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"a372df8909da04bd1c23a6acad034b3c5e34311fdc9c7b468727a14a345a265a" }, "statement": "The programme is shown as a formal planning record, not as an assignment of organizational functions.", "tags": [], "territory": "Lithuania", "title": "Formal public-health programme record", "urls": [ { "kind": "url", "source": "not supplied", "url": "https://extranet.who.int/cpcd/sites/default/files/public_file_repository/LTU_Lithuania_National-Public-Health-Care-Development-Programme_2016.pdf" } ] }, { "analytical_mapping": { "mapping_basis": "observed, place- and time-bounded referral study", "mapping_group": "relationships_and_networks", "mapping_id": "candidate-mapping:LTU:relationships-networks:reported-referral-boundary", "source_projection_ids": [ "country-improvement-source:LTU:zielinski-referral-study-2008" ], "support_state": "candidate_supported", "target_slot": "reported-referral-boundary", "target_view": "referrals", "typed_fields": { "observed": "In 2005, State Sickness Fund records for 18 PHC practices in Klaipeda city and region recorded physician and self-referrals and specialist visits by PHC practice model.", "scope": "The study population was 250,070 people listed with the participating practices; it is not a current national referral-completion series." } }, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Zielinski et al. 2008.", "country_ids": [ "LTU" ], "coverage_domains": [ "market_structure", "observed_referral", "ownership", "patient_flows", "primary_care", "utilization" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "observed", "excerpt": "Referrals during 2005 from each PHC practice in Klaipeda was obtained from the Lithuanian State Sickness Fund database", "institution": null, "locator": { "description": "BioC JSON, ABSTRACT, METHODS, RESULTS, Table 3 and Table 5." }, "material_id": "material:7defd7c91e75eefcc877c5a7", "notes": [ "Display this as historical, subnational PHC-practice evidence. Do not infer current national referral completion, utilisation or market shares." ], "origin": "candidate-analytical-mappings", "period": "2005 observations; article published 2008", "publication_date": null, "publication_year": null, "record_kind": "candidate_analytical_mapping", "record_kind_label": "Candidate Analytical Mapping", "screening": { "previous_boundary_detected": false, "previous_visibility": "previously_not_projected" }, "source_layers": [ "research_literature" ], "source_system": null, "source_version": { "detected_media_type": "application/json", "response_sha256": "3b854b4ded50f7f7d443db1d71f2d540f5a4605a58c1d3cf21ee6fa917ae4a35" }, "statement": "A 2008 study reports 2005 physician and self-referrals and specialist visits for 18 PHC practices in Klaipeda city and region, with results by public and private practice model.", "tags": [], "territory": "Klaipeda city and Klaipeda region, Lithuania", "title": "Historical observed referral and specialist-use study", "urls": [ { "kind": "url", "source": "not supplied", "url": "https://www.ncbi.nlm.nih.gov/research/bionlp/RESTful/pmcoa.cgi/BioC_json/PMC2612663/unicode" } ] }, { "analytical_mapping": { "mapping_basis": "historical review evidence and explicit missingness", "mapping_group": "decision_rights_and_autonomy", "mapping_id": "candidate-mapping:LTU:decisions-autonomy:provider-autonomy-boundary", "source_projection_ids": [ "country-improvement-source:LTU:observatory-hspm-2013", "country-improvement-source:LTU:oecd-observatory-profile-2023" ], "support_state": "candidate_supported", "target_slot": "provider-autonomy-boundary", "target_view": "autonomy", "typed_fields": { "accountability": "Historical and 2023 review accounts describe context, not a complete current autonomy-accountability matrix.", "evidence": "The selected sources do not establish a national current autonomy rating." } }, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Lithuania Health System Review 2013; 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"detected_media_type": "application/pdf", "file_sha256": "1d69eec1a5b00cd859598dab0be3d4e5315574fbd1011416ed4f991e733be350" }, "statement": "The displayed evidence does not justify a uniform current autonomy rating for primary care or hospitals.", "tags": [], "territory": "Lithuania", "title": "Provider autonomy remains unmeasured here", "urls": [ { "kind": "url", "source": "not supplied", "url": "https://iris.who.int/server/api/core/bitstreams/7c48057d-f5cc-424a-991d-1a8aae61f895/content" }, { "kind": "source_reference", "source": "Lithuania: Country Health Profile 2023", "url": "https://www.oecd.org/content/dam/oecd/en/publications/reports/2023/12/lithuania-country-health-profile-2023_7ab0a5d9/5ed683c8-en.pdf" } ] }, { "analytical_mapping": { "mapping_basis": "reported 2025 delivery architecture", "mapping_group": "delivery_and_referrals", "mapping_id": "candidate-mapping:LTU:delivery-referrals:public-private-boundary", "source_projection_ids": [ "country-improvement-source:LTU:oecd-observatory-profile-2025" ], "support_state": "candidate_supported", "target_slot": "public-private-boundary", "target_view": "public-private", "typed_fields": { "architecture": "The 