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Background

Hide [INFOxNRI1] Instrumento nacional de presentación de informes (2024)
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El Código de Prácticas Mundial de la OMS sobre Contratación Internacional de Personal de Salud («el Código»), adoptado en 2010 por la 63.ª Asamblea Mundial de la Salud (resolución WHA63.16), tiene por objeto fortalecer la comprensión y la gestión ética de la contratación internacional de personal de salud a través de la mejora de los datos, la información y la cooperación internacional.

En el artículo 7 del Código se alienta a los Estados Miembros de la OMS a intercambiar información sobre la contratación y migración internacionales de personal de salud. El Director General de la OMS tiene el mandato de presentar informes cada tres años a la Asamblea Mundial de la Salud.

En mayo de 2022 los Estados Miembros de la OMS concluyeron la cuarta ronda de presentación de informes nacionales. Ese mismo mes, el Director General de la OMS informó a la 75.ª Asamblea Mundial de la Salud (A75/14). sobre los progresos logrados en la aplicación del Código. En dicho informe se subrayaba la necesidad de evaluar las repercusiones de la emigración de personal de salud en el contexto de las vulnerabilidades adicionales debidas a la pandemia de COVID-19. A tal efecto, se volvió a convocar al Grupo Consultivo de Expertos Encargado de Examinar la Pertinencia y Eficacia del Código (A73/9). A raíz de las recomendaciones del Grupo Consultivo de Expertos, la Secretaría ha publicado la Lista de la OMS para el Apoyo y la Salvaguardia del Personal de Salud 2023.

El instrumento nacional de presentación de informes (NRI, por sus siglas en inglés) es un instrumento de autoevaluación en el país para el intercambio de información y el seguimiento del Código. El NRI permite a la OMS recopilar e intercambiar los datos e información actualmente disponibles sobre la contratación y migración internacionales de personal de salud. Las constataciones de la quinta ronda de presentación de informes nacionales se presentarán al Consejo Ejecutivo (156.ª reunión) en enero de 2025, en preparación para la 78.ª Asamblea Mundial de la Salud.

El plazo para presentar informes finaliza el 31 de agosto de 2024.

En virtud del artículo 9, el Director General tiene el mandato de presentar informes periódicos a la Asamblea Mundial de la Salud sobre el examen de la eficacia del Código para alcanzar los objetivos enunciados en el mismo, así como propuestas para mejorarlo. En 2024 se convocará un grupo consultivo de expertos para llevar a cabo el tercer examen del Código. El informe del examen se presentará a la 78.ª Asamblea Mundial de la Salud.

Para toda consulta o aclaración sobre la cumplimentación del cuestionario en línea, sírvase ponerse en contacto con nosotros a través del correo electrónico WHOGlobalCode@who.int.

¿Qué es el Código de Prácticas Mundial de la OMS?

Nota de descargo de responsabilidad: Los datos e información recopilados mediante el instrumento nacional de presentación de informes se publicarán en la base de datos del NRI (https://www.who.int/teams/health-workforce/migration/practice/reports-database) al término de la 78.ª Asamblea Mundial de la Salud. Los datos cuantitativos se incluirán en el portal de datos de las Cuentas Nacionales del Personal de Salud (http://www.apps.who.int/nhwaportal/).
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Disclaimer

Hide [INFOxNRI2] Instrumento nacional de presentación de informes (2024)
Hide [disclaim] Descargo de responsabilidad

[1] Note: Case-based facility data collection as that in the WHO Global Bum Registry does not require WHO Member State approval.
[2] The world health report 2013: research for universal coverage. Geneva: World Health Organization; 2013 (http://apps.who.int/iris/bitstream/10665/85761/2/9789240690837_eng.pdf)
[3] WHO statement on public disclosure of clinical trial results: Geneva: World Health Organization; 2015 (http://www.who.int/ictrp/results/en/, accessed 21 February 2018).
For more information on WHO Data Policy kindly refer to http://www.who.int/publishing/datapolicy/en/
He leído y comprendido la política de la OMS sobre el uso y el intercambio de datos recopilados por la OMS en los Estados Miembros fuera del contexto de las emergencias de salud pública.
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Contact Details

Hide [INFOxNRI3] Instrumento nacional de presentación de informes (2024)
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Nombre del Estado Miembro:
Lithuania
Nombre de la autoridad nacional designada:
State Accreditation Service for Health Care Activities
Cargo de la autoridad nacional designada:
Division of Specialist Activities
Institución de la autoridad nacional designada:
State Accreditation Authority for Health Care under the Ministry of Health of the Republic of Lithuania
Correo electrónico:
riginao@who.int,agne.raukstiene@vaspvt.gov.lt,vaspvt@vaspvt.gov.lt,WHOGlobalCode@who.int
Número de teléfono:
+370 653 06363
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Contemporary issues

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Hide [NRIxI] Las preguntas marcadas con un asterisco * son obligatorias. El sistema no permitirá el envío del cuestionario si no se ha respondido a todas las preguntas obligatorias.
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Asuntos actuales en relación con la migración y la movilidad del personal de salud
Hide [Q1x1] 1.1 En los tres últimos años, ¿la contratación internacional de personal de salud ha sido motivo de preocupación para su país?
No, esto no supone un problema en mi país

Hide [Q1x2] 1.2 En los tres últimos años, ¿la dependencia internacional del personal de salud (contratación internacional de personal de salud para satisfacer necesidades internas) ha sido motivo de preocupación para su país?
No, esto no supone un problema en mi país

