Visuomenės sveikatos priežiūros finansavimas: ES ir Lietuvos programų atvejis ; Public health care financing: case of EU and Lithuanian programs

Abstract

Public health is as important as the persons, but funding still remains a problem. Therefore, the study of the financing aspects of the programs, can be identified the main administrative and management problems for the future to ensure the most efficient administration of the programs. The aim of this work is to establish the EU and Lithuanian program funding aspects and to identify related key issues. In this study will be analyzed the programs in a number of priority areas of EU public health strategy - it is alcohol, tobacco, women's health, drugs and HIV / AIDS and mental health. Work consists of 3 large parts. The first part presents the survey methodology. Described the positive and negative aspects of decentralization theory. It also presents the theoretical models of health care financing, which funded public health programs. The second part presents the EU Public Health Strategy 2008 - 2013, the public health system of Lithuania adequacy with EU priorities, discussed financing of a programs and a wide range of programs development and financing problems. In the third part, invoke in a qualitative semi-structured interview method, investigation of the focus group is presented. Defined the implementation of public health, the EU funds, the major public health programs and funding assessment of the experts prospect. During the analysis of EU and Lithuanian public health programs financing and the investigation, identified a mixed funding model in the public health programs field, analyzed the main drawbacks of decentralization, noted that some of the Lithuanian public health strategy goals are under-performed. Identified the following main problems of financing: a small financial interest, not enough consolidated public health importance, negative aspects if co-funding principle, the lack of intersectoral cooperation, lack of functions implementation, supervision and financing, lack of systemic approach, the lack of continuity, doubled functions, business priority, the breakdown strength, weak cooperation between the representatives in the European Union and the national authorities, the complex bureaucratic mechanism, the possible personal interests, financial and strength concentration of certain institutions.