2025 profile reports private provision as limited in inpatient care, while many outpatient specialist services and family doctors are private; the NHIF contracts private providers.", "boundary": "The selected profile does not establish current ownership shares by facilities, beds, visits, admissions or workforce." } }, "annotation_status": "open", "authors": [], "availability": {}, "citation": "OECD and European Observatory 2025.", "country_ids": [ "LTU" ], "coverage_domains": [ "hospital_organization", "market_structure", "ownership", "primary_care" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "reported", "excerpt": "The private sector plays a limited role in inpatient care, but many outpatient specialist services and family doctors are private", "institution": null, "locator": { "description": "2025 profile, Delivery of health care services section." }, "material_id": "material:f36484fabb880b598f312652", "notes": [ "Do not convert the qualitative reported description into national ownership shares or a delivery-dominance claim." ], "origin": "candidate-analytical-mappings", "period": "Profile published 2025", "publication_date": null, "publication_year": null, "record_kind": "candidate_analytical_mapping", "record_kind_label": "Candidate Analytical Mapping", "screening": { "previous_boundary_detected": false, "previous_visibility": "previously_not_projected" }, "source_layers": [ "review_literature" ], "source_system": null, "source_version": { "detected_media_type": "application/pdf", "file_sha256": "c40b6381265158cab252f62474f77a3c391ca70716fd3564a12e86ab5e9b5ef7" }, "statement": "The 2025 profile distinguishes limited private inpatient provision from private participation in outpatient specialist and family-doctor care, without supplying national ownership shares by delivery denominator.", "tags": [], "territory": "Lithuania", "title": "Reported public-private service mix", "urls": [ { "kind": "url", "source": "not supplied", "url": "https://eurohealthobservatory.who.int/docs/librariesprovider3/country-health-profiles/chp2025pdf/soheu-2025-lithuania-final-web.pdf" } ] }, { "analytical_mapping": { "mapping_basis": "reported 2023 reform account", "mapping_group": "time_and_reform", "mapping_id": "candidate-mapping:LTU:time-reform:restructuring-sequence", "source_projection_ids": [ "country-improvement-source:LTU:oecd-observatory-profile-2025" ], "support_state": "candidate_supported", "target_slot": "restructuring-sequence", "target_view": "reforms", "typed_fields": { "2023": "Health-system restructuring is reported as initiated to consolidate and integrate services.", "boundary": "Reported initiation does not establish nationwide implementation, operational authority or outcomes." } }, "annotation_status": "open", "authors": [], "availability": {}, "citation": "OECD and European Observatory 2025.", "country_ids": [ "LTU" ], "coverage_domains": [ "authoritative_review", "decision_rights", "governance", "hospital_organization", "networks", "primary_care", "reform_history" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "reported", "excerpt": "Health system restructuring was initiated in 2023", "institution": null, "locator": { "description": "2025 profile, section 4." }, "material_id": "material:e8fa4073b2128a7a19d47a50", "notes": [ "Do not label an initiated restructuring as completed reform." ], "origin": "candidate-analytical-mappings", "period": "Reported 2023 initiation", "publication_date": null, "publication_year": null, "record_kind": "candidate_analytical_mapping", "record_kind_label": "Candidate Analytical Mapping", "screening": { "previous_boundary_detected": false, "previous_visibility": "previously_not_projected" }, "source_layers": [ "review_literature" ], "source_system": null, "source_version": { "detected_media_type": "application/pdf", "file_sha256": "c40b6381265158cab252f62474f77a3c391ca70716fd3564a12e86ab5e9b5ef7" }, "statement": "The 2025 profile reports a 2023 restructuring initiation, while leaving implementation and effects distinct from the reported reform direction.", "tags": [], "territory": "Lithuania", "title": "Reported restructuring initiation", "urls": [ { "kind": "url", "source": "not supplied", "url": "https://eurohealthobservatory.who.int/docs/librariesprovider3/country-health-profiles/chp2025pdf/soheu-2025-lithuania-final-web.pdf" } ] }, { "analytical_mapping": { "mapping_basis": "reported care-access and reform description", "mapping_group": "relationships_and_networks", "mapping_id": "candidate-mapping:LTU:relationships-networks:service-integration", "source_projection_ids": [ "country-improvement-source:LTU:oecd-observatory-profile-2025" ], "support_state": "candidate_supported", "target_slot": "service-integration", "target_view": "referrals", "typed_fields": { "boundary": "This reported rule and initiative do not establish observed referral completion, counter-referral or national patient flow.", "reported": "The 2025 profile reports that a referral is needed for publicly financed specialist outpatient and inpatient care, alongside