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Health Personnel Education

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Formación del personal de salud, empleo y sostenibilidad del sistema de salud
Hide [Q2] 2. ¿Adopta medidas su país para formar, emplear y retener o fidelizar una dotación de personal de salud adaptada a la situación específica de su país, en particular de las zonas más necesitadas?
Hide [Q2x1] Sírvase marcar todos los elementos pertinentes de la siguiente lista:
2.1 Medidas adoptadas para garantizar la sostenibilidad del personal de la salud y asistencial
2.2 Medidas adoptadas para corregir los desequilibrios en la distribución geográfica y la permanencia de los trabajadores de la salud y asistenciales (marcar todo lo que corresponda)*
2.3 Otras medidas pertinentes para formar, emplear y retener o fidelizar una dotación de personal de salud y asistencial que sea adecuada para la situación específica de su país.
Hide [Q2x1x1] 2.1.1 Medidas adoptadas para garantizar la sostenibilidad del personal de la salud y asistencial
Prever las necesidades futuras en materia de personal de la salud y asistencial para orientar la planificación
The Ministry of Health has developed an action plan for the years 2024-2029 aimed at reducing the uneven distribution of healthcare professionals nationwide and addressing shortages of certain professional qualifications and specializations in the healthcare sector. The action plan outlines the following measures: 1. Monitoring of Healthcare Workforce: Implementation of systems to track and monitor the shortage, training, distribution, and recruitment of healthcare professionals. 2. Improvement of Forecasting and Planning: Enhancements in forecasting and planning for healthcare workforce needs. 3. Empowerment, Recruitment, and Retention: Strategies to empower, attract, and retain healthcare professionals. It is planned to prepare an overview of the current situation of health human resources management in Lithuania, analyze best practices from foreign countries, and provide recommendations for human resources management, demand forecasting, inclusion, retention, improvement, and more. Based on these documents, a long-term health human resources management strategy (up to 2030) would be developed and approved at the national level.
Alinear la formación de los trabajadores de la salud y asistenciales del país con las necesidades de los sistemas de salud
Planned Investments in Training and Professional Development. A budget of 30.7 million euros has been allocated for healthcare professionals recruitment measures from the 2021-2027 European Union funds investment program. These funds will be directed towards: • Enhancing Human Resources Management Efficiency: Improving the efficiency of healthcare human resources management. • Financing Study Costs: Covering the costs of healthcare education. • Empowerment, Recruitment, and Retention Models: Developing and implementing models for the empowerment, recruitment, and retention of healthcare professionals within healthcare institutions. • Increasing Prestige and Professional Orientation: Elevating the prestige and professional orientation of the most critically needed professional qualifications and specializations. • Other Related Initiatives: Additional measures to support the overall recruitment and retention strategy.
Mejorar la calidad de la formación y del personal de salud con arreglo a las necesidades de prestación de servicios
Ensuring high-quality healthcare services can only be achieved by adequately trained and educated high-level healthcare professionals. To enhance the quality of residency studies and residency bases across the country, the Ministry of Health will allocate funding for the acquisition and improvement of educational competencies of physician residents' mentors – 344,000 euros have been earmarked for this purpose. On July 31, 2024, Order No. V-788 was issued, titled „Order on the approval of the procedure for updating the educational competencies of the resident physician supervisor and acquiring and updating the educational competencies of the resident physician mentor. “ A project funded by the European Union's 2021–2027 investment program is dedicated to physician resident mentors who will work in healthcare institutions outside the largest cities of Lithuania, including regional areas. The project's goal is to provide these mentors with educational skills to ensure a quality learning process and a positive psycho-emotional climate for physician residents in their residency bases. Additionally, it aims to help young doctors integrate more easily and effectively into the healthcare system. Approved professional development programs are designed for healthcare professionals and administrative staff working in personal healthcare institutions. These programs focus on developing both general (management, leadership, communication, emotional literacy, etc.) and specialized competencies. Based on the Long-Term Care Service Provision Model Development Project Plan, which was approved by the Government in December 2021, a plan for the training, retraining, and professional development of long-term care specialists is to be prepared. A legal act aimed at improving the qualifications and working conditions of healthcare professionals is planned to be drafted. This act will regulate the financing mechanism for the professional development of healthcare professionals, introducing a professional qualification development fund for healthcare professionals, financed by the state, institutions, organizations, and personal funds.
Crear oportunidades de empleo con arreglo a las necesidades de la población en materia de salud
Aiming to address the shortage of healthcare professionals in Lithuania's national health system, the Ministry of Health has requested personal healthcare institutions to provide information on their preliminary capabilities to cover the tuition fees of pupils, students, and resident doctors, in accordance with the order of the Minister of Health of the Republic of Lithuania No. V-1080, dated November 7, 2008. Additionally, institutions were asked to provide information on other possible incentive measures for attracting healthcare professionals. The Ministry of Health has compiled lists of incentive measures to present comprehensive information, allowing pupils, students, and resident doctors to find all relevant information in one place and make informed decisions regarding contract agreements with personal healthcare institutions. This list will aid in attracting healthcare professionals with the most needed qualifications to personal healthcare institutions experiencing the greatest shortage of these specialists. These healthcare professionals could contribute to the provision of quality and timely healthcare services, addressing the health needs of the population. Starting from July 1, 2024, a patient transportation service will be launched in Lithuania. Patients who meet the transportation criteria will be able to order the service by calling 1808, from home to the healthcare facility and back. The expansion of this service will bring healthcare services closer to patients and thus help the most vulnerable populations (due to health, poverty, age). The aim of this measure is to ensure that age, level of participation, health status, or other factors do not hinder access to necessary healthcare services.
Gestionar la contratación internacional de personal de salud
Lithuania adheres to the principles of the World Health Organization (WHO) Global Code of Practice on the International Recruitment of Health Personnel, aiming to ensure ethical and responsible international recruitment of health care professionals. This Code aims to strengthen health systems in developing countries and maintain a balance between the migration of health care professionals and the needs of national health systems. Adherence to Ethical Principles Compliance with the Code: Lithuania is committed to adhering to the WHO Global Code, which sets out ethical principles for the international recruitment of health care professionals, aiming to protect the health systems of developing countries from brain drain. Development of National Strategies Formulating National Policies: The Ministry of Health (SAM) develops national strategies that include measures for the recruitment, training, and retention of health care professionals to ensure that those working in Lithuania meet the country's needs and international standards. International Collaboration Bilateral and Multilateral Agreements: Lithuania collaborates with other countries to ensure fair and responsible recruitment of health care professionals, sharing best practices and information on migration trends. Incentive Programs Incentive Programs: Lithuania implements various incentive measures to retain and attract health care professionals, such as financial support for students, residents, and doctors who commit to working in the country's health care facilities for a specified period. Return Programs Return and Reintegration Programs: Lithuania encourages emigrated health care professionals to return by offering reintegration programs, including professional development, job placements, and financial support. Education and Awareness Information Dissemination: The Ministry of Health and other relevant institutions conduct information campaigns to inform health care professionals about international recruitment rules, opportunities, and responsibilities, as well as the principles of the WHO Code. Challenges and Solutions Shortage of Specialists in Certain Areas Targeted Measures: To address the shortage of specialists, Lithuania implements targeted measures such as financial incentives, professional development programs, and improvements in infrastructure in regional health care facilities. Impact of Migration on the Health System Ensuring Balance: Lithuania strives to maintain a balance between international recruitment of specialists and the needs of the national health system, considering the specifics and priorities of the country's health care sector. Lithuania actively implements measures to ensure responsible international recruitment of health care professionals in accordance with the WHO Global Code of Practice. These measures help strengthen the country's health care system, ensure the sustainability of health care professionals, and contribute to improving public health.
Mejorar la gestión del personal de salud
The Ministry of Health plans to develop and approve professional qualification enhancement programs for healthcare professionals and administrative staff working in personal health care institutions. These programs will focus on both general (management, leadership, communication, emotional intelligence, etc.) and specific competencies. Training sessions are scheduled to commence from 2024 and continue through 2029. An allocation of €1.8 million from the 2021–2027 European Union funds investment program has been designated for this measure. The planned qualification enhancement will focus on primary care, specialized fields (including emergency and urgent medical care, mental health services), long-term care, and pharmacy. It will also include the requalification of emergency medical specialists. To improve the monitoring and planning of healthcare professionals' qualifications, the development of an IT tool—the Healthcare Professionals Competency Platform—is planned.
Disposiciones específicas sobre la reglamentación y contratación de personal de salud durante las emergencias
Plans are underway for the development and modernization of top-level infectious disease cluster centers and regional infectious disease cluster centers, with an emphasis on improving infectious disease management. Two top-level centers are set to be established for the modernization of emergency medical departments in regional hospitals to ensure effective patient flow management and accessibility and quality of emergency medical services during epidemics/pandemics. A systematic strengthening of the health system's resilience to operate in emergencies is planned, with an allocation of €148 million (excluding VAT) for infrastructure development and equipment acquisition. This initiative aims to ensure regional-level infectious disease treatment capacities during crises (at least 650 beds) and create conditions for conducting research on dangerous and highly dangerous infections, integrating into international scientific programs. The goal is to adapt the emergency medical departments and intensive care units of major national hospitals to effectively provide emergency medical services to a large number of patients simultaneously in the event of high and very high-risk incidents, ensuring safe working conditions for staff working under hazardous conditions. Plans are underway to develop legislation aimed at enhancing the preparedness of healthcare institutions for operating in emergencies. The following actions are planned under the modernization action plan for healthcare institutions' collaboration and infrastructure adaptation for emergencies: Requirements Specification: Establish requirements that healthcare institutions must meet to ensure their preparedness for emergencies. Legal Foundations: Create legal frameworks to support healthcare institutions and their personnel in preparing for and operating during emergencies. Resource Cooperation: Develop legal provisions to facilitate more effective cooperation of resources (material and human). From the 2021-2027 EU funds investment program, it is planned to acquire additional vehicles to meet increased demand due to a higher number of emergency medical service stations and the need to transport patients to specialized centers in acute conditions. This includes updating some vehicles due to wear and tear. On January 18, 2024, an Expert Working Group was established to review healthcare professional education programs and to incorporate competencies necessary for preparedness for emergencies and wartime threats into these programs. The tasks of the Expert Working Group are: To identify the competencies required by healthcare sector professionals to provide rapid and coordinated healthcare services during emergencies or wartime (hereinafter referred to as "competencies"). To establish a strategy for the development of these competencies.
