In 1993 in Latvia reform of health care was started and is still in the process of implementation. The main aim of the reform is introduction of rational and available health care system, decentralising the system of health care providers and focusing health care services on population. The major state health care organisations are concentrated in Riga; they render health care services to both inhabitants of Riga and population of the country in general. Health care reform being implemented in Latvia more affects health care institutions located in Riga, foreseeing their optimisation. Therefore, population of Riga is that part of the state population which is more commonly involved in the reform.