ქართ | Eng

ISSN 2449-2396 (Print) | E ISSN 2449-2612 (Online)

JEL Classifications: O31, I15, P36



Author: Vladimir Menshikov, Irena Kokina, Vera Komarova, Olga Volkova | Published: 2020-12-28 | Pages: 25 - 34

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For Citation: Menshikov V., Kokina I., Komarova V., Volkova O. (2020). Digitalization for Increased Access to Healthcare Services: Case of Latvia. Globalization and Business, 10, 25-34. https://doi.org/10.35945/gb.2020.10.002


The aim of the present study is to consider a range of problems that are to be solved during the implementation of the projects aimed at increasing the access to healthcare and based on the achievements of the new technological order on the example of Latvia, primarily the e-health project. Since January1, 2018, the use of the e-health system in Latvia is mandatory, but so far only the “Digital Prescription (e-prescription)” project has been functioning at full capacity. The experience with the introduction and the use of digital medicine in Latvia indicates a large range of problems faced by state institutions and local self-government institutions, medical establishments, medical personnel and patients. A systematic vision of the problems of implementing digital medicine requires a necessity, at least, of taking into account and solving seven relatively independent tasks: technical and technological, economic, legal, organizational, managerial, social, psychological, and cultural ones. In terms of systemic vision, the assessment of these aspects of the e-health programme implementation is presented by means of an extensive use of data retrieved from international organizations, Latvian state statistics, scientific research studies, including the ones carried out by the authors. The main conclusion of the study is the need for the theory and the practice of the increasing access to healthcare based on digital medicine, taking into account a more complete variety of factors that stimulate and constrain this process, and involving specialists from the sphere of social sciences. The importance of the problem has significantly increased amid COVID-19 crisis. So far, there are no relevant statistics on the availability of medical services during the pandemic, but individual assessments and recommendations of specialists indicate the need for a speedy and coordinated global promotion of e-health. The example of Latvia demonstrates that there are significant barriers to e-health. An accelerated decision process regarding the given issue is not always related to the economic resources of the country. Our studies show the importance of solving institutional problems, ensuring the better mainstreaming of psychological, socio-cultural and social factors. In our opinion, the upcoming project by the Latvian researchers “Latvia. Human Development Report” should be devoted to the most topical issue of e-health. While working on this project, it would be crucial to use the experience of specialists from other countries where similar studies have been conducted (Georgia, Ukraine, Poland, etc.) and experience of international cooperation in the framework of other social projects has already been accumulated.


Digital Medicine, Healthcare Accessibility, E-Health, Blockchain, Digital Development


Al-Shorbaji, N. (2013). The World Health Assembly Resolutions on eHealth: eHealth in Support of Universal Health Coverage. Methods of Information in Medicine, 52(6). doi:10.1055/s-0038-1627062

Apinis, P. (2020, March 20). Peter Apinis: Covid-19 and the Politics of Exaggeration. Retrieved from Latvijas Avīze: https://veselam.la.lv/peteris-apinis-covid-19-un-parspilejumu-politika (In Latvian)

Arak, P., & Wójcik, A. (2016-2017). Transforming eHealth into a political and economic advantage. Polityka INSIGHT . Retrieved from http://ec.europa.eu/newsroom/document.cfm?doc_id=45571

Baltniews. (2020, March 17). How E-health became a "black hole" absorbing money from the state and patients. Retrieved from https://lv.baltnews.com/ekonomika_online_novosti/20200317/1023761191/Kak-e-zdorove-stalo-chernoy-dyroy-pogloschayuschey-dengi-gosudarstva-i-patsientov.html (In Russian)

Black Book Research (2017) Healthcare Blockchain Interest Heats Up: Black Book Survey. Available at: https://www.prnewswire.com/news-releases/update---healthcare-blockchain-interest-heats-up-black-book-survey-300530281.html (In English)

Codagnone C., Lupiañez-Villanueva F. (2013) Benchmarking Deployment of eHealth among General Practitioners. Final Report. European Commission. Available at: https://ec.europa.eu/digital-single-market/en/news/benchmarking-deployment-ehealth-among-general-practitioners-2013-smart-20110033 (In English)

Deloitte Centre for Health Solutions. (2015). Connected health: How digital technology is transforming health and social care. Retrieved from https://www2.deloitte.com/content/dam/Deloitte/uk/Documents/life-sciences-health-care/deloitte-uk-connected-health.pdf

Ensor, T., & Cooper, S. (2005). Influencing the Demand Side of Purchasing. In A. Preker, & J. Langenbrunner, Spending Wisely. Buying Health Services for the Poor. Washington: The world bank. Retrieved from https://www.researchgate.net/publication/262765974_Overcoming_barriers_to_health_service_access_-_influencing_the_demand_side

Eurobarometer (2017) Special Eurobarometer 460: Attitudes towards the impact of digitalisation and automation on daily life.