Otras
In all cases, the professional qualification of doctors, nurses, dentists, oral care specialists and other regulated professions health care specialists acquired outside the Republic of Lithuania must be recognized in accordance with the Directive 2005/36/EC. Practice shows that the recognition of professional qualification of a medical doctor is recognized by practically all applicants. Problems arise with professional qualification of specialists from third countries, because the duration of studies is often significantly shorter than in Lithuania. During the recognition, the work experience is also assessed. High length of practise sometimes compensates for the shorter duration of studies. Recognition of professional qualifications is only one part of procedure to legally provide personal health care services in Lithuania. Once the professional qualification is recognized, specialist must obtain their license. In order to obtain a license, the conditions for proficiency in the Lithuanian language and permission to temporarily live and work in Lithuania are needed, which often causes problems for individuals.
Hide [Q2x2x1] Marcar todo lo que corresponda para Medidas adoptadas para corregir los desequilibrios en la distribución geográfica y la permanencia de los trabajadores de la salud y asistenciales
2.2.1 Formación
2.2.2 Reglamentación
2.2.3 Incentivos
2.2.4 Apoyo
Hide [Q2x2x1x1] 2.2.1.1 Formación Medida
Instituciones docentes en zonas rurales/insuficientemente atendidas
Educational institutions (universities, colleges, and vocational training schools/centers) are in the major cities of the country.
Ingreso de alumnos procedentes de comunidades y zonas rurales/insuficientemente atendidas
Admissions to educational institutions are carried out according to the general procedure established by the institutions. This procedure allows individuals from rural or underserved areas to apply and be admitted to educational institutions.
Becas y subvenciones de educación
Temas/planes de estudios pertinentes en los programas de formación y/o desarrollo profesional
(Re)orientación de los programas de educación hacia la atención primaria de salud
Otras
Hide [Q2x2x2x1] 2.2.2.1 Reglamentación Medida
Becas y subvenciones de formación con acuerdos de restitución del servicio
According to the Order No. V-1080 of November 7, 2008, by the Minister of Health of the Republic of Lithuania, students, trainees, or medical residents can benefit from a legal framework that regulates financial support from municipal administrations or healthcare institutions. This support is available to those studying in non-state-funded places. By entering into study financing agreements, they are required to fulfill contractual obligations by working for a specified number of years in the healthcare institution, thus contributing to the needed healthcare workforce.
Acuerdos de servicio obligatorio con personal de salud que no están vinculados a becas o subvenciones de formación
Ampliación del ámbito de ejercicio profesional del personal de salud existente
Requalification of Emergency Medical Services (EMS) Specialists Starting January 1, 2024, the new regulations for providing Emergency Medical Services (EMS) will come into effect. According to these regulations, EMS drivers will be required to hold a paramedic professional qualification. This change aims to enhance the capabilities of EMS teams, ensuring that all members, including drivers, are equipped with the necessary medical knowledge and skills to effectively respond to emergencies. Pharmacy Specialist Training To better utilize the potential of pharmacists as competent health care specialists, additional training for pharmacy professionals is planned. This training will focus on expanding the range of patient-centered pharmaceutical care services and advanced practice pharmacy roles. Specifically, the following initiatives are planned: 1. Development of Additional Services: By the second half of 2022, a phased implementation of new services provided by pharmacists will begin. This will continue through to 2030, with new regulations defining these services and their delivery conditions. 2. Competency Requirements: Regulations will outline the competencies required for pharmacists, specifying the necessary training hours, procedures, target patient groups, and collaboration with physicians. 3. Enhanced Pharmaceutical Care: The new services will include comprehensive pharmaceutical care and extended practice roles, which will aim to improve patient outcomes through better medication management and health advice. These measures are intended to strengthen the role of pharmacists in the healthcare system, ensuring that they can provide high-quality, patient-focused services and work effectively within the healthcare team.
Distribución de tareas entre profesiones diferentes
Family Doctor Team Model Comprehensive Family Doctor Team: To improve service quality and accessibility, family medicine services are provided by a comprehensive family doctor team. This team includes a family doctor, nurses, midwife, nurse assistant, physiotherapist, lifestyle medicine specialist, and case manager. Competency Distribution: Functions of team members are allocated according to their expanded competencies, thereby more effectively utilizing the specialists' skills. Retraining of Emergency Medical Services Specialists Paramedic Qualification: From January 1, 2024, following the new Emergency Medical Services provision requirements, emergency medical drivers must have a paramedic professional qualification. Retraining Programs: Training and professional development courses are organized to ensure that emergency medical services specialists are adequately prepared for emergencies. Development of Pharmacy Specialists' Competencies Pharmaceutical Care and Advanced Practice Services: To better utilize pharmacists' potential, additional patient-oriented pharmaceutical care and advanced practice pharmacist (pharmacist-healthcare specialist) services are being developed. Regulation and Training: From the second half of 2022 to 2030, it is planned to gradually regulate additional services provided in pharmacies and their conditions, including the enhancement of pharmacists' competencies. Retraining and Professional Development of Specialists Integrated Health Care Services: Continuous training is organized to improve the competencies of health care specialists, providing new knowledge and practical skills for working with innovative and advanced technologies. Retraining for Internal Medicine and Pediatric Doctors: There are plans to allow internal medicine and pediatric doctors to additionally obtain family doctor qualifications. Practical Implementation Examples Competency Platform Health Care Specialist Competency Platform: An IT tool is planned to be created to monitor and plan the professional development and practical skills acquisition processes of health care specialists. Regional Initiatives Strengthening Regional Health Care Centers: Projects are being carried out in regional health care centers to strengthen the composition and competencies of specialist teams, thereby ensuring better service accessibility.
Disposiciones sobre itinerarios que permiten acceder a funciones nuevas o especializadas tras prestar servicio en una zona rural
The Ministry of Health has initiated changes to the Regulations for the Implementation and Supervision of Medical Residency and Dental Residency Programs, as approved by the Government's decree. The changes, effective from January 1, 2023, include extending the duration of certain residency programs and introducing a minimum requirement for professional practice. Specifically, by 2027, at least 35% of medical residents' professional practice must be completed outside university hospitals. To qualify as a residency base, healthcare institutions now only need to have a medical resident mentor (a new role) responsible for overseeing the acquisition of practical skills by medical residents, replacing the previous requirement for a medical resident supervisor. Funds from the initiative will be used to train doctors who wish to become medical resident mentors. Additionally, the Ministry of Health is implementing an EU-funded project titled "Recruiting Specialists to Reduce Health Disparities" (Project No. 08.4.2-ESFA-V-617), with a budget of €668,800. This project aims to fund residency training for doctors (at least 34 individuals) who commit to working for a minimum of 2 years in healthcare facilities in specific districts, as stipulated in their agreements.
Otras
Hide [Q2x2x3x1] 2.2.3.1 Incentivos Medida
Reembolso financiero adicional
Additional Salary Supplements: Health professionals working in regions or specialties with significant shortages may receive additional salary supplements. These supplements aim to make positions in underserved or high-need areas more attractive. Retention Bonuses: Financial bonuses are offered to healthcare workers who commit to staying in their positions for an extended period, particularly in areas with high demand or difficult working conditions. Financial Support for Education and Training Study Funding: Financial support is provided to cover the costs of education for students pursuing degrees in health-related fields. This can include scholarships or loans that are partially forgiven if the recipient works in designated underserved areas. Training and Certification Costs: Funds are allocated to cover the costs of professional development and certification for existing health care professionals. This includes costs associated with additional qualifications, specialized training, and continuing education. Support for Recruitment and Retention Relocation Assistance: Financial aid is provided to healthcare professionals who relocate to work in high-need areas. This can include relocation expenses, housing allowances, and other support to ease the transition. Employment Grants: Grants or subsidies are offered to health care institutions to support the hiring of additional staff. These funds can help offset the costs associated with expanding services or increasing staff numbers. Incentives for Mentorship and Supervision Mentorship Stipends: Financial incentives are offered to experienced professionals who take on mentorship roles, particularly in training new specialists or supervising their work. This aims to encourage experienced professionals to share their knowledge and support the development of new talent. Supervision Allowances: Additional funding is provided to institutions that facilitate supervision and support for new or less experienced health care professionals. Bonuses for Extra Duties and Responsibilities Performance-Based Bonuses: Health professionals who take on additional duties or responsibilities beyond their standard roles may receive performance-based bonuses. This includes taking on extra shifts, working in challenging conditions, or providing additional services. Specialty Bonuses: Additional financial incentives are given to professionals who acquire specialized skills or work in high-demand specialties, such as emergency medicine, psychiatry, or geriatrics. Implementation and Monitoring Evaluation and Adjustments: The effectiveness of these financial measures is regularly evaluated to ensure they meet their goals of addressing shortages and improving workforce retention. Adjustments are made based on feedback from health professionals and performance data. Transparency and Communication: Clear communication about available financial support and eligibility criteria is essential to ensure that health professionals are aware of the incentives and can access them effectively.
Oportunidades de educación
