Selgitustaotlus

ACCESS TO HEALTH-CARE SERVICES 12.13 In Estonia , how difficult or easy is it to see a doctor? Very difficult Somewhat difficult Neither difficult, nor easy Somewhat easy Very easy I don’t know 12.14 Is there anything preventing you from accessing health - care services in Estonia ? No medicines available in health - care centre Too far to travel/ There are no reachable health services I do not have the right documents Too expensive Lack of transportation to health - care services Language barrier Long queues and waiting lines I don't know how to access I prefer to go to Ukraine for treatment of my health issues Other, please specify I don't know Prefer not to answer 12.14 If other, please specify 12.15 Are you registered with a general practitioner in Estonia ? Yes No I don't know Prefer not to answer 12.15 If not, why? Language barrier Do not know how to Long waiting times (more than 2 months) I was refused by the doctor I do not have health insurance I am not sure about the costs It is too far (long distance/transport issues) Other, please specify I don't know Prefer not to answer If yes, what was the most challenging part? Understanding the registration process Filling in forms or submitting documents Language barrier (e.g., forms or communication not in my language) Long waiting time to get accepted by a doctor Being refused by one or more doctors Finding a doctor near my location Limited availability of doctors accepting new patients Difficulty communicating with the clinic or health - care staff Technical issues (e.g., trouble using online systems or booking platforms) Understanding requirements specific to Estonian health care Not knowing how to choose a suitable doctor The process was confusing or unclear overall I did not experience any difficulties Other, please specify I don't know Prefer not to answer 12.16 Have you registered your children with a general practitioner in Estonia ? Yes No I don't know Prefer not to answer 12.17 If not, why? Language barrier Do not know how to Long waiting times (more than 2 months) I was refused by the doctor I do not have health insurance I am not sure about the costs It is too far (long distance/transport issues) Other, please specify I don't know Prefer not to answer If yes, what was the most challenging part? Understanding the registration process Filling in forms or submitting documents Language barrier (e.g., forms or communication not in my language) Long waiting time to get accepted by a doctor Being refused by one or more doctors Finding a doctor near my location Limited availability of doctors accepting new patients Difficulty communicating with the clinic or health - care staff Technical issues (e.g., trouble using online systems or booking platforms) Understanding requirements specific to Estonian health care Not knowing how to choose a suitable doctor The process was confusing or unclear overall I did not experience any difficulties Other, please specify I don't know Prefer not to answer 12.19 Do you have health insurance in Estonia? Yes No I don't know Prefer not to answer 12.20 What type of health insurance do you have? State health insurance (managed by the Estonian Health Insurance fund) Private health insurance (INGES, ERGO, etc.) Other Don't know Prefer not to answer In how far have language barriers affected your ability to access or understand health-care services in Estonia ? Not at all – I have experienced no language-related difficulties To a small extent – Minor issues, but they did not significantly impact my experience To a moderate extent – Some challenges that made access or understanding more difficult To a great extent – Language barriers often made it hard to access or understand services Completely – I was unable to access or understand health-care services due to language Not applicable – I haven’t used health-care services in Estonia I don't know Prefer not to answer If yes, in what situations have language barriers caused difficulties? Communicating with doctors or nurses Understanding written medical information (e.g., prescriptions, instructions) Using online systems or e-health portals Making appointments by phone or in person Filling out forms or official documents Other, please specify I don't know Prefer not to answer DIGITAL SERVICES 12.21 Have you ever used digital health services in Estonia, such as Terviseportaal / Health Portal , Perearst24 , or e- perearstikeskus ? Yes No I don't know Prefer not to answer 12.22 How difficult or easy is it to use digital health services in Estonia? Very difficult Somewhat difficult Neither difficult, nor easy Somewhat easy Very easy I don’t know 12.23 What digital skills do you lack to use digital health services in Estonia? I don't know how to find digital health services (e.g., patient