants and governmental employees, university teachers and professional military personnel together with the members of their families.

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