Инструмент национальной отчетности (2024 г.)

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Hide [INFOxNRI1] Инструмент национальной отчетности (2024 г.)
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Глобальный кодекс ВОЗ по практике международного найма персонала здравоохранения («Кодекс»), принятый в 2010 г. на шестьдесят третьей сессии Всемирной ассамблеи здравоохранения (резолюция WHA63.16), призван содействовать более полному пониманию процессов международного найма персонала здравоохранения и этичному управлению этими процессами посредством повышения качества данных и информации, а также международного сотрудничества.

В статье 7 Кодекса содержится призыв к государствам-членам ВОЗ обмениваться информацией о международном найме и миграции персонала здравоохранения. В круг ведения Генерального директора ВОЗ входит представление докладов Всемирной ассамблее здравоохранения каждые 3 года.

В мае 2022 г. государства-члены ВОЗ завершили четвертый раунд национальной отчетности. Генеральный директор ВОЗ представил доклад о ходе реализации проекта семьдесят пятой сессии Всемирной ассамблеи здравоохранения в мае 2022 г. (A75/14). В докладе по итогам четвертого раунда была подчеркнута необходимость оценки последствий эмиграции медицинского персонала на фоне дополнительных факторов уязвимости, обусловленных пандемией COVID-19. С этой целью была вновь созвана Консультативная группа экспертов по актуальности и эффективности Кодекса (A73/9) Следуя рекомендациям Консультативной группы экспертов, Секретариат опубликовал Перечень ВОЗ по поддержке и гарантиям в отношении кадровых ресурсов здравоохранения, 2023 г.

Инструмент национальной отчетности (ИНО) – это средство самостоятельной оценки на уровне стран для обмена информацией и мониторинга осуществления Кодекса. ИНО позволяет ВОЗ проводить сбор и распространение актуальных фактических данных и информации о международном найме и миграции медицинского персонала. Результаты пятого раунда национальной отчетности будут представлены Исполнительному комитету (EB156) в январе 2025 г. в рамках подготовки к семьдесят восьмой сессии Всемирной ассамблеи здравоохранения.

Крайний срок представления отчетов: 31 августа 2024 г.

Статья 9 Кодекса обязывает Генерального директора ВОЗ периодически представлять Всемирной ассамблее здравоохранения отчет о результатах анализа эффективности Кодекса в достижении заявленных целей и о предложениях по его совершенствованию. В 2024 г. в целях проведения третьего пересмотра Кодекса будет созвана экспертная консультативная группа под руководством государств-членов. Доклад о результатах обзора будет представлен на семьдесят восьмой сессии Всемирной ассамблеи здравоохранения.

Для получения уточнений или разъяснений по заполнению онлайнового вопросника просьба обращаться по адресу электронной почты WHOGlobalCode@who.int.

Что такое Глобальный кодекс ВОЗ по практике?

Заявление об ограничении ответственности. Данные и информация, собранные с помощью Инструмента национальной отчетности, будут размещены в публичном доступе в базе данных ИНО (https://www.who.int/teams/health-workforce/migration/practice/reports-database) по завершении семьдесят восьмой сессии Всемирной ассамблеи здравоохранения. Количественные данные будут использованы для информационного портала по Национальной системе учета кадров здравоохранения (http://www.apps.who.int/nhwaportal/).
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Disclaimer

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[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/
Я прочитал и понял политику ВОЗ в отношении использования данных, собранных ВОЗ в государствах-членах, и обмена ими вне контекста чрезвычайных ситуаций в области общественного здравоохранения.
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Contact Details

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Название государства-члена:
Lithuania
ФИО назначенного национального координатора:
State Accreditation Service for Health Care Activities
Должность назначенного национального координатора:
Division of Specialist Activities
Ведомственная принадлежность назначенного национального координатора:
State Accreditation Authority for Health Care under the Ministry of Health of the Republic of Lithuania
Электронная почта:
riginao@who.int,agne.raukstiene@vaspvt.gov.lt,vaspvt@vaspvt.gov.lt,WHOGlobalCode@who.int
Номер телефона:
+370 653 06363
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Contemporary issues

Hide [INFOxNRI4] Инструмент национальной отчетности 2024 г.
Hide [NRIxI] Вопросы, помеченные звездочкой (*), являются обязательными. При отсутствии ответа на какой-либо из обязательных вопросов отправка заявки через систему будет невозможна.
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Современные проблемы миграции и мобильности медицинского персонала
Hide [Q1x1] 1.1 Был ли актуален вопрос международного найма медицинского персонала в вашей стране за последние 3 года и в какой степени?
Нет; данный вопрос не актуален в нашей стране.

