Health Reforms in South East Europe: An Introduction

Bartlett, Will; Božikov, Jadranka; Rechel, Bernd

doi:10.1057/9781137264770_1

Cited by 8 publications

(11 citation statements)

References 44 publications

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“…Apart from this systemic change, the post-communist reforms also introduced a series of more specific policy changes in healthcare financing, which often implied mechanisms for improved public financing and partial privatization of healthcare costs through user fees and co-payments for medical goods and services. In healthcare delivery, changes involved the introduction of patients' choice and improvement of healthcare infrastructure, which were often combined with privatization, mainly in primary care, and incentives for competition among healthcare providers (Bartlett et al, 2012;Cerami, 2006;Kutzin et al, 2010;Marree and Groenewegen, 1997;Rechel et al, 2014).…”

Section: East-west Differences In Healthcare Evaluations: the Role Ofmentioning

confidence: 99%

An East–West comparison of healthcare evaluations in Europe: Do institutions matter?

Popic

Schneider

2018

Journal of European Social Policy

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Differences in welfare attitudes of Eastern and Western Europeans have often been explained in terms of legacies of communism. In this article, we explore evaluations of healthcare systems across European countries and argue that East-West differences in these evaluations are explained by differences in current institutional design of healthcare systems in the two regions. The empirical analysis is based on the fourth round of the European Social Survey, applying multilevel and multilevel mediation analysis. Our results support the institutional explanation. Regional differences in healthcare evaluations are explained by institutional characteristics of the healthcare system, i.e. lower financial resources, higher out-of-pocket payments and less supply of primary healthcare services in Eastern compared to Western European countries. We conclude that specific aspects of the current institutional design of healthcare systems are crucial for understanding East-West differences in healthcare evaluations and encourage research to further explore the relevance of institutions for differences in welfare state attitudes across socio-political contexts.

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Section: East-west Differences In Healthcare Evaluations: the Role Ofmentioning

confidence: 99%

An East–West comparison of healthcare evaluations in Europe: Do institutions matter?

Popic

Schneider

2018

Journal of European Social Policy

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“…Countries in transition after the collapse of socialism are faced with problems of the citizens insurance, reduced employment, reduced number of jobs, outdated equipment and a small number of health care institutions ( 2 ). Experts are searching for an effective and feasible way of financing health care through a variety of funds, in order to provide relief to courtiers budgets.…”

Section: Introductionmentioning

confidence: 99%

Public Health Aspects of the Family Medicine Concepts in South Eastern Europe

Masic¹,

Hadžiahmetović²,

Donev³

et al. 2014

Mater Sociomed

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Introduction:Family medicine as a part of the primary health care is devoted to provide continuous and comprehensive health care to the individuals and families regardless of age, gender, types of diseases and affected system or part of the body. Special emphasis in such holistic approach is given to the prevention of diseases and health promotion. Family Medicine is the first step/link between doctors and patients within patients care as well as regular inspections/examinations and follow-up of the health status of healthy people. Most countries aspire to join the European Union and therefore adopting new regulations that are applied in the European Union.Aim:The aim of this study is to present the role and importance of family medicine, or where family medicine is today in 21 Century from the beginning of development in these countries. The study is designed as a descriptive epidemiological study with data from 10 countries of the former Communist bloc, Slovenia, Croatia, Bosnia and Herzegovina, Serbia, Montenegro, Macedonia, Kosovo, Albania, Bulgaria, Romania, Czech Republic, Slovakia and Hungary, just about half of them are members of the EU. We examined the following variables: socio-organizational indicators, health and educational indicators and health indicators. The data used refer to 2002 and as a source of data are used official data from reference WebPages of family medicine doctors associations, WONCA website (EURACT, EQuiP, EGPRN), WebPages of Bureau of Statistics of the countries where the research was conducted as well as the Ministries of Health.Results:Results indicates that the failures and shortcomings of health care organizations in Southeast Europe. Lack of money hinders the implementation of health care reform in all mentioned countries, the most of them that is more oriented to Bismarck financing system. Problems in the political, legal and economic levels are obstacles for efficient a problem reconstructing health care system toward family medicine and primary prevention interventions. The population is not enough educated for complicated enforcement for and prevention of diseases that have a heavy burden on the budget. Health insurance and payment of health services is often a problem, because the patients must be treated regardless of their insurance coverage and financial situation. The decrease in production and economic growth, as well as low gross national income in the countries with economic crisis, lead to the inability of treatment for a large number of the population. Such situation a system leads to additional debts and loans to healthcare system. Measures implemented for provision of acute curative care largely did not lead to improvements in the health status of the population. Educational and preventive measures, as well as higher standards for quality and accessibility of health care services for entire population in each country, especially those struggling are bound to joining the European Union and their implementation must start. The most A large number of medical inst...

