10 health questions about the 10 by written by Albena Arnaudova ; edited by Yves Charpak.

By written by Albena Arnaudova ; edited by Yves Charpak.

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As a result of public administration reforms that transferred competencies and executive power to the regions and the districts, the provision and management of health care services is now handled at the regional and district level through the respective health offices. PRIMARY HEALTH CARE Primary care is organized at the regional level and delivered in community-owned facilities. Primary care providers are predominantly private (98%). Citizens are free to choose their own primary care physicians.

CARDIOVASCULAR DISEASES ● Circulatory diseases are the leading cause of death in the Czech Republic – responsible for 53% of all deaths. ● Of the various diseases in this group, there are two major killers. - Ischaemic heart disease caused 187 deaths per 100 000 in 2000 (EU-15 average: 97/100 000). For the Czech mortality group as a whole, it was responsible for 17%* of the causes of death and 7%* of the disease burden. - Cerebrovascular diseases led to 136 deaths per 100 000 in 2000 (EU-15 average: 61/100 000), or 11% of all deaths.

Finally, public institutions have let the public know explicitly that GPs are now centre stage, and that their work is critical to the success of health reforms. What has the Regional Office been doing in Estonia? The WHO Regional Office for Europe has had a Liaison Office in Tallinn since 1994. Estonia now participates in six WHO networks: Healthy Cities, Health Promoting Hospitals, Health Promoting Schools, Countrywide Integrated Noncommunicable Diseases Intervention (CINDI), the European Forum of Medical Associations and the EuroPharm Forum.

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