Browsing by Author "Kokarēviča, Anita"
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Item Factors determining competitiveness in healthcare institutions in Latvia - Results of the EKOSOC-LV national research programme(2019) Villeruša, Anita; Behmane, Daiga; Kokarēviča, Anita; Berķis, Uldis; Cauce, Vinita; Rīga Stradiņš University; Department of Public Health and EpidemiologyCompetitiveness as a factor of a company selling its services in the market is becoming more relevant in the healthcare sector. The number of institutions that offer their services to international patients is growing. Research shows that the development of medical tourism is country-specific. The main objective of this publication is to discover positive and negative factors for engagement in the provision of services to non-residents. The data was obtained from a cross-sectional study in which 86 managers of health care institutions in Latvia completed a questionnaire. A total of 80.2% of health care institutions had provided services to non-resident patients in the previous year while 19.8% did so regularly. Institutions mainly used websites to advertise their services. Only a small number of institutions employed a marketing specialist or had a strategy to attract non-resident patients. Heads of institutions pointed to a number of internal and external barriers in this connection, including lack of staff, low motivation, limited language skills, inadequate infrastructure, insufficient state-level support to promote the export of services, the social environment, and problems in the health system itself. The study revealed areas that need to be improved regarding future policies to attract non-resident patients and to increase global competitiveness.Item Is It Possible to Increase Fertility in Latvia in the Near Future?(2024) Komarova, Vera; Sondore, Anita; Čižo, Edmunds; Kokarēviča, Anita; Rīga Stradiņš UniversityThis article aims to study the medium-term fertility trend in Latvia answering the following research question: is it possible to increase fertility in the near future, as planned in the "Population Reproduction Strategy FAMILY - LATVIA - 2030 (2050)"? The authors analyzed the total fertility rate (TFR) in Latvia for the period of 1970-2022 (53 years). This interdisciplinary (demography, mathematics, economics, sociology) study applies mathematical analysis for investigating socio-demographic trends, as well as the theory of economic cycles for identifying demographic cycles and their phases in Latvia and forecasting fertility rate in the near future. Furthermore, the analysis of data from comparative sociological surveys helped the authors to understand the main reason for the decline in fertility in Latvia. This reason is value changes in society, in which the child is no longer at the center of the value system of men and especially women in Latvia. In turn, short-term ups and downs in fertility are determined mainly by socio-economic and political factors. Based on the results of differentiating the function of the total fertility rate (TFR) it can be expected that the decline in fertility in Latvia will continue for several more years before the bottom of the next demographic cycle is reached and there will be an upturn in a linearly declining fertility trend. Although, the upcoming bottom will be lower than the previous one, i.e. below 1.22-1.25 children on average per woman and the next peak will most likely be below 1.74. Thus, the increase in TFR in Latvia to 1.77 by 2027, planned in the "Population Reproduction Strategy," is considered by the authors of this study to be absolutely unattainable.Item Latvian Municipal Budget Expenditures on Transport Infrastructure and Production in the Context of Improving the Local Economy(2024) Komarova, Vera; Ignatjeva, Svetlana; Kudiņš, Jānis; Kokarēviča, Anita; Ostrovska, Inta; Čižo, Edmunds; Rīga Stradiņš UniversityThis article aims to study Latvian municipal budget expenditures on transport infrastructure and production in the context of improving the local economy. The authors hypothesize that the state of the local economy determines the comparative priority of municipal budget expenditures on two items. In municipalities with a more developed economy, it is 'transport' rather than 'production' budget expenses that are more likely to improve the local economy, and in municipalities with a less developed economy – vice versa. The authors tested the hypothesis based on data for 2021 and 2022 (the time after the reform of the territorial-administrative structure of Latvia) for 43 Latvian municipalities using various methods of statistical analysis. The results show that the comparative priorities in budget expenditures of Latvian municipalities are determined not by the state of the local economy but rather by the geographical (or geopolitical/geoeconomic) location of the municipality. As a result, Latvian municipalities are grouped into territorial clusters using the agglomeration effect from the concentration of transport infrastructure or production. Over the past year, there has been a tendency towards 'transport-production' economic restructuring of the territory of Latvia, the reasons for which may be the geopolitical situation in Eastern EuropeItem Using Artificial Intelligence (ai) for Local Territorial Development : Data-based Machine Diagnostics of Latvian Municipalities(2024-12) Komarova, Vera; Kudins, Janis; Sannikova, Aija; Cizo, Edmunds; Ruza, Oksana; Kokarēviča, Anita; Zeibote, Zane; Rīga Stradiņš University