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Estonia

Estonia. Toomas Tein Aare Märtson Tartu University Hospital University of Tartu Estonian Orthopaedic Society. Estonia. Croatia. Estonia. Area: 45 227 km² (the Tartu Peace Treaty of 1920 defined 47 549 km²) Coastline: 3794 km

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Estonia

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  1. Estonia Toomas Tein Aare Märtson Tartu University Hospital University of Tartu Estonian Orthopaedic Society

  2. Estonia Croatia

  3. Estonia • Area: 45 227 km² (the Tartu Peace Treaty of 1920 defined 47 549 km²) • Coastline: 3794 km • Land borders: 343.0 km with Latvia and 338.6 km with the Russian Federation • Distance from Tallinn to Helsinki: 85km; to Riga: 307km; to St.Petersburg: 395km; to Stockholm: 405km • Population as of 1 January 2008 1 340935 • Population density (inhabitants per km2) 30 • Currency Eesti kroon 1 EUR=15,6466 EEK

  4. Estonia • Type: Parliamentary democracy • Head of State: President Toomas Hendrik Ilves • Head of Government: Prime Minister Andrus Ansip • Legislature: unicameral Riigikogu • High court: Supreme Court • Suffrage: Universal for citizens who have attained 18 years of age for national elections. Administrative regions: 15 counties

  5. Administrative division of Estonian territory

  6. Tallinn old town

  7. University of Tartu since 1632

  8. Medical education in Estonia • 9-year basic school • 3-year secondary school • 6-year Medical faculty at University of Tartu • 140 yearly admitted (25-30 international students)

  9. Rules for admission to residencyand deletion from the list residents • ADOPTED by the Council of the University of Tartu Regulation no. 16 of 27 April 2001 (effective as of 1 May 2001) • Residency training in orthopaedics; altogether 26, admitted 5 (2008) • www.med.ut.ee/ope/residentuur

  10. Residental training Training, altogether 55 mo: Basic 22 mo • General surgery 9 mo • Orthopaedic surgery 5 mo • Urology 2 mo • Vascular surgery 2 mo • Thoracic surgery 2 mo • Anaesthesiology and intensive care 2 mo Orthopaedics 33 mo • Orthopaedics 24 mo • Plastic surgery 3 mo • Pediatric surgery 3 mo • Neurosurgery 2 mo • Surgical oncology 1 mo

  11. Exam • After basic course 2y • Commission • Yearly evaluation • Graduating 5y • Written • Oral • Based on yearly evaluations

  12. GDP (2007) 16900 24900

  13. Principles Estonian Health Insurance (EHI) • Relies on solidarity • Covers costs of all required health services regardless of paid amount of social tax per person • Social tax is 33%, paid by employers • 20% allocated for pension insurance • 13% for health insurance

  14. Budget of EHI (EEK)

  15. Distribution of health insurance expenditure

  16. Treatment cases Outpatient cases Day cases Hospital cases

  17. Manpower • Doctors 33/10000 • Nurses 66/10000 • Dentists 9/10000 • 8.5 million doctor visits; one person has 6.3 visits per year • Average hospital stay 6.3 days • Problem: great part is doctors over age 55

  18. Orthopaedic manpower • Members of Estonian Orthopaedic Society – 140 • honorary members - 6 • Surgically active - 75 (~1:20000) • Regional hospitals – 2 • Central hospitals – 4 • Specialized departments for trauma, pediatric, • replacement surgery, burns, plastic surgery

  19. Musculosceletal surgery (2007) 14473 (hospital)+ 5649 (day surgery) operations • Osteosynthesis 4419 • Arthroscopy 4274 • 1400 hospital • 2874 day surgery • TJR 2870 • hip1134

  20. Membership of international organisations • EFORT 1999 • UEMS/EBOT 2006 • NOF 2008 (Amsterdam) • NOF Congress in Tallinn 2.-4.05.2012 • UEMS/EBOT meeting May 2010 Welcome!

  21. Thank you for your attention !

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