Hide [Q1x2] 1.2 Был ли актуален вопрос зависимости от международного найма медицинского персонала (международный наем медицинского персонала для удовлетворения внутренних потребностей) в вашей стране за последние 3 года и в какой степени?
Нет; данный вопрос не актуален в нашей стране.

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Health Personnel Education

Hide [INFOxNRI5] Инструмент национальной отчетности 2024 г.
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Образование и занятость медицинского персонала, стабильность системы здравоохранения
Hide [Q2] 2. Принимаются ли в вашей стране меры для обучения, трудоустройства и удержания медицинских и медико-социальных работников, соответствующие конкретным условиям вашей страны, в том числе в сферах, в которых отмечен наибольший спрос?
Да
Hide [Q2x1] Если выбран ответ «Да», просьба отметить все подходящие варианты из перечня ниже:
2.1 Меры, принимаемые для обеспечения стабильности кадрового потенциала в медицинской и медико-социальной сфере
2.2 Меры, принимаемые для решения проблемы неравномерного географического распределения медицинских и медико-социальных работников и для их удержания (отметить все применимые пункты)*
2.3 Другие соответствующие меры в области подготовки, трудоустройства и удержания медицинских и медико-социальных работников в соответствии с конкретными условиями вашей страны.
Hide [Q2x1x1] Меры, принимаемые для обеспечения стабильности кадрового потенциала в медицинской и медико-социальной сфере
Прогнозирование будущих кадровых потребностей в медицинских и медико-социальных работниках для использования в планировании
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.
Обеспечение соответствия между уровнем образования медицинских и медико-социальных работников в стране и потребностями системы здравоохранения
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.
☐Повышение качества образования и уровня специалистов здравоохранения в соответствии с потребностями в обслуживании
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.
Создание возможностей для трудоустройства в соответствии с потребностями системы общественного здравоохранения
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.
☐Управление процессом международного найма персонала здравоохранения
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.
Совершенствование процессов управления персоналом здравоохранения
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.
Особые положения, касающиеся порядка организации труда и найма персонала здравоохранения при чрезвычайных ситуациях
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.
Другое
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] отметить все применимые пункты Меры, принимаемые для решения проблемы неравномерного географического распределения медицинских и медико-социальных работников и для их удержания
2.2.1 Образование
2.2.2 Нормативные положения
2.2.3 Стимулы
2.2.4 Поддержка
Hide [Q2x2x1x1] 2.2.1.1 Образование
Образовательные учреждения, расположенные в сельских / слабо охваченных обслуживанием районах
Educational institutions (universities, colleges, and vocational training schools/centers) are in the major cities of the country.
Набор студентов из сельских / слабо охваченных обслуживанием районов и населенных пунктов
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.
Стипендии и субсидии на образование
Актуальные темы / программы профильной подготовки и/или программы профессионального совершенствования
(Пере) ориентация образовательных программ на первичную медико-санитарную помощь
Другое
Hide [Q2x2x2x1] 2.2.2.1 Нормативные положения
Предоставление стипендий и субсидий на образование с заключением ученических договоров
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.
Обязательное заключение с персоналом здравоохранения служебных договоров, не связанных с предоставлением стипендий и субсидий на образование
Расширение объема практики имеющегося персонала здравоохранения
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.
Разделение задач между специалистами различного профиля
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.
Положения о способах перехода к новой или специализированной практике после работы в сельской местности
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.
Другое
Hide [Q2x2x3x1] 2.2.3.1 Стимулы
Дополнительное финансовое возмещение
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.
Возможности для образования
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.
Возможности для карьерного роста или профессионального развития
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.
Профессиональное признание
Общественное признание
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.
Возможность получения постоянного вида на жительство и/или гражданства персоналом здравоохранения, привлеченным в рамках международного найма
Другое
Hide [Q2x2x4x1] 2.2.4.1 Поддержка
Достойные и безопасные условия труда
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.
Достойные и безопасные условия проживания
Возможности дистанционного / электронного обучения
Другое
Hide [Q3x1] 3.1 Имеются ли специализированные стратегии и/или законодательство, регулирующие международный наем, миграцию и интеграцию в вашей стране персонала здравоохранения, прошедшего обучение за рубежом?
Нет
Hide [Q3x2] 3.2 Имеется ли в вашей стране стратегия и/или нормативное положение о предоставлении международных телемедицинских услуг персоналом здравоохранения, находящимся за рубежом?
Нет
Hide [Q3x3] 3.3 Создана ли в вашей стране база данных или подборка законодательных актов и нормативных положений, имеющих отношение к найму и миграции персонала здравоохранения, и в соответствующих случаях – информации об их осуществлении?
Нет
Hide [Q4] 4. Независимо от участия иных государственных структур, выработаны ли на уровне Министерства здравоохранения механизмы (в виде правил, процедур или соответствующего структурного подразделения) для мониторинга и межсекторальной координации по вопросам, связанным с международным наймом и миграцией персонала здравоохранения?
Нет
Hide [Q5] 5. Просьба разъяснить меры, принятые в вашей стране для осуществления указанных ниже рекомендательных положений Кодекса.
Отметить все подходящие варианты из перечня ниже:
5.1 Приняты меры или рассматривается принятие мер для внесения изменений в законодательство или политику в отношении персонала здравоохранения в соответствии с рекомендациями Кодекса
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 Приняты конкретные меры для передачи и межсекторального обмена информацией о международном найме и миграции персонала здравоохранения, а также для повышения осведомленности о Кодексе в соответствующих министерствах, департаментах и агентствах на национальном и/или субнациональном уровне
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 Приняты меры для проведения консультаций с заинтересованными сторонами в процессе принятия решений и/или их привлечения к деятельности, связанной с международным наймом медицинского персонала
See the previous information provided in section 5.2
5.4 Ведется учет всех частных агентств по найму персонала здравоохранения, которые уполномочены компетентными органами действовать в пределах своей юрисдикции
5.5 В деятельности частных агентств по найму персонала поощряется и пропагандируется передовая практика, предусмотренная Кодексом
5.5a Информационно-разъяснительная работа в отношении Кодекса среди частных агентств по найму персонала
5.5b Внутреннее законодательство или политика, требующие соблюдения этических норм работы частных агентств по найму персонала в соответствии с принципами и статьями Кодекса
5.5c Государственная или частная сертификация практики частных кадровых агентств в соответствии с принципами этики
5.5d Другое
5.6 Ничто из вышеперечисленного
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Government Agreements