a 2023 initiative to consolidate and integrate services." } }, "annotation_status": "open", "authors": [], "availability": {}, "citation": "OECD and European Observatory 2025.", "country_ids": [ "LTU" ], "coverage_domains": [ "authoritative_review", "hospital_organization", "networks", "primary_care", "referral_design" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "reported", "excerpt": "Patients need a referral to access publicly financed specialist outpatient and inpatient care", "institution": null, "locator": { "description": "2025 profile, Accessibility and Health system restructuring sections." }, "material_id": "material:e212c3e3326fb7802df09e37", "notes": [ "Do not treat the reported referral rule as observed referral completion, counter-referral or national patient flow." ], "origin": "candidate-analytical-mappings", "period": "Profile published 2025; reform reported as initiated in 2023", "publication_date": null, "publication_year": null, "record_kind": "candidate_analytical_mapping", "record_kind_label": "Candidate Analytical Mapping", "screening": { "previous_boundary_detected": false, "previous_visibility": "previously_not_projected" }, "source_layers": [ "review_literature" ], "source_system": null, "source_version": { "detected_media_type": "application/pdf", "file_sha256": "c40b6381265158cab252f62474f77a3c391ca70716fd3564a12e86ab5e9b5ef7" }, "statement": "The 2025 profile reports a referral requirement for publicly financed specialist outpatient and inpatient care, and a separate integration-oriented restructuring initiative.", "tags": [], "territory": "Lithuania", "title": "Reported specialist-referral rule", "urls": [ { "kind": "url", "source": "not supplied", "url": "https://eurohealthobservatory.who.int/docs/librariesprovider3/country-health-profiles/chp2025pdf/soheu-2025-lithuania-final-web.pdf" } ] }, { "analytical_mapping": { "mapping_basis": "reported health-system review", "mapping_group": "actors_and_functions", "mapping_id": "candidate-mapping:LTU:actors-functions:system-actors", "source_projection_ids": [ "country-improvement-source:LTU:oecd-observatory-profile-2023" ], "support_state": "candidate_supported", "target_slot": "system-actors", "target_view": "functions", "typed_fields": { "boundary": "This review is not a current actor registry or direct legal allocation of authority.", "review": "The 2023 profile describes the Lithuanian health system and its organisation." } }, "annotation_status": "open", "authors": [], "availability": {}, "citation": "OECD and European Observatory 2023.", "country_ids": [ "LTU" ], "coverage_domains": [ "actors", "authoritative_review", "governance", "government_responsibilities", "hospital_organization", "ownership" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "reported", "excerpt": "4. THE HEALTH SYSTEM", "institution": null, "locator": { "description": "Country Health Profile 2023, section 4." }, "material_id": "material:8f98a98028f4b1e83e6558b2", "notes": [ "Do not portray this as an exhaustive actor register or legal assignment of authority." ], "origin": "candidate-analytical-mappings", "period": "Profile finalised 2023; data years vary", "publication_date": null, "publication_year": null, "record_kind": "candidate_analytical_mapping", "record_kind_label": "Candidate Analytical Mapping", "screening": { "previous_boundary_detected": false, "previous_visibility": "previously_not_projected" }, "source_layers": [ "review_literature" ], "source_system": null, "source_version": { "detected_media_type": "application/pdf", "file_sha256": "c5bcf9719b06e340d64b8e581b9f4a47e8edd9f2eaeeaee159b32c95059d801c" }, "statement": "The 2023 review supports a high-level system-organisation view, not a complete current register of organizations or decision rights.", "tags": [], "territory": "Lithuania", "title": "Reported system-level organisation", "urls": [ { "kind": "url", "source": "not supplied", "url": "https://www.oecd.org/content/dam/oecd/en/publications/reports/2023/12/lithuania-country-health-profile-2023_7ab0a5d9/5ed683c8-en.pdf" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Servetkienė V, Puronaitė R, Mockevičienė B, Ažukaitis K, Jankauskienė D. Determinants of Patient-Perceived Primary Healthcare Quality in Lithuania. International Journal of Environmental Research and Public Health. 2023;20(6):4720.", "country_ids": [ "LTU" ], "coverage_domains": [ "primary_care", "utilization" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "observed", "excerpt": "cross-sectional representative telephone survey that included a total of 1033 respondents", "institution": "International Journal of Environmental Research and Public Health; PubMed Central", "locator": { "locator_type": "bioc_json_sections", "source_word_anchor": "representative telephone survey that included a total of 1033 respondents", "source_word_count": 10 }, "material_id": "material:382b9f1c579d251ab88c8ff8", "notes": [ "Present this as 2021 patient-reported national survey evidence, not observed referral completion or provider performance." ], "origin": "country-evidence-improvement-sources", "period": "National