Network for Disease-Specific Networking Strategy to Increasing of Public Value: Latvia’s Approach

Health system reforms in Latvia are the most ambitious and constructive in the last thirty years in the following areas: infrastructure and mapping, defining the role of local governments in the health care system, human resources, improving the selection process of state budget-paid health care providers, improvement of the health care quality system, e-health and patient identification; reorganization of the institutions subordinated to the Ministry of Health. Value-based healthcare is a new and effective management approach in the health sector, which has been introduced by leading European and global health service providers, and, in Latvia, it should be considered the next “post-reform” reform. An element of novelty is the introduction of a hybrid management approach and coordination within the health care system through the introduction of the clinics – leaders in the primary disease groups or central medical officer (CMO).