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Межправительственные соглашения о миграции или мобильности персонала здравоохранения
Hide [Q6] 6. Имеются ли двусторонние, многосторонние либо региональные соглашения и/или договоренности в отношении международного найма и/или мобильности персонала здравоохранения, заключенные на уровне руководства вашей страны или органов власти субнационального уровня?
Нет
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Responsibilities, rights and recruitment practices

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Обязанности, права и порядок найма
Hide [Q7] 7. В случае если ваша страна нанимает / принимает международный персонал здравоохранения для работы в медицинской и медико-социальной сфере, какие правовые гарантии и/или другие механизмы предусмотрены для персонала здравоохранения из числа мигрантов, а также для обеспечения того, чтобы эта категория сотрудников пользовалась теми же законными правами и обязанностями, что и персонал здравоохранения, прошедший подготовку в стране?
Просьба отметить все подходящие варианты из перечня ниже:
Персонал здравоохранения из числа мигрантов привлекают с использованием механизмов, позволяющих оценивать выгоды и риски, связанные с занимаемой должностью, и принимать своевременные и обоснованные решения о приеме на работу
Наем, продвижение по службе и оплата труда работников здравоохранения-мигрантов производятся исходя из таких объективных критериев, как уровень квалификации, продолжительность трудового стажа и степень профессиональной ответственности, на равных правах с кадрами здравоохранения, подготовленными внутри страны
The same conditions and requirements are applied as for Lithuanian health care specialists
Работники здравоохранения-мигранты пользуются теми же возможностями для повышения своего профессионального образования, квалификации и карьерного роста, что и работники здравоохранения из числа местного населения
The same conditions and requirements are applied as for Lithuanian health care specialists
Созданы институциональные механизмы для обеспечения безопасной миграции/мобильности и интеграции работников здравоохранения-мигрантов
Приняты меры для содействия циркулярной миграции международного медицинского персоналаЕсли выбран ответ «да», заполнение этого поля обязательно.
Другие меры (в том числе нормативного и административного характера) для обеспечения справедливого найма и трудоустройства медицинского персонала, прошедшего обучение за рубежом и/или иммигрантов (просьба уточнить)Если выбран ответ «да», заполнение этого поля обязательно.
Мер не принято
Не применимо: привлечение / наем иностранного персонала здравоохранения не производится
Hide [Q8] 8. В случае если персонал здравоохранения вашей страны работает за рубежом в медицинской и медико-социальной сфере, просьба предоставить информацию о мерах, которые были приняты или планируются к принятию в вашей стране для обеспечения их справедливого найма и трудоустройства; безопасной миграции; возвращения; функционирования механизма диаспоры вашей страны, а также о возникших трудностях.
Просьба отметить все подходящие варианты из перечня ниже:
Меры для справедливого подбора персонала
Меры для обеспечения достойных трудовых договоров и условий труда в принимающих странах
Меры для безопасного перемещения
Меры для возвращения и реинтеграции на рынок труда в сфере здравоохранения вашей страны
Меры для привлечения диаспоры в целях поддержки системы здравоохранения вашей страны
Другое
Мер не принято
The same conditions and requirements are applied as for Lithuanian health care specialists
Не применимо: персонал здравоохранения страны проведения опроса не осуществляет трудовые обязанности за рубежом
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International migration