To ensure the occupancy of state-funded study places and to enhance the prestige of certain professional qualifications, as well as to encourage professional orientation and shift public perceptions about specific healthcare professions, the following communication activities are planned: 1. Sharing Professional Experience: Healthcare professionals (preferably from the same cities) will visit schools and high schools to share their professional experiences and career paths. 2. Encouragement Events: Events, practical assignments, and tours of healthcare institutions will be organized to motivate students to choose healthcare professions, providing them with a clearer understanding of the benefits and challenges of these careers. 3. Information Dissemination for Medical Students: Dissemination of information among medical students in integrated studies, guiding them to choose the most needed qualifications after six years of study, such as family medicine, emergency medicine, geriatrics, and psychiatry. 4. Information Dissemination for Nursing Students: Information dissemination and incentives will be targeted at general practice nursing students to better inform them about their career options and opportunities in the healthcare sector. These activities aim to shift societal attitudes towards healthcare professions and encourage young people to pursue careers in this field.
Oportunidades de promoción de las perspectivas de carrera o de crecimiento profesional
To enhance the competencies of healthcare professionals and other specialists in the healthcare field and ensure continuous professional development, the goal is to provide new knowledge and improve practical skills. This includes integrating advanced healthcare services and working with innovative, cutting-edge technologies. From the 2014-2020 EU funding period and the 2014-2021 European Economic Area Financial Mechanism "Health" program, various projects were implemented to enhance specialists' qualifications. However, due to the ongoing need for continuous improvement to enhance service quality, qualifications development and retraining activities will continue into the 2022-2030 period. Experiences from pandemic management encourage the exploration of solutions to strengthen primary healthcare, expand telemedicine and mobile service options (such as remote consultations, patient monitoring, home visits by family doctors, emotional support, health maintenance advice, etc.). Advances in health technology and the precision of diagnostic and treatment methods are altering the roles of various professions in the treatment process and presenting new challenges for ensuring the safety and quality of health services. This involves planning, evaluating, maintaining, and improving the competencies of healthcare professionals to meet medical standards and creating favorable conditions for implementing innovative healthcare service delivery models. In restructuring the network of healthcare institutions, the aim is to ensure that primary care services within the scope of family medicine are provided exclusively by a fully-fledged family medicine team. This team would include a family doctor, nurses, a midwife, a nursing assistant, a physiotherapist, a lifestyle medicine specialist, and a case manager. The functions of team members should be allocated based on their developed competencies to enhance service quality and accessibility through more effective use of specialist skills. For a fully integrated family medicine team, it is essential to ensure not only a complete composition of required specialists but also the redistribution of their responsibilities, ongoing qualification improvement/retraining (e.g., internal medicine and pediatric specialists could acquire additional qualifications in family medicine), adaptation of existing service delivery methodologies, algorithms, and recommendations, as well as the development and implementation of new ones.
Reconocimiento profesional
Reconocimiento social
Public Visibility: The activities of healthcare professionals are often highlighted through media, social networks, and other communication channels. This helps the public learn about their achievements and contributions to the healthcare system. Awards and Recognition Ceremonies: Awards ceremonies are held to honor healthcare professionals who have achieved significant results or contributed to important projects. These awards may be given by the state, municipalities, or professional associations. Patient Feedback: Patient reviews and gratitude letters are also considered important aspects of social recognition. Many healthcare professionals receive positive feedback from patients who value their work and commitment. Professional Organization Recognition: Professional organizations and associations evaluate and acknowledge the contributions and achievements of specialists, granting them certificates, titles, or other recognition markers. Educational and Public Awareness Activities Profession Promotion in Schools and Universities: Events, seminars, and practical tasks are organized in schools and universities where professionals share their experiences with young people. This helps improve the image of the profession and encourages youth to choose a career in healthcare. Public Awareness Campaigns: Organizations and institutions run campaigns to increase public understanding of the work and importance of healthcare professionals. This may include advertising campaigns, social media posts, informational posters, and more. Documentation of Professional Achievements Professional Achievements Documentation: Healthcare professionals can be recognized for their achievements, such as scientific research, innovations, or exceptional services. These achievements can be published in scientific journals, healthcare magazines, or other sources. Social Responsibility Projects: Involvement in social responsibility projects, such as free health screenings, educational programs, or assistance to socially vulnerable groups, also contributes to social recognition. Participation in International Projects International Projects and Collaboration: Participation in international healthcare projects and collaboration with foreign professionals provides opportunities for international recognition and experience, which can enhance social recognition at the national level. Career and Professional Development Career Opportunities: Various career development and professional growth opportunities are provided, including leadership positions, teaching, and mentoring roles, which help professionals gain recognition for their contributions and experience in the healthcare system.
Oportunidad de vías de acceso a la residencia permanente y/o la ciudadanía para el personal de salud internacional
Otras
Hide [Q2x2x4x1] 2.2.4.1 Apoyo Medida
Condiciones de trabajo decentes y seguras
Health and Safety Regulations Occupational Health and Safety Standards: Lithuania adheres to strict occupational health and safety regulations that apply to all workplaces, including healthcare facilities. These regulations ensure that healthcare professionals work in environments that minimize risks and protect their health. Regular Safety Inspections: Healthcare facilities undergo regular safety inspections to ensure compliance with health and safety standards. This includes checking for proper sanitation, ergonomic workplace design, and adequate safety equipment. Workplace Safety Training Mandatory Training Programs: Healthcare professionals are required to undergo regular training in workplace safety, including emergency procedures, infection control, and proper use of personal protective equipment (PPE). Continuing Education: Ongoing education programs are provided to keep healthcare workers informed about the latest safety protocols, technological advancements, and best practices. Supportive Work Environment Ergonomic Workspaces: Facilities are designed to be ergonomic, reducing physical strain and preventing injuries. This includes adjustable furniture, proper lighting, and equipment designed to minimize physical effort. Mental Health Support: Recognizing the high stress associated with healthcare professions, mental health support and counseling services are available to help professionals manage stress and prevent burnout. Infection Control Measures Infection Prevention Protocols: Healthcare settings are equipped with rigorous infection control protocols to protect staff from exposure to harmful pathogens. This includes regular disinfection of surfaces, proper waste management, and protocols for handling infectious materials. Vaccination Programs: Vaccination programs are in place to protect healthcare professionals from infectious diseases. These programs are regularly updated based on current health threats. Fair Compensation and Benefits Competitive Salaries: Efforts are made to ensure that salaries for healthcare professionals are competitive and reflect the high level of responsibility and expertise required. Additional Benefits: Healthcare professionals receive additional benefits such as health insurance, paid leave, and retirement plans, contributing to their overall job satisfaction and security. Work-Life Balance Flexible Scheduling: Initiatives to improve work-life balance include flexible scheduling options and support for part-time work or job-sharing arrangements. Leave Policies: Generous leave policies, including sick leave, parental leave, and vacation time, are in place to help professionals manage their personal and family responsibilities. Emergency Preparedness Preparedness Plans: Healthcare facilities have emergency preparedness plans in place for dealing with crises such as natural disasters, pandemics, or mass casualty events. These plans are regularly reviewed and updated. Crisis Training: Regular crisis management training ensures that healthcare professionals are prepared to handle emergencies effectively and safely. Legal Protections Legal Framework: Lithuanian labor laws provide protections for healthcare professionals, including regulations on working hours, breaks, and conditions of employment. Reporting Mechanisms: There are established mechanisms for reporting unsafe working conditions or occupational hazards, ensuring that concerns are addressed promptly and effectively.
Condiciones de vida decentes y seguras
Oportunidades de aprendizaje a distancia/aprendizaje electrónico
Otras
Hide [Q3x1] 3.1 ¿Existen en su país políticas y/o leyes específicas que orienten la contratación internacional, migración e integración del personal de salud que haya sido formado en el extranjero?
No
Hide [Q3x2] 3.2 ¿Existen en su país políticas y/o disposiciones para la prestación de servicios internacionales de telesalud a través de personal de salud radicado en el extranjero?
No
Hide [Q3x3] 3.3 ¿Ha establecido su país una base de datos o compilación de leyes y reglamentaciones relativas a la contratación y migración internacionales de personal de salud y, cuando proceda, con información sobre su aplicación?
No
Hide [Q4] 4. Reconociendo la función que desempeñan otras entidades gubernamentales, ¿dispone el Ministerio de Salud de mecanismos (por ejemplo, políticas, procesos, unidades) de seguimiento y coordinación de distintos sectores sobre cuestiones relacionadas con la contratación y migración internacionales de personal de salud?
No
Hide [Q5] 5. Sírvase describir los pasos adoptados por su país para aplicar las siguientes recomendaciones del Código.
Marque todos los elementos pertinentes de la siguiente lista:
5.1 Se han tomado medidas, o se está considerando tomarlas, para introducir cambios en las leyes o las políticas sobre el personal de salud con el fin de adecuarlas a las recomendaciones del Código.
On July 31, 2024, Order No. V-788 was issued, titled “Order on the approval of the procedure for updating the educational competencies of the resident physician supervisor and acquiring and updating the educational competencies of the resident physician mentor.”
5.2 Se han tomado medidas para comunicar e intercambiar información entre distintos sectores sobre la contratación y migración internacionales de personal de salud, así como para dar a conocer el Código entre los ministerios, departamentos y organismos pertinentes, a nivel nacional y/o subnacional.
On July 5, 2024, at the national and / or regional level, a letter titled “Request to provide information and conduct active communication“ was sent to healthcare institutions. The purpose was to gather information on all agreements established and terminated by healthcare institutions and/or municipalities regarding the employment of specialists under contractual obligations. Additionally, the letter requested information on the incentive measures implemented by healthcare institutions to attract health specialists, as well as details regarding vacant positions for healthcare specialists.
5.3 Se han tomado medidas para consultar con las partes interesadas en los procesos de toma de decisiones y/o para que participen en otras actividades relacionadas con la contratación internacional de personal de salud.
See the previous information provided in section 5.2
5.4 Se mantienen registros de todas las agencias privadas de contratación de personal de salud autorizadas por las autoridades competentes para desempeñar actividades en su territorio.
5.5 Se alientan y promueven las buenas prácticas establecidas en el Código entre las agencias privadas de contratación.
5.5a Promoción del Código entre las agencias privadas de contratación.
5.5b Legislación o política nacional que requiera una práctica ética de las agencias privadas de contratación, en consonancia con los principios y artículos del Código.
5.5c Certificación pública o privada de la práctica ética para las agencias privadas de contratación.
5.5d Otras
5.6 Ninguna de las anteriores
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Government Agreements

