In comparison with other countries in transition, Estonia had been fairly successful in mastering the economic and political changes following independence in 1991. In 1992, the reform and implementation of a new health system and health financing system commenced. The overall objectives of Estonia's health system reform included a decentralised administrative system, preventive and environmental health services as well as the family doctor concept. The Federal Republic of Germany supported the development of Estonian health insurance.
A team of senior short term experts based in several German health insurance and training institutions provided their expertise on an intermittent basis to Eesti Kesk Haigekassa (Estonian Central Health Insurance Fund). Representatives of equivalent health insurance funds from Latvia and Lithuania were invited to co-ordinating workshops and partially to training seminars.