Klaipėdos universitetas

The World Health Organization acknowledges that the health of people in the European region has improved significantly, but not everywhere and not equally for all. It has set a strategic goal to improve the health of all, and reduce health inequalities. In meeting this goal, Lithuania purposefully strives to reduce inequalities in the health condition of individuals attributed to different social groups, and differences in accessibility to health care. The primary focus is on people with disabilities. In compliance with the UN Convention on the Rights of Persons with Disabilities, Lithuania seeks to provide people with disabilities with health-care services and programmes of the same availability, quality and level which are provided or applied to other individuals, free of charge or at a reasonable price. However, research has revealed a great deal of problems in fulfilling this obligation. The present article focuses on physicians’ experience, and aims to understand, from a physician’s perspective, the financial opportunities and barriers that they encounter in rendering health-care services to people with disabilities. A survey involving 107 physicians was carried out in 2019 and 2020. The research results showed that Lithuania is making progress in increasing funding to the health-care system in a targeted way covering a wide range of its domains. Therefore, physicians have plenty of opportunities to refer patients with disabilities to other professionals for consultation without any financial constraints, to prescribe reimbursable medication, to carry out laboratory and radiological tests, to give instructions to caregivers on patient care, and to hospitalise a patient or transfer him/her to another hospital. The situation is somewhat worse with prescribing the most appropriate reimbursable measures and reimbursable rehabilitation treatment, and the worst situation has emerged in the sphere of reimbursable psychological and social assistance, because these services are usually granted a minimum level of funding. The trends established verify that there is a strong need to develop a more effective public health policy in Lithuania, to reform the health-care system, and to invest in improving its quality, so that the country can take more measures to ensure the health of the population and the inclusive equality of people with disabilities in the health-care system.

Scientific journal Tiltai / Bridges / Brücken published by Klaipėda University (established in 1991) is devoted to the issues of social sciences, and seeking academic dialogue, also to other human and society functioning-related humanities and biomedical sciences, with expand and interpret different social phenomena and current issues from an interdisciplinary perspective. The publications attempts at analysing and solving actual problems of economy, management, demography, social geography, geopolitics, political sciences, history, education, religious, regional planning and land use, other social problems. Science has no borders. Therefore scientific cooperation is one of the most important elements in the progress of world’s community. Scientists from different countries of the world are kindly invited to write for and contribute to the journal.

The scientific article analyses the subjectively perceived quality of life of adult patients with mental and behavioural disorders, and its relationship to the certification of day care institutions according to the EQUASS quality implementation system and the links with health services provided to adults with disabilities. The aim of the research is to investigate the correlations between the subjectively perceived quality of life of patients with mental and behavioural disorders and the health services provided. The article presents a research study involving 13 respondents (seven men and six women) with mental and behavioural disorders. Qualitative research with the in-depth interview method was applied. The respondents ranged in age from 20 to 48 years (the mean age was 32), all of them had attended the day care centre for from one to 20 years (the average attendance was 7.5 years). The research data were processed using narrative analysis. The research results revealed that adults with mental and behavioural disorders perceive the health system integratively. The essential triangulation that influences the assessment of their subjectively good quality of life was identified: the characteristics of the person himself/herself, the efficiency of services provided, and the professionalism of the employee. It was also found that for respondents receiving inpatient services for ten years or more, the subjectively perceived quality of life is related to social participation in the community. It was also identified that adults with mental disabilities still face stigmatisation; therefore, it is necessary to legally ensure the context of their social participation and valorisation. The research revealed that medical and social services for patients with mental and behavioural disorders require closeness: a person after in-patient treatment and receiving additional psychosocial rehabilitation services focuses on the valorisation of his/her role in society and social participation.

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