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Международная миграция и пути мобильности для медицинского персонала
Hide [Q9x1] 9.1 В случае если ваша страна принимает международный персонал здравоохранения для работы в медицинской и медико-социальной сфере, каким образом эти сотрудники прибывают в вашу страну (отметить все подходящие варианты)?
Непосредственная подача (индивидуального) заявления на получение образования, трудоустройство, осуществление предпринимательской деятельности, иммиграцию или въезд в страну Соглашения между правительствами, обеспечивающие мобильность медицинского персонала Частные агентства по подбору персонала или подбор персонала при содействии работодателя Обеспечение мобильности через механизм частного консультирования по вопросам образования / иммиграции Другие механизмы (указать) Какой механизм применяется чаще всего? Просьба включить количественные данные при их наличии.
Врачи 1 0 1 0
Медсестры 1 0 1 0
Акушерки 1 0 1 0
Стоматологи 1 0 1 0
Фармацевты 1 0 1 0
Другие профессии 0 0 0 0
Другие профессии 0 0 0 0
Другие профессии 0 0 0 0
Другие профессии 0 0 0 0
Другие профессии 0 0 0 0
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Hide [Q9x2] 9.2 Если персонал здравоохранения вашей страны работает / обучается за рубежом, каким образом он покидает вашу страну (отметить все подходящие варианты)?
Непосредственная подача (индивидуального) заявления на получение образования, трудоустройство, осуществление предпринимательской деятельности, иммиграцию или въезд в принимающую страну Соглашения между правительствами, обеспечивающие мобильность медицинского персонала Частные агентства по подбору персонала или подбор персонала при содействии работодателя Обеспечение мобильности через механизм частного консультирования по вопросам образования / иммиграции Другие механизмы (указать) Какой механизм применяется чаще всего? Просьба включить количественные данные при их наличии.
Врачи 1 0 1 0
Медсестры 1 0 1 0
Акушерки 1 0 1 0
Стоматологи 1 0 1 0
Фармацевты 1 0 1 0
Другие профессии 0 0 0 0
Другие профессии 0 0 0 0
Другие профессии 0 0 0 0
Другие профессии 0 0 0 0
Другие профессии 0 0 0 0
Hide [Q9x2oth]
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Recruitment & migration

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Данные о международном найме и миграции медицинского персонала


Повышение доступности и сопоставимости данных в международном масштабе имеет крайне важное значение для понимания и определения глобальной динамики миграции работников здравоохранения. Чтобы убедиться в соответствии представленных ниже данных требованиям отчетности НСУКЗ, просьба проконсультироваться с координатором по НСУКЗ в случае, если такой координатор назначен*.
(Для получения подробной информации о координаторе по НСУКЗ в вашей стране просьба обратиться к электронной версии ИНО или по адресу электронной почты WHOGlobalCode@who.int)

Hide [Q10] 10. Имеются ли в вашей стране механизм(ы) или организация(и) для ведения статистического учета специалистов здравоохранения, родившихся за рубежом и прошедших обучение за рубежом?
Да
Hide [Q10x1] 10.1 Каким образом обеспечивается хранение записей (отметить все подходящие варианты)?
Трудовые книжки или разрешения на работу
База данных Министерства здравоохранения
Реестр персонала здравоохранения, имеющего право на профессиональную практику
Другое
Hide [Q10x2] 10.2 Содержится ли в учетных сведениях информация в разбивке по полу о специалистах здравоохранения из-за рубежа и/или прошедших обучение за рубежом?
Да
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Inflow and outflow of health personnel

