Health reforms in Central and Eastern Europe
Subtitle: options, obstacles, limited outcomes
By: [edited by] James Warner Björkman & Juraj Nemec
Publisher: Eleven International Publishing
Published: 2013
Place of publication: The Hague
Language: eng
Number of pages: 296
ISBN-13: 9789462360631; 9789460947698
Subjects: Health Policy; Health Care Reform; Health Care Costs; Health care reform; Medical policy; Cost of Medical care
Description: Given dramatic changes in Central and Eastern Europe since the fall of Berlin Wall 1989 and the dissolution of the Soviet Union in 1991, local area experts were challenged to examine their national systems of health care as well as proposals to reform them. Each chapter provides contextual data and information on the empirical realities of a specific country at five-year intervals since 1990 as well as the organizational framework of its health care system. The book explores the historical thread of reforms attempted and their current state of implementation by addressing criteria for reforming national health systems such as costs, effectiveness, efficiency, equity and feasibility. The authors stress selected policy elements such as the roles of major actors, the shadow economy, cost containment, access, centralization and decentralization. While no blueprint is offered, intriguing patterns emerge across the cases plus observations about 'next steps' in the unfolding process of health reforms in the region.  -
Notes: Includes bibliographical references.
Table of contents: title: 1.; title: Health reforms in Central and Eastern Europe since 1990 : comparative context and concerns  -- James Warner Björkman -- 2.; title: Health reforms in Armenia, 1990-2010  -- Lianna Mkhitaryan -- 3.; title: Health reforms in Bulgaria  -- T. Kostadinova [and 3 others] -- 4.; title: Health reforms in the Czech Republic  -- Ivan Malý, Marek Pavlik and Zuzana Darmopilová -- 5.; title: Health policy in Hungary  -- Sándor Gallai -- 6.; title: Health system reforms in the Republic of Macedonia, 1991-2010  -- Vladimir Lazarevik [and 3 others] -- 7.; title: Health reforms in Romania  -- Răzvan Cherecheş; title: Patterns of health care reform in economies under transition : the case of Russia  -- Tatiana Chubarova and Natalia Grigorieva -- 9.; title: Health reforms in Slovakia  -- Juraj Nemec -- 10.; title: The health care system in Slovakia  -- Stanka Setnikar-Cankar and Veronika Petkovs̆ek; title: Observations, inferences and conclusions -- Juraj Nemec.