European Commission. (2019, Septembris 27). The Digital Economy and Society Index (DESI). Retrieved from https://ec.europa.eu/digital-single-market/en/desi

European Commission . (2020). DESI by components. Retrieved from: https://digital-agenda-data.eu/datasets/desi/visualizations

Gabaliņa D. (2012) E-health in Latvia. Ministry of Health. Available at: http://www.veseliba.gov.lv/uploads/files/502cadc0b5990.pdf (In Latvian)

Galickih, V. (2020, Mart 31). Coronavirus surveillance: how mobile operators will help the EU fight the epidemic. Retrieved from https://www.eurointegration.com.ua/rus/experts/2020/03/31/7108176/ (In Russian)

Harari Yu.N. (2018) Most People Don't Know What Is Happening: Rechits Israel Historian in Davos. at: https://bykvu.com/bukvy/84181-bolshinstvo-lyudej-ne-osoznayut-chto-proiskhodit-rech-izrailskogo-istorika-v-davose(In Russian)

Holma, B. (galv.red.). (2017). Latvia. National Development Report 2015/2016. Mastery of life and information literacy. Rīga: LU Sociālo un politisko pētījumu institūts. Retrieved from https://www.szf.lu.lv/fileadmin/user_upload/szf_faili/Petnieciba/sppi/tautas/original/TAP_2015-2016.pdf (In Latvian)

Latulippe K., Hamel C., Giroux D. (2017, April) Social Health Inequalities and eHealth: A Literature Review With Qualitative Synthesis of Theoretical and Empirical Studies. Journal of Medical Internet Research, 19(4). doi:10.2196/jmir.6731

LatvijasRadio 4. (2019, March 16). Neither swallow nor spit out. The head of the Ministry of Health about E-health. Retrieved from: https://rus.lsm.lv/statja/novosti/obschestvo/ni-proglotit-ni-viplyunut-glava-minzdrava-ob-e-zdorove.a312764/ (In Russian)

Lyadova A. (2018) Digital health: myth or reality. Available at: http://hdl.handle.net/10995/58996 (In Russian)

Menshikov V., Volkova O., Stukalo N., Simakhova A. (2017, December) Social Economy as a Tool to Ensure National Security. Journal of security sustainability issues. Volume 7, number 2.31-51. Available at: http://jssidoi.org/jssi/uploads/papers/26/Menshikov_Social_economy_as_a_tool_to_ensure_national_security.pdf(In English)

Menshikov, V., & Volkova, O. (2019). Digitalization for increased access security to healthcare services in Latvia. Journal of Security and Sustainability Issues, 9(1). doi:https://doi.org/10.9770/jssi.2019.9.1(13)

Nering, K., Gunkel', E. (2020, April 20). Messengers and data protection: which is better for working from home? Retrieved from dw.com: https://p.dw.com/p/3b4Gf (In Russian)

Novillo-Ortiz, D., Dumit, E. M., D’Agostino, M., Becerra-Posada, F., Kelley, E. T., Torrent-Sellens, J., . . . Saigí-Rubió, F. (2018). Digital health in the Americas: advances and challenges in connected health. BMJ Innov., 4(3). doi:10.1136/bmjinnov-2017-000258

OECD. (2010). Improving Health Sector Efficiency The Role of Information and Communication Technologies. OECD publisher. Retrieved from https://ec.europa.eu/health//sites/health/files/eu_world/docs/oecd_ict_en.pdf

OECD/EU. (2016) Health at a Glance: Europe 2016 – State of Health in the EU Cycle, OECD Publishing, Paris. http://dx.doi.org/10.1787/9789264265592-en

Putniņa, A., & Brants, M. (2018). Survey on patient satisfaction with the quality of health care services. Final report. SIA “Project and quality management”, SIA “Aptauju Centrs”, Rīga. Retrieved from http://petijumi.mk.gov.lv/sites/default/files/title_file/Zinojums_Pacientu_apmierinatiba_ar_veselibas_aprupes_pakalp_kvalitati.pdf (In Latvian)

Roth, S., Landry, M., & Parry, J. (2015). Universal health coverage by design: ICT - enabled solutions are the future of equitable, quality health care and resilient health systems. ADB Briefs, 36. Retrieved from https://www.adb.org/sites/default/files/publication/160117/universal-health-coverage-design-ict.pdf

Shamshurin D.A. (2018, Juny) Digital media as cultural globalization factor. Mezhdunarodnyj nauchno-issledovatel'skij zhurnal,  6 (72), Chast' 2, DOI: https://doi.org/10.23670/IRJ.2018.72.6.036(In Russian)

StartUp Health Insights (2018) Global Digital Health Funding Report. Available at: https://www.startuphealth.com/insights-reports 

Townsend P. (2010) The meaning of poverty. The British Journal of Sociology. DOI: https://doi.org/10.1111/j.1468-4446.2009.01241.x

Volkova, O. (2020). Informacionnoe neravenstvo v zdravoohranenii: institucional'nyj aspekt. Proceedings of the international scientific conferences of faculty of social sciences of Daugavpils University. The materials of the International Scientific Conference "Social Sciences for Regional Development 2019". Part 1. Issues of sociology. Retrieved from http://humanitiessocial.lv/wp-content/uploads/2020/04/SZF-krajums_I_Sociologijas-aktualitates_2020_BEZ-ISBN.pdf (In Russian)

WHO. (2016 a) From innovation to implementation – eHealth in the WHO European Region.Report. Available at:http://www.euro.who.int/__data/assets/pdf_file/0012/302331/From-Innovation-to-Implementation-eHealth-Report-EU.pdf

WHO. (2016 b). Global difusion of eHealth: making universal health coverage achievable. Report of the third global survey on eHealth. Retrieved from http://africahealthforum.afro.who.int/first-edition/IMG/pdf/global_diffusion_of_ehealth_-_making_universal_health_coverage_achievable.pdf

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