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Health systems in transition Latvia Fig. 2.2 Structure of the Ministry of Health Bureau of Minister Minister for Health Parliamentary Secretary Strategic Council Bureau of State Secretary State Secretary Attaché of Health Ministry at the Permanent Representation of the Latvia to the EU Deputy State Secretary Deputy State Secretary Deputy State Secretary Department of Administration DIRECTOR Deputy Director Documentation Unit Property Unit Quality Managemant Unit Human Resources Unit IT Unit Department of Law DIRECTOR Deputy Director Legislation Unit Legal Support Unit Department of Revision and Internal Audit DIRECTOR Revision Unit Internal Audit Unit Department of Communication DIRECTOR Public Relations Unit Press Center Department of Public Health DIRECTOR Deputy Director Environmental Health Division Unit Health Promotion Division Unit Epidemiological Safety Division Unit Dependencies Monitoring Unit Department of Health Care DIRECTOR Deputy Director Medical Treatment Unit Health Care Organization and Resources Unit Emergency Care Unit State Shares Management Unit Department of Pharmacy DIRECTOR Deputy Director Pharmaceutical Care and Resources Surveilance Unit Organization and Legislation of Pharmacy Unit Department of Budget DIRECTOR Deputy Director Budget Planning Unit Financial Forcasting Unit Financial Analysis Unit Accounting Unit Department of Investments DIRECTOR Deputy Director Deputy Director Foreign Financial Aid Unit Investment Unit EU Planning and Control Unit ERDF Implementing Unit ESF Implementing Unit Department of European Affairs and International Cooperation DIRECTOR Deputy Director European Affairs Unit International Co-operation Unit Department of Policy Planning DIRECTOR Deputy Director Prognosis and Analysis Unit E-Health Unit Intersectorial Cooperation unit Source: Authors’ own compilation. Notes: IT: Information technology; EU: European Union; ESF: European Social Fund; ERDF: European Regional Development Fund. 37
Health systems in transition Latvia but also for the coordination and management of the entire emergency medical situation in the country. The State Shares Management Unit supervises all those capital companies in which the Ministry of Health owns shares. The Department of Public Health consists of four units and is responsible for the elaboration of legislative and policy planning documents as well as implementation of the policy related to environmental health, health promotion, epidemiological safety of infectious diseases, and surveillance and control of addiction-related health problems. The Pharmaceuticals Department consists of the two units appearing in Fig. 2.2, and deals with policy, legislation and management of care in the field of pharmaceuticals (human and veterinary). The department supervises all the processes of production, import and distribution of medicines as well as pharmaceutical care. In addition, all items related to the legal circulation of narcotics, psychotropic substances and their precursors come under the supervision of this department. Two state agencies (the State Agency of Medicines and the State Medicines Pricing and Reimbursement Agency) are also under the direct supervision of the department and are responsible for implementing the department’s tasks. These agencies are discussed in detail later. The Department of Budget consists of four units and is responsible for the management of financial resources, health budget planning, and supervising the efficiency of health expenditure. The Departments of Public Health, Pharmaceuticals and Budget existed prior to the Ministry’s restructuring of November 2006, although they underwent certain transformations through the addition of new units, aiming to streamline their operations. The Investment Department was established specifically for the purpose of handling EU funds that are to be used in the health sector. This department is in charge of planning and surveillance of projects financed by EU funds, as well as for effective communication with the relevant EU bodies. The Revision and Internal Audit Department deals with internal audits within institutions under the jurisdiction of the Ministry of Health (state agencies, centres) to ensure their compliance with regulations on administrative and financial matters. It is to provide planned and regular audits as well as ad hoc audits, organized upon request by the Ministry of Health. The aim of the Department of Policy Planning is to elaborate common state health policy and to supervise the implementation of strategic documents, along with intersectoral policy coordination. This department is also responsible for E-health project implementation. 38
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Keywords: DELIVERY OF HEALTH CARE E
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5. Physical and human resources 5.1
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6. Provision of services 6.1 Public
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9. Conclusions In the early years o
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