Challenges in Public Health Systems Reform in Kosovo

Begolli, Ilir; Ramadani, Naser; Zajmi, Drita; Berisha, Merita; Pavleković, Gordana

doi:10.1093/eurpub/ckv175.031

Cited by 1 publication

(3 citation statements)

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“…Four hundred and three documents were reviewed in full text to assess eligibility. Finally, 65 documents were included in the evidence synthesis [ 21 , 22 , 23 , 24 , 25 , 26 , 27 , 28 , 29 , 30 , 31 , 32 , 33 , 34 , 35 , 36 , 37 , 38 , 39 , 40 , 41 , 42 , 43 , 44 , 45 , 46 , 47 , 48 , 49 , 50 , 51 , 52 , 53 , 54 , 55 , 56 , 57 , 58 , 59 , 60 , 61 , 62 , 63 , 64 , 65 , 66 , 67 , 68 , 69 , 70 , 71 , 72 , 73 , 74 , 75 ...…”

Section: Resultsmentioning

confidence: 99%

“…The healthcare system needs guidelines that clearly define the duties and responsibilities of primary, secondary, and tertiary healthcare institutions, leaving little room for a formal referral system to be established [ 86 ]. The lack of a functional Health Information System (HIS) [ 37 ] and financial incentives via health financing arrangements [ 32 ] do not help with this situation. The establishment of Kosovo Hospital and University Clinical Services (KHUCS) did not improve referrals among institutions.…”

Section: Resultsmentioning

confidence: 99%

“…[ 63 ]. Evidence suggests numerous issues with referrals in the private sector [ 26 , 28 , 32 , 51 , 57 ].…”

Section: Resultsmentioning

confidence: 99%

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Management of Non-Communicable Diseases in Kosovo: A Scoping Review

Hoxha

Apuk

Kryeziu

et al. 2023

IJERPH

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Background—Non-communicable diseases (NCDs) affect a growing share of the population in Kosovo. The country faces challenges with NCDs management, specifically detecting, screening, and treating people with NCDs. Objective—To assess the management of NCDs, including the inputs that influence the provision of NCDs and outcomes of NCD management. Eligibility criteria—Studies had to report NCD management in Kosovo. Sources of evidence—We systematically searched Google Scholar, PubMed, Scopus, and Web of Science. Charting methods—The data were charted by two researchers. In addition, we extracted data on general study details and design and information on the management and outcomes of NCDs in Kosovo. Synthesis of results—For the mix of studies that were included in the review, thematic narrative synthesis was used. We developed a conceptual framework based on health production core components to analyze the data. Results—Kosovo’s health care system is available to provide basic care for patients with NCDs. However, there are serious limitations in the availability of key inputs providing care, i.e., funding, medicines, supplies, and medical staff. Additionally, in terms of the management of NCDs, there are areas for improvement, such as limited application of clinical pathways and guidelines and issues with referrals of patients among levels and sectors of care. Finally, it is worth noting that there is overall limited information on NCD management and outcomes. Conclusions—Kosovo provides only basic services and treatment of NCDs. The data reporting the existing situation on NCD management are limited. The inputs from this review are helpful for existing policy efforts by the government aimed to enhance NCD care in Kosovo. Funding—This study was funded by World Bank Grant. WeBa NCD Trust Fund (P170638).

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