Prior to independence in 1991, no formal home health care system existed in Lithuania. However, various services were provided in homes, including off-hours urgent care; social and health care services for the disabled and elderly through a voluntary organization; and the provision of medications and treatments by polyclinic nursing staffs. After independence, a number of additional home health care services were initiated, largely in response to the care needs of a large and growing elderly population. These evolving services are described as well as the factors facilitating and inhibiting the development of a national system of home health care for Lithuania.
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