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 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.

One of the most important aspects influencing the quality of life is education. The paper includes the research results from an analysis of how the level of education affects quality of life, and the development of different initiatives and values. An analysis of scientific literature is performed, with a more detailed analysis of data from Latvia, taking into account the level of household income and satisfaction with life. Research methods applied: analysis of scientific findings, analysis of time-series on several indicators of development related to different education indicators, and income indicators depending on educational level, with a calculation of income confidence interval with a probability of 0.95 for households with different educational levels. Data used in the research: data from databases of the Official Statistics Portal of the Republic of Latvia, Household Finance and Consumption Survey. The research results indicate that households in Latvia with a higher education have a significantly higher income than households with primary or no education.

The spectrum of the links between the quality of life and health has been expanding due to the phenomenon of health acquiring features of a social phenomenon and growing complexity. The research evidenced that health was considered to be one of the most important, and often the most important, dimension of the quality of life. To more comprehensively identify the health-related factors that affected the quality of life in general, the concept of the health-related quality of life has been developed. In our research 1763 children filled KIDSCREEN52 surveys which evidence tendency as follows: even though two thirds of the children did not indicate they had health disorders, only one third of them assessed their health as excellent and very good. This demonstrates that, in the children’s assessment of health, both the absence of a disease or disability and also psychological and social factors are important.

Quality of life characterizes the conditions of human existence, the level of satisfaction of needs. Children with disability restrict ability of the families to meet their needs. Parents of these children quite often are limited in their employment and education opportunities, and their resources, they meet with restrictions in all areas if life. Such a situation has developed not only because of the socio-economic situation in the country, but also due to the lack of interest and inadequate support. The aim of the paper is to analyse the family quality of life of the families with disabled children with in regions of Latvia. Empirical data were obtained by structured interviews with 272 families. The research shows that the situation of the families with disabled children differs in different regions of Latvia. Families are supported by the state and municipalities, bet the support in the areas of emotional, physical and social wellbeing does not recompense the influence of special needs of the disabled children on the family quality of life.

The very first scientific data gathered in exploratory research of canine therapy in Lithuania is presented in the article. One case qualitative study is presented. Qualitative one case study was applied using different research methods: narrative and content analyses. Narrative analysis was used to analyze data gathered from educators, psychologist and mother of the child after each canine therapy session. Narrative interpretation was applied for canine therapy observation report, when each five minutes the changes of child were described. Report of canine therapy observation divulged that sessions were important for child’s greater social development, verbal expression and cognitive development. Scale of emotional evaluation showed that canine therapy sessions have great importance in developing positive emotions.

The European Union data surveys give evidence of the growing trend of population ageing in the Member States. The aim of the study was to analyse the social structure of population in Latvia, Lithuania and Poland in comparison with the average population in the EU-27 and present recommendations for policy makers for further improvement of the social policy development in these countries. The authors used monographic method to study theoretical aspects of society aging and welfare and statistical data analysis of secondary data aggregated by Eurostat reports, Eurobarometer survey and databases of national institutions. The analysis of the society aging indicators in Latvia, Lithuania and Poland clearly shows that the policy makers of these countries so far have been mainly focusing on unpopular measures – either increasing taxes or raising the retirement age, which have caused citizens’ dissatisfaction with the existing social policy that does not provide any hopes for the existing and becoming pensioners to approximate to successful aging. The authors consider that the national institutions responsible for society’s welfare issues should further encourage socially innovative solutions by finding unusual ideas for obtaining multidimensional support, including the assistance provided by policy-makers and involving local agents to enhance inclusion of the aged population in the labour market, especially in creating jobs for themselves, being able to retain employment as temporary workers or being encouraged to work in other professions.