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Acuerdos entre gobiernos sobre migración o movilidad de personal de salud
Hide [Q6] 6. ¿Ha concluido el gobierno de su país o el gobierno subnacional acuerdos y/o arreglos bilaterales, multilaterales o regionales en relación con las contrataciones y/o movilidades internacionales de personal de salud?
No
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Responsibilities, rights and recruitment practices

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Responsabilidades, derechos y prácticas de contratación
Hide [Q7] 7. Si su país emplea/acoge a personal de salud internacional para trabajar en los sectores de la salud y asistencial, ¿qué garantías jurídicas y/u otros mecanismos se han introducido a favor del personal de salud migrante y para garantizar que tenga los mismos derechos y responsabilidades en el plano jurídico que el personal de salud formado en el país?
Sírvase marcar todos los elementos pertinentes de la siguiente lista:
La contratación de personal de salud migrante se realiza mediante prácticas que le ofrecen la posibilidad de evaluar los beneficios y los riesgos asociados a los empleos, y de tomar decisiones oportunas y fundamentadas sobre el empleo.
El personal de salud migrante es contratado, ascendido y remunerado con arreglo a criterios objetivos tales como el nivel de calificación, los años de experiencia y el grado de responsabilidad profesional, sobre la base de la igualdad de trato con el personal de salud formado en el país.
The same conditions and requirements are applied as for Lithuanian health care specialists
El personal de salud migrante tiene las mismas oportunidades que el personal de salud formado en el país para fortalecer su educación, sus calificaciones y su desarrollo profesionales.
The same conditions and requirements are applied as for Lithuanian health care specialists
Se han introducido mecanismos institucionales para garantizar la migración/movilidad seguras y la integración del personal de salud migrante.
Se han adoptado medidas para promover la migración circular del personal de salud internacional.
Otras medidas (en particular jurídicas o administrativas) para garantizar prácticas justas de contratación y empleo del personal de salud formado en el extranjero y/o inmigrante (sírvase dar detalles)
No se ha establecido ninguna medida
No se aplica – no se acoge/emplea a personal de salud extranjero
Hide [Q8] 8. Si hay personal de salud de su país trabajando en el extranjero en los sectores de la salud y asistencial, sírvase facilitar información sobre las medidas que se hayan adoptado o se prevea adoptar en su país para garantizar una contratación y empleo justos; migración segura; retorno; y sobre la utilización de la diáspora en su país, así como las dificultades encontradas.
Sírvase marcar todos los elementos pertinentes de la siguiente lista:
Disposiciones para una contratación justa
Disposiciones para contratos de empleo y condiciones laborales decentes en los países de destino
Disposiciones para una movilidad segura
Disposiciones para el retorno y la reintegración en el mercado laboral de la salud de su país
Disposiciones para la colaboración de la diáspora en apoyo del sistema de salud de su país
Otras
No se ha establecido ninguna medida
The same conditions and requirements are applied as for Lithuanian health care specialists
No se aplica – no hay personal de salud de mi país trabajando en el extranjero
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International migration