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Hide [INFOx7] Приток и отток персонала здравоохранения
Hide [Q11] 11. Имеется ли механизм мониторинга притока и оттока медицинского персонала в/из вашей страны (отметить все подходящие варианты)?
Приток
Отток
Нет
Hide [Q11xI] Если выбран ответ «Да», просьба указать в отношении притока специалистов следующее:
Hide [Q11x1] 11.1 Какое количество работников здравоохранения, прошедших обучение за рубежом или родившихся за границей, возобновили активную трудовую деятельность (на временной и/или постоянной основе) в вашей стране за последние три года (приток)?
Врачи Медсестры Акушерки Стоматологи Фармацевты Примечания
2021 42 4 3 9 0
2022 130 51 0 45 3
2023 92 58 2 32 16
Источник данных (например, контролирующие органы, сведения миграционного учета, разрешения на работу и т.д.). 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 При наличии документа с информацией о притоке и оттоке персонала здравоохранения для вашей страны просьба загрузить его здесь.
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Stock of health personnel

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Hide [INFOx8] Численность трудовых ресурсов здравоохранения
Hide [Q12x1] 12.1 Сводные данные о персонале здравоохранения в разбивке по странам прохождения обучения и рождения.
Просьба предоставить сведения об общей численности персонала здравоохранения в вашей стране (предпочтительно занятых специалистов) в соответствии с индикаторами 1-07 и 1-08 Национальной системы учета кадров здравоохранения (НСУКЗ) за последний доступный год в разбивке по месту обучения (прошедшие обучение за рубежом) и месту рождения (родившиеся за рубежом).
Hide [Q12x1a] Просьба предоставить данные о численности занятых специалистов здравоохранения в вашей стране одним из следующих способов:
заполнить данные таблицы ниже;
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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?
Врачи (общего профиля + специалисты) 17421 17101 186 Hygiene institute and Register of health care and pharmacy practice licenses 2023
Медсестры 26769 26492 216 Hygiene institute and Register of health care and pharmacy practice licenses 2023
Акушерки 1089 1084 5 Hygiene institute and Register of health care and pharmacy practice licenses 2023
Стоматологи 4806 Hygiene institute and Register of health care and pharmacy practice licenses 2023
Фармацевты 3536 3515 19 Hygiene institute and Register of health care and pharmacy practice licenses 2023
Hide [Q12x1x1x] При наличии документа с информацией о численности занятых специалистов здравоохранения в вашей стране и их распределении по месту обучения и рождения просьба загрузить его здесь.
Hide [Q12x2] 12.2 Просьба предоставить перечень 10 ведущих стран, в которых проходил подготовку иностранный персонал здравоохранения, занятый в настоящее время в вашей стране.
Эта информация может быть предоставлена одним из двух способов, указанных ниже:
заполнить данные таблицы ниже;
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Врачи Медсестры Акушерки Стоматологи Фармацевты
Общая численность персонала, прошедшего подготовку за рубежом 186 216 5 19
Държава 1: Страна обучения UKR UKR UKR UKR
Държава 1: Численность персонала 103 103 2 16
Държава 2: Страна обучения RUS RUS RUS RUS
Държава 2: Численность персонала 25 35 2 3
Държава 3: Страна обучения BLR BLR BLR
Държава 3: Численность персонала 36 38 1
Държава 4: Страна обучения EST POL
Държава 4: Численность персонала 7 15
Държава 5: Страна обучения KAZ LVA
Държава 5: Численность персонала 4 17
Държава 6: Страна обучения AZE
Държава 6: Численность персонала 2
Държава 7: Страна обучения
Държава 7: Численность персонала
Държава 8: Страна обучения
Държава 8: Численность персонала
Държава 9: Страна обучения
Държава 9: Численность персонала
Държава 10: Страна обучения
Държава 10: Численность персонала
Источник (например, профессиональный реестр, данные переписи населения, национальное исследование, другое)
Год, за который имеются данные (Просьба указать данные за последний доступный год) 2023 2023 2023 2023
Примечания
Hide [Q12x2x1x] При наличии документа с информацией о распределении медицинских специалистов вашей страны, прошедших обучение за рубежом, по странам обучения просьба загрузить его здесь.
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Technical and financial support

