Popular ideas

  • Supported 22
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Reviewing Pharmacy Markups / Active Ingredient Issues / Product Groups

Recently, the media has highlighted how drug manufacturers and wholesalers optimize expenses related to medications, including rebates, etc. Amidst all this, the pharmacy pricing reform has clearly been sidelined. Pharmacy markups were established over 20 years ago, and we have now reached a point where it is easier, simpler, and …
  • Supported 18
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All hospitals in Estonia should have a unified IT system

All hospitals should have a unified IT system in Estonia for several reasons: Data Uniformity and Consistency: A unified IT system ensures that all patient data is standardized and consistent across the country. Efficient and Rapid Information Sharing: When all hospitals use the same system, information flow is much faster and more …
  • Supported 16
  • Ideas upgraded 1

Occupational healthcare

My employer has been sending me to the occupational health doctor for years. Hands up, spin around, stick out your tongue – that's roughly how it goes. Each time, I'm left confused. Why is my employer paying for this service on my behalf? It seems like something that could easily …

All ideas

  • Supported 1
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Do all nurses need to have a higher education, and is there really no place in emergency medical services for a category 3 paramedic from the Defense Forces?

Having recently graduated in nursing myself, I find that reducing dropout rates and increasing the number of skilled procedural nurses can be achieved by making nursing a three-tiered profession: a 2-year practical training with a vocational category of procedural nurse, a nurse with a higher education, and a specialist nurse. …
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Assessing Work Ability and Disability

To reduce the burden on doctors and the "running around" of chronic patients between various specialists, at least two laws need to be reviewed and potentially amended. These are the Work Ability Assessment Act and the Disability Assessment Act. The principle of both laws is that patients with chronic illnesses …
  • Supported 5
  • Ideas upgraded 0

Assessing work ability and disability

To reduce the burden on doctors and the "running around" of chronic patients between various specialists, at least two laws need to be reviewed and potentially amended. These are the Work Ability Assessment Act and the Disability Assessment Act. The principle of both laws is that patients with chronic illness(es) …
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  • Ideas upgraded 0

Reduced VAT for medical devices and pharmaceuticals

Reduced VAT for medical devices would increase hospitals budget's capacity. As an example - in Lithuania medical devices and pharmaceuticals have 5% VAT applied which allows hospitals to afford more with their limited budgets. At the moment in Estonia the reduced 9% VAT is applied mainly for certain medicine and …
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Estonia’s IT competence needs a better function in healthcare

Estonia has a strong IT system and a large amount of medical data is collected in TEHIK. However, this data is analyzed very little. As a result, decisions are often based on emotions rather than real data.
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Are we living beyond our means?

We want the lowest possible taxes, but world-class healthcare immediately, which presents a contradiction – there is not enough money. One option would be to expand the tax base and increase contributions – but a tax increase is not very popular. Another option is to introduce private insurance, which would, …
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Public healthcare vs private healthcare

The role of public and private healthcare, as well as funding from public sources (Health Insurance Fund), needs clear regulations. Both have their place in Estonian healthcare. It would be optimal if these two systems complemented each other rather than competed for medical personnel. It is important to maintain public …
  • Supported 3
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Who is leading healthcare?

It is unclear to the stakeholders who is leading Estonian healthcare – whether it is the Ministry of Social Affairs, the Health Insurance Fund, the hospital directors, or perhaps someone else entirely. Without unified leadership and a clear vision for the future, it is very difficult to move forward.
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Attorney at law specialized in Healthcare & Life Sciences

In addition to „how to fund“ (public/private health insurance) it is also very important „what to fund.“ Prevention is better than cure! I think we should shift more focus on funding prevention, however, our healthcare system and legal framework is still too treatment based. For sure, treatment must be reimbursed …
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A lawyer specializing in healthcare and life sciences

In addition to the question of "how to fund" (public/private health insurance), it is also very important to address "what to fund". Prevention is better than cure! I believe we should focus more on funding prevention, but our healthcare system and legal framework are still too treatment-oriented. Of course, treatment …
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How would private health insurance contribute to the accessibility of healthcare services?

Funding for private healthcare by the Health Insurance Fund has increased over the years, significantly boosting the number and proportion of outpatient visits to private clinics. The increased use of private healthcare is also attributed to the growth in purchasing power among Estonians - which, admittedly, has suffered greatly in …
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Funding for the Estonian healthcare system has become outdated over time

High-quality healthcare is one of the cornerstones of a successful economy. When it keeps the people of Estonia as healthy as possible and extends their years of healthy life and life expectancy, it helps to improve and maintain the most important part of society, human capital. Although Estonians have considered healthcare …
  • Supported 3
  • Ideas upgraded 1

Kuidas aitaks eraravikindlustus kaasa tervishoiuteenuse kättesaadavusele?

Tervisekassa poolt erameditsiini rahastamine on aastatega kasvanud, mis on oluliselt suurendanud ambulatoorsete vastuvõttude arvu ja osakaalu erakliinikutes. Erameditsiini suurema kasutamise taga on ka Eesti inimeste ostujõu suurenemine - mis, tõsi küll, viimaste aastate ülikiire inflatsiooniga, tugevasti kannatada sai -, kuid peamiselt ikka hädavajadus kiirema arstiabi järele, kui praegune avalik tervishoiusüsteem …
  • Supported 8
  • Ideas upgraded 3

The funding of the Estonian healthcare system is outdated

Quality healthcare is one of the pillars of a successful economy. If it keeps Estonian people as healthy as possible and extends their healthy years and life expectancy, it helps improve and maintain the most important part of society, human capital. Although Estonian people have considered healthcare services to be of …
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The outdated funding equation versus the lack of healthcare workers

Long-term demographic changes have simultaneously placed two pressures on the healthcare system. Firstly, there is a need to enhance the solidarity-based insurance scheme, where a traditional employment contract worker alone cannot sustain the aging clientele of the healthcare system through their taxes. And secondly, is how to serve relatively more clients …
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Universal healthcare

In Estonia, nearly 5% of people lack permanent health insurance, which is a problem for the entire society. We must strive towards expanding health insurance coverage to everyone, reaching universal health insurance, which is widespread in the European Union. Only this way can we ensure that our people receive necessary …
  • Supported 5
  • Ideas upgraded 1

Additional funding for the healthcare sector

To secure additional funding for the healthcare sector, there are two options – allocate an increasing operational subsidy to the Health Insurance Fund from other tax revenues or increase the collection of health insurance contributions by expanding the tax base or sources of income from which health insurance contributions are …