Lithuania and Kaliningrad
 
Infections don't stop at the borders. Problems with increasing antibiotic resistance in Russia are therefore of concern for EU. EU has an on-going development in Russia with increasing trading and tourism westward with many EU-inhabitants as active parts.
 
Primary health care and prevention is a focus area of development in Kaliningrad.
The results of HAPPY AUDIT will be used for future media campaigns for fighting antibiotic resistance in Lithuania and Kaliningrad.
 
The partners P04 ULUND (SE), P06 FDC (LT) and P08 AFMP (RU) have developed a close cooperation including the following projects since Klaipeda University started up their Faculty of Health Sciences in year 1996. In Kaliningrad, the Regional Health Department has been the partner since year 2002:
1. A three-parts projects funded by SIDA and the SEEC (Swedish East Europe Committee) on Primary Health Care development in Kaliningrad region. Supporting the education in family medicine is lead by Professor Igor Denisov at the Moscow I.M. Sechenov Medical Academy.
2. Elderly care research together with Scandinavian university departments on Gerontology in
Lund and Stockholm funding through the Swedish Ministry of Health and Welfare – The
Swedish National Study on Elderly and Care (SNAC) P04 ULUND (SE) is responsible for one of four subprojects.
3. The Nordic Council of Ministries supports a network project in primary health care and quality development i.e. APO-audit – Nordplus Neighbour project, coordinated by P04 ULUND (SE) with member organization all over the region. Included are all the Nordic countries including Iceland and Greenland, the three Baltic countries and Northwest Russia regions Murmansk, Archangelsk, Vologda, Pskov, Leningrad oblast, St Petersburg, and Kaliningrad.
4. Forum Balticum – a research-methodological work shop carried out together with university departments in Russia, Baltic and Scandinavian countries as well as UK – Oxford and London.
5. ACG-Case-mix System. Adjusted Clinical Groups (ACG) has started in cooperation between
Johns Hopkins University’s Bloomberg School of Public School and their European representative in Germany, P04 ULUND (SE), Klaipeda university, Lithuanian Sick Fund, and Lund university, Sweden. This system gives possibilities to estimate the population health based on PHC diagnosis presenting data on the total sickness burden of a population as well as the co-morbidity and the drug consumption on both the individual and the population level. The on-going development of the ACG-system aims to create a prognostic tool for assessing the sickness burden as well as future costs for health care. In Kaliningrad and Russia the system will be introduced after the analysis of on-going comparisons between Swedish and Lithuanian data.
 
Due to the close cooperation between P04 ULUND (SE), P06 FDC (FL) and P08 AFMK (RU) close contacts with leading persons in the Health ministries as well as the Sick Funds in both countries have been established.
The projects are still developing and have been followed by great interest from the national level.
For Kaliningrad this means authorities in both St Petersburg and Moscow besides the regional
administration.
 
Audit Projekt Odense
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Fax: +45 65 91 82 96
apo@health.sdu.dk