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Migración internacional e itinerarios de movilidad para el personal de salud
Hide [Q9x1] 9.1 Si su país acoge a personal de salud internacional para trabajar en el sector de la salud y asistencial, ¿cómo llegan a su país? (marcar todo lo que corresponda)
Solicitud directa (individual) de formación, empleo, comercio, inmigración o entrada en el país Acuerdos entre gobiernos que permiten la movilidad del personal de salud Contratación facilitada por agencias privadas de contratación o empleadores Movilidad facilitada por la educación privada/consultorías de inmigración Otros itinerarios (sírvase especificar) ¿Qué itinerario es el más utilizado? Sírvase incluir datos cuantitativos, si están disponibles.
Médicos 1 0 1 0
Personal de enfermería 1 0 1 0
Personal de partería 1 0 1 0
Dentistas 1 0 1 0
Farmacéuticos 1 0 1 0
Otras ocupaciones 0 0 0 0
Otras ocupaciones 0 0 0 0
Otras ocupaciones 0 0 0 0
Otras ocupaciones 0 0 0 0
Otras ocupaciones 0 0 0 0
Hide [Q9x1oth]
Hide [Q9x2] 9.2 Si hay personal de salud de su país trabajando/estudiando en el extranjero, ¿cómo salen del país? (marcar todo lo que corresponda)
Solicitud directa (individual) de formación, empleo, comercio, inmigración o entrada en el país de destino Acuerdos entre gobiernos que permiten la movilidad del personal de salud Contratación facilitada por agencias privadas de contratación o empleadores Movilidad facilitada por la educación privada/consultorías de inmigración Otros itinerarios (sírvase especificar) ¿Qué itinerario es el más utilizado? Sírvase incluir datos cuantitativos, si están disponibles.
Médicos 1 0 1 0
Personal de enfermería 1 0 1 0
Personal de partería 1 0 1 0
Dentistas 1 0 1 0
Farmacéuticos 1 0 1 0
Otras ocupaciones 0 0 0 0
Otras ocupaciones 0 0 0 0
Otras ocupaciones 0 0 0 0
Otras ocupaciones 0 0 0 0
Otras ocupaciones 0 0 0 0
Hide [Q9x2oth]
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Recruitment & migration

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Datos sobre contratación y migración internacionales de personal de salud


Mejorar la disponibilidad y comparabilidad internacional de los datos es esencial para comprender y corregir la dinámica mundial de la migración del personal de salud. Sírvase consultar con su punto focal de las CNPS, de haberlo, para asegurarse de que los datos que aporta a continuación son compatibles con la información de las CNPS*.
(Si desea conocer las señas del punto focal de su país para las CNPS, sírvase consultar la versión electrónica del instrumento nacional de presentación de informes o remitir un correo electrónico a la dirección WHOGlobalCode@who.int.)

Hide [Q10] 10. ¿Dispone su país de mecanismos o entidades para mantener registros estadísticos del personal de salud nacido y formado en el extranjero?
Hide [Q10x1] 10.1 ¿Dónde se guardan los registros? (marcar todo lo que corresponda)
Registros de empleo o permisos de trabajo
Base de datos del Ministerio de Salud sobre el personal
Registro del personal de salud autorizado para el ejercicio profesional
Otros
Hide [Q10x2] 10.2 ¿Incluye el registro datos desglosados por género sobre el personal de salud nacido y/o formado en el extranjero?
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Inflow and outflow of health personnel

Hide [INFOxNRI12] Instrumento nacional de presentación de informes (2024)
Hide [INFOx7] Entrada y salida de personal de salud
Hide [Q11] 11. ¿Disponen ustedes de un mecanismo para monitorear la entrada y salida de personal de salud hacia/desde su país? (marcar todo lo que corresponda)
Entrada
Salida
No
Hide [Q11xI] Si la respuesta es afirmativa para la entrada:
Hide [Q11x1] 11.1 ¿Cuántos trabajadores de la salud nacidos o formados en el extranjero se incorporaron a la actividad (temporalmente y/o permanentemente) en su país en los tres últimos años (entrada)?
Médicos Personal de enfermería Personal de partería Dentistas Farmacéuticos Observaciones
2021 42 4 3 9 0
2022 130 51 0 45 3
2023 92 58 2 32 16
Fuente de los datos (por ejemplo, organismo de reglamentación, registros de inmigración, permisos de trabajo, etc.) Register of health care and pharmacy practice licenses Register of health care and pharmacy practice licenses Register of health care and pharmacy practice licenses and Compulsory Health Insurance Fund Information System, licenced specialists Register of health care and pharmacy practice licenses and Compulsory Health Insurance Fund Information System, licenced specialists Register of health care and pharmacy practice licenses
Hide [Q11x3] 11.3 Si dispone de algún documento con información sobre la entrada y salida de trabajadores de la salud en su país, sírvase cargarlo.
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Stock of health personnel