portals, e-health systems) I have trouble logging in with digital ID, Smart-ID, or Mobile-ID I don't know how to view or understand my medical records or test results online I don’t know how to communicate with a doctor online (e.g., booking appointments, sending messages) I’m unsure how to upload or download medical documents (e.g., prescriptions, certificates) I’m not confident using a computer, smartphone, or the internet in general I have difficulty understanding the Estonian language used in digital health systems I don’t know how to update my personal or health information online I don’t know what digital health services are available in Estonia I don’t have the necessary device (e.g., smartphone or computer) I have the necessary digital skills Other (please specify) I don't know Prefer not to answer CONFIRMATION OF HEALTH STATUS Since arriving in Estonia, have you or your family members needed to confirm or re-establish your diagnosis or disability status? Yes No I don't know Prefer not to answer If yes, how difficult or easy was it to confirm or re-establish your diagnosis or disability status in Estonia? Very difficult Somewhat difficult Neither difficult, nor easy Somewhat easy Very easy I don’t know What challenges did you face when confirming or re-establishing your diagnosis or disability status in Estonia? Language barriers (e.g. lack of translation or interpretation) Complex paperwork or unclear requirements Long waiting times for appointments or decisions Lack of clear information or guidance Difficulties accessing qualified specialists Trouble using digital tools or online systems Differences between the diagnosis or disability criteria in Ukraine and Estonia My Ukrainian documents were not accepted or needed additional validation Discrimination Other, please specify I don't know Prefer not to answer HEALTH NEEDS AND PREFERENCES What type of health - care services do you feel you need most right now? General medical check-ups Emergency care Specialist consultations ( e.g. c ardiologist, gynecologist, etc.) Dental care Mental health support Rehabilitation or physical therapy Medications or prescription refills Vaccination Other (please specify) What would help you access health - care services more easily? More information about available services Interpretation or translation services Financial support for health - care costs Faster registration with a general practitioner Shorter waiting times More accessible health - care facilities in my area More flexible appointment hours Simplified administrative procedures Improved cultural sensitivity in health-care services Remote health-care options (telemedicine) Other (please specify) ACCESS TO MEDICINES AND PRESCRIPTIONS Have you been able to access the medicines you need in Estonia? Yes, without any problems Yes, but it was difficult No, I could not access the medicines I needed I have not needed any medicines I don’t know Prefer not to answer If you had difficulties accessing medicines, what were the main reasons? (Select all that apply) M edicines were too expensive I do not have health insurance to cover the cost Pharmacy sells medicines for full price since unawareness of healthcare entitlements of refugees from Ukraine The medicine I needed was not available in pharmacies I did not have a prescription from a doctor I did not know where to get the medicine Language barrier at the pharmacy Long waiting times to see a doctor and get a prescription I rely on humanitarian organizations for medicines Pharmacy opening hours were not convenient I could not afford the consultation fee to get a prescription I faced discrimination or stigma at the pharmacy I had concerns about the safety or quality of the medicine Other (please specify) I don’t know Prefer not to answer Where do you usually get your medicines? (Select all that apply) Pharmacies in Eston ia Humanitarian organizations or NGOs Friends or family bring them from Ukraine O nline or alternative sources I don’t take any medicines Other (please specify) Do you need regular medication for a chronic condition (e.g., diabetes, high blood pressure, epilepsy, asthma, mental health conditions, etc.)