Hide [INFOxNRI14] Инструмент национальной отчетности (2024 г.)
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Техническая и финансовая поддержка
Hide [Q13] 13. Оказывала ли ваша страна техническую или финансовую помощь каким-либо странам происхождения или странам, указанным в Перечне ВОЗ по поддержке и гарантиям в отношении кадровых ресурсов здравоохранения, 2023 г., либо другим странам с низким или средним уровнем дохода, в связи с развитием кадровых ресурсов здравоохранения, укреплением системы здравоохранения или в целях выполнения других рекомендаций Кодекса (например, совершенствование данных, информации и исследований о кадрах здравоохранения для дальнейшего использования в подготовке политики и планировании и т.д.)
Нет
Hide [Q14] 14. Получала ли ваша страна техническую или финансовую помощь от какого-либо государства-члена ВОЗ либо других заинтересованных сторон (например, партнеров по развитию, других учреждений) в связи с развитием кадровых ресурсов здравоохранения, укреплением систем здравоохранения или в связи с реализацией других рекомендаций Кодекса (например, совершенствование данных, информация и исследования о кадрах здравоохранения для дальнейшего использования в подготовке политики и планировании и т.д.)?
Да
Hide [Q14x] Если выбран ответ «Да», просьба указать дополнительные сведения ниже (отметить все подходящие варианты):
Поддержка развития медицинских кадров (планирование, обучение, трудоустройство, удержание)
Поддержка других элементов укрепления системы здравоохранения (оказание услуг; информационные системы здравоохранения; финансирование здравоохранения; медицинские изделия и технологии; лидерство и управление в сфере здравоохранения)
Другие области содействия:
Hide [Q14x1] Поддержка развития кадров здравоохранения (планирование, обучение, трудоустройство, удержание)
Страна/организация, оказывающая поддержку Тип поддержки (просьба указать)
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] Поддержка других элементов укрепления системы здравоохранения (оказание услуг; информационные системы здравоохранения; финансирование здравоохранения; медицинские изделия и технологии; лидерство и управление в сфере здравоохранения)
Страна/организация, оказывающая поддержку Тип поддержки (просьба указать)
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

Hide [INFOxNRI15] Инструмент национальной отчетности (2024 г.)
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Ограничения, решения и дополнительные комментарии
Hide [Q15] 15. Просьба перечислить в порядке приоритета три основных препятствия на пути формирования системы этичного управления международной миграцией в вашей стране и предложить возможные решения:
Основные препятствия Возможные решения/рекомендации
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. Какого рода поддержка вам необходима для более эффективного внедрения Кодекса?
Помощь в совершенствовании данных и информации о персонале здравоохранения
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.
Поддержка политического диалога и развития
Помощь в разработке двусторонних/многосторонних соглашений
Другое
Поддержка не требуется
Hide [Q17] 17. Учитывая, что Кодекс является документом, который требует периодических обновлений по мере необходимости, просьба привести примеры, касающиеся вашей страны, за прошедшие 14 лет с момента принятия резолюции о Кодексе.
Hide [Q17x1] Просьба прокомментировать, в какой мере Кодекс был полезен для вашей страны
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] Необходимо ли обновление каких-либо статей Кодекса?
Нет

Hide [Q17x3] Необходимо ли обновление процесса отчетности о внедрении Кодекса и анализ его актуальности и эффективности?
Нет

Hide [Q17x4] Просьба прокомментировать Перечень ВОЗ по поддержке и гарантиям в отношении кадровых ресурсов здравоохранения (например, в случае если ваша страна включена в Перечень, какие результаты это принесло; если ваша страна пользуется кадровыми ресурсами здравоохранения, привлеченными в рамках международного найма, какие результаты принесло включение в Перечень; если ваша страна не включена в Перечень, какие последствия это имело)

Hide [Q18] 18. В этом разделе вы можете факультативно изложить любые другие комментарии или представить дополнительные материалы, касающиеся международного найма и миграции медицинского персонала, в связи с выполнением Кодекса.

Просьба изложить информацию в письменном виде ИЛИ загрузить файлы (максимальный размер файла 10 МБ).

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Warning

Hide [INFOxNRI16] Инструмент национальной отчетности (2024 г.)
Hide [WARN] Вы достигли конца Национального инструмента отчетности - 2024. Вы можете вернуться к любому вопросу, чтобы обновить свои ответы или подтвердить свою запись, нажав «Отправить».