Hide [INFOxNRI13] Instrumento nacional de presentación de informes (2024)
Hide [INFOx8] Número total de personal de salud
Hide [Q12x1] 12.1 Número total consolidado de personal de salud, desglosado por país de formación y de nacimiento
En relación con el año más reciente del que se disponga de datos, compatibles con los indicadores 1-07 y 1-08 de las Cuentas Nacionales del Personal de Salud (CNPS), sírvase facilitar información sobre el número total de personal de salud que se encuentra en su país (preferiblemente el personal activo), desglosado por lugar de formación (si se ha formado en el extranjero) y de nacimiento (si ha nacido en el extranjero).
Hide [Q12x1a] Sírvase aportar datos sobre el número total de personal de salud activo en su país por uno de los medios siguientes:
Cumplimentar el cuadro siguiente
Hide [Q12x1x1]
Total Place of training-Domestic Trained Place of training-Foreign trained-total Place of training-Foreign trained-national born Place of training-Foreign trained-foreign born Place of birth-National Born Place of birth-Foreign Born Data Source* Year of data Does the data represent active stock? Does the data represent active stock?
Médicos (generalistas + especialistas) 17421 17101 186 Hygiene institute and Register of health care and pharmacy practice licenses 2023
Personal de enfermería 26769 26492 216 Hygiene institute and Register of health care and pharmacy practice licenses 2023
Personal de partería 1089 1084 5 Hygiene institute and Register of health care and pharmacy practice licenses 2023
Dentistas 4806 Hygiene institute and Register of health care and pharmacy practice licenses 2023
Farmacéuticos 3536 3515 19 Hygiene institute and Register of health care and pharmacy practice licenses 2023
Hide [Q12x1x1x] Si dispone de algún documento con información sobre el número total de personal de salud en su país, su distribución por lugar de formación y lugar de nacimiento, sírvase cargarlo.
Hide [Q12x2] 12.2 Sírvase aportar datos sobre los 10 principales países de formación del personal de salud presente en su país que se haya formado en el extranjero.
Esta información puede aportarse mediante una de las dos opciones siguientes:
Cumplimentar el cuadro siguiente
Hide [Q12x2x1]
Médicos Personal de enfermería Personal de partería Dentistas Farmacéuticos
Total de personal formado en el extranjero 186 216 5 19
País 1: Mejor país de formación UKR UKR UKR UKR
País 1: Número de personal sanitario extranjero formado 103 103 2 16
País 2: Mejor país de formación RUS RUS RUS RUS
País 2: Número de personal sanitario extranjero formado 25 35 2 3
País 3: Mejor país de formación BLR BLR BLR
País 3: Número de personal sanitario extranjero formado 36 38 1
País 4: Mejor país de formación EST POL
País 4: Número de personal sanitario extranjero formado 7 15
País 5: Mejor país de formación KAZ LVA
País 5: Número de personal sanitario extranjero formado 4 17
País 6: Mejor país de formación AZE
País 6: Número de personal sanitario extranjero formado 2
País 7: Mejor país de formación
País 7: Número de personal sanitario extranjero formado
País 8: Mejor país de formación
País 8: Número de personal sanitario extranjero formado
País 9: Mejor país de formación
País 9: Número de personal sanitario extranjero formado
País 10: Mejor país de formación
País 10: Número de personal sanitario extranjero formado
Fuente (por ejemplo, registro profesional, datos del censo, encuesta nacional, otros)
Año de los datos (Sírvase proporcionar los datos del año más reciente del que se disponga de datos) 2023 2023 2023 2023
Comentarios
Hide [Q12x2x1x] Si dispone de algún documento con información sobre la distribución del personal de salud formado en el extranjero para su país con arreglo al país de formación, sírvase cargarlo.
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Technical and financial support

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Apoyo técnico y financiero
Hide [Q13] 13. ¿Ha prestado su país asistencia técnica o económica a algún país o países de origen que figuren en la Lista de la OMS para el Apoyo y la Salvaguardia del Personal de Salud 2023, o a otros países de ingreso bajo y mediano, en relación con el desarrollo del personal de salud, el fortalecimiento del sistema de salud, o para aplicar otras recomendaciones del Código (por ejemplo, fortalecimiento de datos, información e investigación sobre el personal de salud para su transformación en políticas y planes, etc.)?
No
Hide [Q14] 14. ¿Ha recibido su país asistencia técnica o económica de algún Estado Miembro de la OMS u otras partes interesadas (por ejemplo, asociados para el desarrollo, otros organismos) en relación con el desarrollo del personal de salud, el fortalecimiento del sistema de salud, o para aplicar otras recomendaciones del Código (por ejemplo, fortalecimiento de datos, información e investigación sobre el personal de salud para su transformación en políticas y planes, etc.)?
Hide [Q14x] Sírvase aportar a continuación información adicional (marcar todo lo que corresponda):
Apoyo para el desarrollo del personal de salud (planificación, formación, empleo, fidelización)
Apoyo a otros elementos para el fortalecimiento de los sistemas de salud (prestación de servicios; sistemas de información sanitaria; financiación de la salud; tecnologías y productos médicos; y liderazgo y gobernanza en materia de salud)
Otros ámbitos de apoyo:
Hide [Q14x1] Apoyo para el desarrollo del personal de salud (planificación, formación, empleo, fidelización)
País/entidad de apoyo Tipo de apoyo (sírvase especificar)
Europe Union Lithuania has accessed significant financial support from European Union (EU) structural funds for health system strengthening. These funds have been used to improve healthcare infrastructure, enhance the skills of the health workforce, and implement various health reforms aimed at increasing efficiency and quality in the healthcare system.
Nordic Countries Partnerships with Nordic Countries: Lithuania has engaged in partnerships with Nordic countries, particularly through the Nordic Council of Ministers, for collaborative projects focused on health system strengthening and workforce development. These partnerships often involve sharing best practices, training, and capacity building.
Norway, Sweden and Germany Lithuania has also received support from various development partners, including bilateral assistance from countries like Norway, Sweden, and Germany. These countries have provided both technical expertise and funding for projects related to health workforce development, including training programs, exchange of knowledge, and implementation of health system reforms.
Hide [Q14x2] Apoyo a otros elementos para el fortalecimiento de los sistemas de salud (prestación de servicios; sistemas de información sanitaria; financiación de la salud; tecnologías y productos médicos; y liderazgo y gobernanza en materia de salud)
País/entidad de apoyo: Tipo de apoyo (sírvase especificar)
Europe Union Technical support was received in the form of COVID-19 tests, vaccines, and other technical tools to facilitate the work of healthcare professionals during the pandemic.
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Constraints, Solutions, and Complementary Comments

