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By written by Albena Arnaudova ; edited by Yves Charpak.

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Today, about 50% of all GPs are private contractors, which has contributed significantly to their financial stability and professional standing. Finally, public institutions have let the public know explicitly that GPs are now centre stage, and that their work is critical to the success of health reforms. What has the Regional Office been doing in Estonia? The WHO Regional Office for Europe has had a Liaison Office in Tallinn since 1994. Estonia now participates in six WHO networks: Healthy Cities, Health Promoting Hospitals, Health Promoting Schools, Countrywide Integrated Noncommunicable Diseases Intervention (CINDI), the European Forum of Medical Associations and the EuroPharm Forum.

3% of all deaths – a little more than half the average* for the EU-15 mortality group. ● In Estonia in 2000, there were 172 alcohol-related deaths per 100 000 population – triple the EU-15 average. 2 litres. However, unrecorded consumption was significant, estimated at 6 litres per person. DRUGS ● Problem drug users make up more than 1% of the population age 15–64. 5% ● Cannabis has been used at least once in their life by 13% of all 15- and 16-year-olds and 5% of the total population. ● Among students, there has been a steady increase in the lifetime use of cannabis, ecstasy and amphetamines.

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

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