? Yes, and I am able to get my medication regularly Yes, but I struggle to get my medication regularly No, I do not take regular medication I don’t know Prefer not to answer RECEIVING HEALTH AND HEALTH-CARE INFORMATION How do you get information about health - care services in Estonia? Government websites (e.g., Health Board, eesti.ee) Health - care providers’ websites (e.g., clinics, hospitals) Directly from a health - care provider (doctor, nurse, receptionist) Health helplines (e.g., 1220 family doctor advice line) Social media or online forums Friends, family, or colleagues NGOs, community centers Adaptation/integration programs I don’t know where to get information Other, please specify How clear and helpful is the information you receive about health - care services in Estonia? Very clear and helpful Somewhat clear and helpful Neutral – it’s sometimes helpful, sometimes not Not very clear or helpful Not clear or helpful at all I don’t know How would you prefer to receive information about health-care services in Estonia Printed brochures or leaflets Online websites or official government/NGO pages Social media (e.g., Facebook, Telegram, WhatsApp groups) Mobile apps providing health-care guidance In-person sessions or informational meetings Telephone hotlines or call centers SMS or email notifications Health-care professionals (doctors, nurses, social workers) Other (please specify) What type of healthcare-related information do you feel is most important for you? How to register with a general practitioner (GP) Emergency health-care services (when and how to call an ambulance) Where to get free or low-cost health-care services Mental health support and counseling services Access to medications and prescriptions Vaccination information (for adults and children) Maternal and child health - care services Rights and entitlements to health care as a refugee Other (please specify) Have you faced any challenges in finding accurate health-care information in Eston ia? Ye s No I don’t know Prefer not to answer If yes, what were the main challenges? (Select all that apply) Lack of information in my preferred language Lack of trust in the information provided Information is too complicated or unclear Different sources give conflicting information I don’t know where to look for information There is no one available to explain the information to me Other (please specify) KNOWLEDGE AND AWARENESS Do you know and understand your rights and entitlements to health - care services as a refugee in Estonia ? Yes, I fully understand my rights Somewhat, but I need more information No, I do not understand my rights I don’t know Prefer not to answer Do you know what to do in case of a medical emergency in Estonia ? Yes, I know whom to contact and where to go Somewhat, but I am not fully confident No, I do not know what to do I don’t know Prefer not to answer In the past 12 months, have you travelled to Ukraine in order to receive healthcare services? Yes, to use state health - care services Yes, to use private health - care services Yes, to get medicines No Prefer not to answer Saatja: "ZAKHARCHUK Alla" <[email protected]> Saaja: "KASPER Kari" <[email protected]>, "SAAR Lennely" <[email protected]> Teema: Request for Feedback – IOM Estonia DTM Data Collection Kuupäev: 2025-07-02 11:24 Tähelepanu! Tegemist on väljastpoolt asutust saabunud kirjaga. Tundmatu saatja korral palume linke ja faile mitte avada. Hello, I hope this message finds you well. IOM Estonia is currently preparing to collect data under the Displacement Tracking Matrix (DTM), focusing on access to healthcare services for refugees from Ukraine in Estonia. DTM is a system to track and monitor displacement and population mobility. It is designed to regularly and systematically capture, process and disseminate information to provide a better understanding of the movements and evolving needs of displaced populations, whether on site or en route. The aim of the survey is to improve the understanding of the profiles of refugees from Ukraine residing in Estonia, focusing on their access to health care services, experiences, and needs. For your reference, the latest DTM report <https://dtm.iom.int/reports/estonia-access-healthcare-services-refugees-ukraine-august-november-2024?close=true> on access to healthcare services. Attached, please find the draft of the Health Sector questions. We would greatly appreciate any suggestions or additions you may have. Kindly provide your feedback early next week. Best regards, Alla Alla ZAKHARCHUK (she/her) Senior Reporting Associate International Organization for Migration Tallinn – Estonia T. +372 67 78 700 M. +372 5681 6163 <https://estonia.iom.int/> estonia.iom.int I <https://www.facebook.com/IOMEstonia/> Facebook I <https://www.linkedin.com/company/iom-estonia> LinkedIn I <https://x.com/IOMEstonia> X ================= The information contained in this electronic message and any attachments are intended for specific individuals or entities, and may be confidential, proprietary or privileged. If you are not the intended recipient, please notify the sender immediately, delete this message and do not disclose, distribute or copy it to any third party or otherwise use this message. The content of this message does not necessarily reflect the official position of the International Organization for Migration (IOM) unless specifically stated. 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