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Health systems in transition Latvia WHO EUROSTAT Fig. 4.1 Data collection in the health system of Latvia Ministry of Health Central Statistical Bureau III Data regarding health care financing and payments Information on health statistics Information on health statistics; Medical documentation Regulations Health-related information from other sources Information on health statistics; Approve of content of Branch Statistical Reports; Causes of death Information on health statistics HSMTSA SCHIA Branch Statistical Reports Public Health Agency II Branch Statistical Reports Health statistics Registers of: New templates of Branch Statistical Reports Branch Statistical Reports Causes of death, vital statistics • Cancer • TB • STIs • Mental disorders • Drug abuse • Occupational diseases • Chernobyl nuclear accident-related diseases I Department of Civil Records Register of Self-governments Researchers: Universities, institutes Health speciality advisers; Health associations; Corporations Municipality Complete Register Cards Birth, death certificate Discharged (dead) from hospital patients card; Outpatient’s coupon Physicians; Health Care Institutions (State, Municipal, Private) Reports on notifiable diseases (incl emergency report); Data about vaccination Public Health Agency Branches (10) Source: Authors’ own compilation. Notes: WHO: World Health Organization; HSMTSA: Health Statistics And Medical Technology State Agency; SCHIA: State Compulsory Health Insurance Agency; TB: Tuberculosis; STI: Sexually transmitted infection. 123
Health systems in transition Latvia • • Figure 4.1 explains the system of data collection in Latvia. There are three main channels of information: the HSMTSA, responsible for collection of health statistics; the SCHIA, responsible for collection of statistics relating to health care financing and payments; the Public Health Agency, responsible for notifiable diseases and general epidemiological information. As the supervising institution, the Ministry of Health receives all information • from each agency. Besides information flows to the Ministry of Health, the HSMTSA has direct collaborative arrangements with the Central Statistical Bureau of Latvia, WHO and Eurostat. Information flows take the form described here. In the case of aggregated data, information flows from physicians and health care institutions towards the HSMTSA; the branches of the Public Health Agency; and then towards the Agency’s Central Office. In the case of individual data (involving financing and payments), information flows from physicians and health care institutions towards the SCHIA. In the case of notifiable diseases, involving both individual and aggregated data, information flows from physicians and health care institutions towards the branches of the Public Health Agency and then towards the Agency’s Central Office. Statistical data are used for the development of analytical materials and various publications. The HSMTSA publishes six to seven different publications per year, including a Yearbook of health care statistics in Latvia, Statistical overview on health and health care, Public health analysis in Latvia, Medical aspects of death, Maternal and infant health care, and Health in the Baltic countries. Every second year there is a publication entitled Health statistics indicators (definitions, formulas and data sources), which constitutes important educational material for statisticians. A number of publications are distributed to the largest health care institutions free of charge, as well as to libraries and reading rooms throughout the country. In addition, a wide range of materials can be found at the homepages of some of the agencies and that of the Central Statistical Bureau. In accordance with Regulations of the Cabinet of Ministers, there is a fixed price for each publication. It is also possible to receive statistical information that is not published or available at the homepages by written request and payment to the appropriate agency. 124
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Keywords: DELIVERY OF HEALTH CARE E
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