telephone survey, March to April 2021", "publication_date": null, "publication_year": 2023, "record_kind": "country_improvement_source_lead", "record_kind_label": "Country Improvement Source Lead", "screening": { "previous_boundary_detected": false, "previous_visibility": "previously_not_projected" }, "source_layers": [ "research_literature" ], "source_system": null, "source_version": { "detected_media_type": "application/json", "response_sha256": "ca584b368089b8ef395bd8dd1c87e4eaeb7bbe208a1ca41bb87509ea5f92bf3f" }, "statement": "A cross-sectional national telephone survey of 1,033 respondents measured patient-perceived primary-care quality and access experiences; it did not measure referral completion or provider authority.", "tags": [], "territory": "Lithuania", "title": "Determinants of Patient-Perceived Primary Healthcare Quality in Lithuania", "urls": [ { "kind": "url", "source": "not supplied", "url": "https://www.ncbi.nlm.nih.gov/research/bionlp/RESTful/pmcoa.cgi/BioC_json/PMC10048695/unicode" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Zielinski A, et al. Differences in referral rates to specialised health care from four primary health care models in Klaipeda, Lithuania. BMC Health Services Research. 2008;8:63.", "country_ids": [ "LTU" ], "coverage_domains": [ "market_structure", "observed_referral", "ownership", "patient_flows", "primary_care", "utilization" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "observed", "excerpt": "18 PHC practices serving inhabitants in Klaipeda city and region", "institution": "BMC Health Services Research; PubMed Central", "locator": { "locator_type": "bioc_json_sections", "source_word_anchor": "Referrals during 2005 from each PHC practice in Klaipeda", "source_word_count": 9 }, "material_id": "material:371a80439e65acfd985d73c9", "notes": [ "Present this as 2005 Klaipeda PHC-practice evidence only; do not infer current national referral completion, utilisation or market shares." ], "origin": "country-evidence-improvement-sources", "period": "Referral and specialist-visit records, 2005", "publication_date": null, "publication_year": 2008, "record_kind": "country_improvement_source_lead", "record_kind_label": "Country Improvement Source Lead", "screening": { "previous_boundary_detected": false, "previous_visibility": "previously_not_projected" }, "source_layers": [ "research_literature" ], "source_system": null, "source_version": { "detected_media_type": "application/json", "response_sha256": "3b854b4ded50f7f7d443db1d71f2d540f5a4605a58c1d3cf21ee6fa917ae4a35" }, "statement": "The study analysed Lithuanian State Sickness Fund records for 18 PHC practices serving 250,070 people in Klaipeda city and region during 2005. It reports physician and self-referrals and specialist visits by public/private PHC model; it is not a current national flow measure.", "tags": [], "territory": "Klaipeda city and Klaipeda region, Lithuania", "title": "Differences in referral rates to specialised health care from four primary health care models in Klaipeda, Lithuania", "urls": [ { "kind": "url", "source": "not supplied", "url": "https://www.ncbi.nlm.nih.gov/research/bionlp/RESTful/pmcoa.cgi/BioC_json/PMC2612663/unicode" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Republic of Lithuania. Health System Law, summary edition in force 1 July to 31 December 2024. ILO NATLEX translation.", "country_ids": [ "LTU" ], "coverage_domains": [ "decision_rights", "governance", "government_responsibilities" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "formal", "excerpt": "foundations of the organization and state management", "institution": "Republic of Lithuania; ILO NATLEX", "locator": { "locator_type": "pdf_article", "source_word_anchor": "foundations of the organization and state management of health care activities", "source_word_count": 10 }, "material_id": "material:aba33077c976bb3211fcc1ed", "notes": [ "Use Article 1 only for formal scope; do not infer provider autonomy, implementation or observed performance." ], "origin": "country-evidence-improvement-sources", "period": "Summary edition in force 1 July to 31 December 2024", "publication_date": null, "publication_year": 2024, "record_kind": "country_improvement_source_lead", "record_kind_label": "Country Improvement Source Lead", "screening": { "previous_boundary_detected": false, "previous_visibility": "previously_not_projected" }, "source_layers": [ "official" ], "source_system": null, "source_version": { "detected_media_type": "application/pdf", "file_sha256": "c89a4e78a4d9da790569b3a46aeafd3e2c32a36d2a7068838a9e68219064fb19" }, "statement": "Article 1 formally defines the law's scope as the national health system, its organization and state management; it does not allocate every operational decision cell.", "tags": [], "territory": "Lithuania", "title": "Health System Law of the Republic of Lithuania", "urls": [ { "kind": "url", "source": "not supplied", "url": "https://natlex.ilo.org/dyn/natlex2/natlex2/files/download/45704/LTU-45704.pdf" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "World Bank. 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