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Obstáculos, soluciones y observaciones complementarias
Hide [Q15] 15. Sírvase enumerar, por orden de prioridad, los tres principales obstáculos a la gestión ética de la migración internacional en su país y proponga posibles soluciones:
Principales obstáculos Posibles soluciones/recomendaciones
Social Integration and Public Perception Public Awareness Campaigns: Implement targeted campaigns to promote the benefits of migration and multiculturalism, emphasizing success stories and contributions of migrants.
Policy and Legal Framework Policy Reform: Update and harmonize migration laws to align with international human rights standards, ensuring that they are flexible enough to respond to evolving migration patterns. International Cooperation: Strengthen bilateral and multilateral agreements with source countries to manage migration flows more effectively and humanely.
Economic Integration Recognition of Qualifications: Simplify and streamline the process for recognizing foreign qualifications and work experience, allowing migrants to work in their trained professions. Entrepreneurship Support: Provide resources, mentoring, and financial support for migrants interested in starting their own businesses, which can create jobs and stimulate the local economy.
Hide [Q16] 16. ¿Qué tipo de apoyo necesita para mejorar la aplicación del Código?
Apoyo para mejorar los datos y la información sobre el personal de salud
1. Enhanced Data Collection Systems Develop Comprehensive Databases: Create or improve national health personnel databases that capture detailed and up-to-date information on the workforce, including demographics, qualifications, and employment status. Implement Standardized Data Collection Tools: Use standardized tools and methods for collecting data across different regions and institutions to ensure consistency and comparability. 2. Data Analysis and Reporting Build Analytical Capacity: Train staff in data analysis techniques to interpret health workforce data effectively, identify trends, and make data-dr,iven decisions. Generate Regular Reports: Produce and disseminate regular reports on health personnel statistics, including workforce distribution, shortages, and migration patterns. 3. Integration with Health Information Systems Link Data Systems: Integrate health personnel data with broader health information systems to provide a comprehensive view of health service delivery and needs. Ensure Interoperability: Ensure that data systems are interoperable with international databases and frameworks to facilitate comparison and coordination. 4. Data Quality and Validation Implement Quality Assurance Measures: Establish procedures for data validation and quality assurance to ensure the accuracy and reliability of health personnel data. Conduct Regular Audits: Perform regular audits of data collection processes and systems to identify and address issues affecting data quality. 5. Capacity Building and Training Train Data Collectors and Analysts: Provide training for personnel involved in data collection and analysis to enhance their skills and understanding of best practices. Develop Data Management Skills: Offer courses and workshops on data management, including the use of advanced data analysis tools and techniques. 6. Access to Technology and Tools Provide IT Infrastructure: Ensure that health institutions have access to the necessary IT infrastructure and software for effective data collection and management. Support Innovative Solutions: Encourage the adoption of innovative technologies such as mobile data collection apps and cloud-based systems to streamline data processes. 7. Collaboration and Partnerships Engage with International Organizations: Collaborate with international organizations and agencies to access best practices, benchmarks, and support for data initiatives. Foster Interinstitutional Cooperation: Promote cooperation between different institutions and agencies involved in health workforce data collection and management. 8. Public Awareness and Transparency Share Data Publicly: Increase transparency by making health workforce data publicly available, where appropriate, to support accountability and informed decision-making. Promote Data Literacy: Raise awareness about the importance of data and its role in improving health systems, and encourage stakeholders to use data in planning and policy development. 9. Policy and Regulatory Support Establish Data Governance Policies: Develop and implement policies for data governance, including data privacy, security, and ethical considerations. Create Data Standards: Define and enforce standards for data collection, reporting, and analysis to ensure consistency and quality.
Apoyo para el diálogo y la formulación de políticas
Apoyo para la conclusión de acuerdos bilaterales/multilaterales
Otros
No se requiere apoyo
Hide [Q17] 17. Habida cuenta de que el Código es un documento dinámico que debería ser actualizado siempre que sea necesario, sírvase aportar las reflexiones de su país sobre los últimos 14 años, desde la resolución en que se adoptó el Código.
Hide [Q17x1] Sírvase indicar en sus observaciones si el Código ha sido útil para su país, y de qué modo lo ha sido.
Evolving Policy and Regulatory Framework Adoption and Integration: Since the adoption of the Code in 2010, Lithuania has progressively integrated its principles into national policies. This has involved aligning local regulations with the Code’s recommendations to ensure ethical recruitment practices and prevent the migration of health personnel from low-resource settings. Regulatory Updates: The legal framework has been periodically updated to better align with the Code’s recommendations. This includes regulations governing international recruitment, professional standards, and measures to avoid practices that could negatively impact developing countries. Enhancing Domestic Workforce Capacity Training and Education: Efforts have been made to improve the education and training of domestic health personnel to reduce dependency on international recruitment. This includes expanding medical education opportunities and increasing the capacity of training institutions. Professional Development: Continuous professional development programs have been established to ensure that health personnel are equipped with the latest skills and knowledge, thus enhancing the quality of care and reducing the need for international recruitment. Ethical Recruitment Practices Monitoring and Compliance: The country has implemented mechanisms to monitor compliance with ethical recruitment practices. This involves ensuring that recruitment agencies and employers adhere to standards that prevent the exploitation of health personnel from developing countries. International Collaboration: Lithuania has engaged in international cooperation to share best practices and collaborate on initiatives that support the Code’s objectives. This includes working with global health organizations and participating in international forums. Addressing Domestic Needs and Retention Incentives and Retention Strategies: To address shortages and retain domestic health personnel, various incentives have been introduced, such as financial benefits, career development opportunities, and improved working conditions. Public Awareness and Recognition: Efforts to enhance the social recognition of health professions and promote career paths in healthcare have been undertaken. This includes public campaigns to highlight the value of health workers and their contributions to society. Evaluating Impact and Adjusting Strategies Regular Review and Feedback: The impact of the Code’s implementation has been regularly reviewed through feedback mechanisms, including surveys and evaluations of recruitment practices and workforce conditions. This has helped to identify areas for improvement and adjust strategies accordingly. Adaptation to Emerging Challenges: The dynamic nature of the Code has necessitated periodic adjustments to national policies and strategies to address emerging challenges and opportunities in the global health workforce landscape.
Hide [Q17x2] ¿Es necesario actualizar algún artículo del Código?
No

Hide [Q17x3] ¿Es necesario actualizar el proceso de presentación de informes sobre la aplicación del Código y el examen de la pertinencia y eficacia del Código?
No

Hide [Q17x4] Sírvase formular observaciones sobre la Lista de la OMS para el Apoyo y la Salvaguardia del Personal de Salud (por ejemplo, si su país está en la lista, de qué modo les ha afectado este hecho; si su país depende de personal de salud internacional, de qué modo les ha afectado la lista; si su país no está en la lista, de qué modo les ha afectado este hecho)

Hide [Q18] 18. Sírvase aportar cualquier otra observación o material complementario que desee en relación con la contratación y migración internacionales de personal de salud, que sea pertinente para la aplicación del Código.

Sírvase describir O BIEN cargar el documento (tamaño máximo de los archivos 10 MB)

Hide [Q18x1]
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Warning

Hide [INFOxNRI16] Instrumento nacional de presentación de informes (2024)
Hide [WARN] Ha llegado al final del National Reporting Instrument - 2024. Puede volver a cualquier pregunta para actualizar sus respuestas o confirmar su entrada haciendo clic en 'Enviar'.