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.

The study has been conducted within the ERASMUS+ KA2 partnership project “Improving the initial education of adult immigrants”. Research is based on the anonymous survey in which took part 1127 legal adult immigrants from outside the European Union. The study was performed in 2017 in the six European Union countries: Lithuania, Latvia, Romania, Bulgaria, Italy and Belgium. The purpose of this article is to investigate how information about the host country before immigration is related to immigrants’ basic sociodemographic characteristics, i.e.: age, gender and education. Statistical data analysis showed a statistically significant difference between the information, which immigrants knew before their arrival in the host country, and education as well as age groups. However, there were no statistically significant differences found between the information, which immigrants knew before their arrival in the host country, and immigrants’ gender. Moreover, information that immigrants lack most prior to their arrival is related with health care and the employment system as well as the ability to learn the hosting country’s official language.