Health Systems and Policy Monitor (HSPM)

An innovative platform that provides a detailed description of health systems and provides up-to-date information on reforms and changes that are particularly policy relevant. In parallel, the Health Reform Tracker (see the Tracker tab) provides an overview of health reforms in over 30 countries across the WHO European Region and North America. For detailed information on country policy responses to the COVID-19 pandemic during 2020-2021, see our separate COVID-19 Health Systems Response Monitor (HSRM).

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Updates

The State Audit survey shows that accessibility to services remains a key health system challenge

15 January 2026 | Country Update

In its 2025 report, the State Audit found that 73% of residents named long waiting lists as the main health system problem in 2025, up from 55% in 2018, and that waiting times for family doctors and specialists often exceed legal limits. In 13 municipalities, more than half of residents waited over seven days for a family doctor, and about a quarter of specialist consultations have not been provided within 30 days.

The report also notes that among actions to improve access to services that the Ministry of Health has planned to fulfil by 2030 some have been already delayed in the interim. These include expansion of the primary care teams, increase in volumes of day care and day surgery, and health workforce empowerment, attraction and retention. Moreover, the Ministry lacks data from municipal healthcare institutions for tracking progress in access. 

The State Audit suggests that the digital patient booking system has not been used as widely as hoped for. For example only 7%–8% of patients used eHealth to book appointments, and 42% of surveyed patents said they register by phone. At the same time, many providers do not release all available slots and often book patients into waiting lists that they manage through their own systems. Nevertheless, the new dashboard on waiting lists managed by the NHIF allows to track situation in real time, although the possibilities for systematic tracking to inform decision making remains limited. 

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