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“…Due to its geographical position and economic structure, with regard to its health reforms, Serbia forms part of a discussion on the regions of post‐socialist countries of Europe and Central Asia (United Nations Development Programme, ). The healthcare system in these countries stems from the ‘Soviet Semaschko’ model and the ‘Yugoslav’ model (Bartlett et al ., ), also known as the ‘Stampar’ model (Bredenkamp et al ., ). The inherited healthcare system and post‐socialist reforms in these countries have been discussed by many authors (Rechel and McKee, ; Kornai and Eggleston, ; Healy and McKee, 2002a; Bartlett, Bozikov and Rechel, ; Björkman and Nemec, ).…”

Section: Methods and Datamentioning

confidence: 99%

“…The healthcare system in these countries stems from the ‘Soviet Semaschko’ model and the ‘Yugoslav’ model (Bartlett et al ., ), also known as the ‘Stampar’ model (Bredenkamp et al ., ). The inherited healthcare system and post‐socialist reforms in these countries have been discussed by many authors (Rechel and McKee, ; Kornai and Eggleston, ; Healy and McKee, 2002a; Bartlett, Bozikov and Rechel, ; Björkman and Nemec, ). Serbia, as one of the Yugoslav successor states, inherited the healthcare system that had developed in accordance with the practice and the theory of Yugoslav self‐managing socialism (Parmelee et al ., ; Himmelstein et al ., ; Parmelee, ; Field, ; Milanović and Stambolović, ).…”

Section: Methods and Datamentioning

confidence: 99%

“…Observing the socio‐economic and political contexts in post‐socialist Serbia, Bartlett et al . () divided the process of healthcare reforms into two periods—the period of postponed reforms during the 1990s and the period of the new wave of reforms after 2000. The first period was marked by wars, sanctions and the disintegration of the federal state, circumstances that sometimes excluded Serbia from international discussions (Kornai and Eggleston, ) and were perceived, alongside the ineffective management of healthcare institutions, as the main causes for the general poverty and abysmal conditions in the healthcare system (Black, ; Agovino, ; Kazic, ).…”

Section: Introductionmentioning

confidence: 99%

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Reconfiguration of acute care hospitals in post-socialist Serbia: spatial distribution of hospital beds

Matejic

2016

Int J Health Plann Mgmt

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In the context of healthcare reforms in post-socialist Serbia, this research analyses the reconfiguration of acute care hospitals from the aspect of the spatial distribution of hospital beds among and within state-owned hospitals. The research builds a relationship between the macro or national level and the micro or hospital level of the spatial distribution of hospital beds. The aim of the study is to point out that a high level of efficiency in hospital functionality is difficult to achieve within the current hospital network and architectural-urban patterns of hospitals, and to draw attention to the necessity of a strategically planned hospital spatial reconfiguration, conducted simultaneously with other segments of the healthcare system reform. The research analyses published and unpublished data presented in tables and diagrams. The theoretical platform of the research covers earlier discussions of the Yugoslav healthcare system, its post-socialist reforms and the experiences of developed countries. The results show that the hospital bed distribution has not undergone significant changes, while the hospital spatial reconfiguration has either not been carried out at all or, if it has, only on a small scale. All this has contributed to overall inadequate, inflexible, inefficient, defragmented and unequal bed distribution. Copyright © 2016 John Wiley & Sons, Ltd.

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Health Reforms in South East Europe: An Introduction

Cited by 8 publications

References 44 publications

An East–West comparison of healthcare evaluations in Europe: Do institutions matter?

An East–West comparison of healthcare evaluations in Europe: Do institutions matter?

Public Health Aspects of the Family Medicine Concepts in South Eastern Europe

Reconfiguration of acute care hospitals in post-socialist Serbia: spatial distribution of hospital beds

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