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Annual report of the National Audit Office: healthcare capacity is increasingly failing to keep up with the need for treatment, and reform plans exceed the capacity to implement changes

05.11.2026

TALLINN, 5 November 2026 – The capacity of the Estonian healthcare system is not keeping up with the need for treatment and the gap is widening, concludes the National Audit Office in its annual thematic report. Access to specialised medical care has not improved despite a significant increase in costs, the shortage of family physicians is worsening, and more changes are being planned at the same time than can be implemented with the available funding, staff and IT capacity.

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Introduction to the NAOE

The National Audit Office is an independent institution acting in the interests of the Estonian taxpayer. Its role is to investigate how the state and local authorities have spent the taxpayer’s money and what has been achieved with it.

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Auditor General Janar Holm

Janar Holm has been Auditor General since 9 April 2018, when his first term began. On 7 February 2023, Holm was re-appointed for a second term in office, after taking his oath before Parliament, and his new term began on 11 April 2023.

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