Twenty years after 1989: moving on from transitology

Petsinis, Vassilis

doi:10.1080/13569775.2010.501652

Cited by 9 publications

(4 citation statements)

References 88 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The experiences of CEE countries have greatly contributed to transitology (the process of democratisation) [16,17]. Despite the common heritage of Semashko's healthcare model (named after the first Minister of Health in the USSR and also called the budget model), which is) highly centralised and based on public financing and service delivery [17][18][19], after the 1989/90 political and economic transformation, CEE countries implemented slightly different national healthcare models. The latest developments of healthcare systems in these countries remain relatively poorly researched.…”

mentioning

confidence: 99%

Antecedents of use of e-health services in Central Eastern Europe: a qualitative comparative analysis

Ćwiklicki

Schiavone

Klich

et al. 2020

BMC Health Serv Res

View full text Add to dashboard Cite

Background: The objective of this paper is to identify the key conditions that positively affect the use of e-health services in Central Eastern Europe (CEE) countries. CEE countries after the political and economic transformation in 1989/90 implemented slightly different national health care models. The research question of the study is: how do the various institutional conditions at the national level affect the use of e-health services in CEE countries? Methods: The e-health description was derived from papers indexed in Web of Science and Scopus. The data for computation were collected from the 2015 global survey by the WHO Global Observatory for eHealth. We used a narrative literature review in order to identify key terms associated to e-health and conditions for the implementation of e-health services. The search terms were "e-health" and "*" where * was particular thematic section of e-health according to WHO GOeH. The inclusion criterion was relevance of the paper to e-health and searched phase. Eligibility criteria for countries for being described as CEE countries: (we omitted Slovakia from the analysis because this country was not covered by the WHO Survey). We applied qualitative comparative analysis (QCA) to analyse the necessary order of conditions. The dependent variable of the study is the national rate of use of e-health services. Results: QCA shows that legal medical jurisdiction, teleprogramme and electronic health records supplemented by adequate training constitute critical conditions to achieve success in e-health implementation. Conclusions: We conclude that the more formalised a framework for e-health service delivery is, the more likely it will be used. Therefore formalisation fosters the diffusion, dissemination and implementation of e-health solutions in this area. Formalisation must be accompanied by tailored training for health care professionals and patients. Our analyses are related only to the paths of e-health implementation in CEE countries thus consequently the findings and conclusions cannot be directly applied to other countries. The limitations of this study are related the absence of a broader context of e-health development, including the development of ICT infrastructure and ICT literacy.

show abstract

mentioning

confidence: 99%

Antecedents of use of e-health services in Central Eastern Europe: a qualitative comparative analysis

Ćwiklicki

Schiavone

Klich

et al. 2020

BMC Health Serv Res

View full text Add to dashboard Cite

show abstract

“…In social theory terms, this challenges the 'Transitology School' of thought. The latter asserts that increased civil society contention undermines authoritarian rule paving the way for greater rights and freedoms (Wiarda 2001;Petsinis 2010). Instead, the current findings suggest the need for a more sophisticated interpretation, namely, that the repressive Moscow regime's qualified tolerance of civil society resistance in their UPR submissions actually boosts its own resilience (Nathan 2003, p. 11).…”

Section: Discussionmentioning

confidence: 79%

Civil Society, ‘Traditional Values’ and LGBT Resistance to Heteronormative Rights Hegemony: Analysis of the UN Universal Periodic Review in the Russian Federation

Chaney¹

2018

Europe-Asia Studies

View full text Add to dashboard Cite

This study of lesbian, gay, bisexual and transgender rights in the Russian Federation uses frame analysis of civil society input into the UN Universal Periodic Review. It reveals a stark state-civil society 'disconnect' reflecting oppressive government practices, including Law No. 135-FZ on 'non-traditional sexual relations'. This raises wider questions about the efficacy of the review system, not least because issues of performativity and legitimation can be seen to facilitate authoritarian resilience. This allows the ruling elite to continue to dissemble by espousing universal rights yet strategically framing them as heteronormative, integral to the protection of 'traditional values' and inimical to identity-based rights claims.

show abstract

“…The economic and political transformation in postsocialist countries initiated after 1989 has gotten an impressive body of literature [ 1 , 2 , 3 , 4 , 5 , 6 ]. Transformation processes in Central and Eastern European (CEE) countries are among the most significant events of the end of the twentieth century [ 7 ].…”

Section: Introductionmentioning

confidence: 99%

Financing Healthcare in Central and Eastern European Countries: How Far Are We from Universal Health Coverage?

Tambor

Klich

Domagała

2021

IJERPH

View full text Add to dashboard Cite

After the fall of communism, the healthcare systems of Central and Eastern European countries underwent enormous transformation, resulting in departure from publicly financed healthcare. This had significant adverse effects on equity in healthcare, which are still evident. In this paper, we analyzed the role of government and households in financing healthcare in eight countries (EU-8): Czechia, Estonia, Hungary, Latvia, Lithuania, Poland, Slovakia, and Slovenia. A desk research method was applied to collect quantitative data on healthcare expenditures and qualitative data on gaps in universal health coverage. A linear regression analysis was used to analyze a trend in health expenditure over the years 2000–2018. Our results indicate that a high reliance on out-of-pocket payments persists in many EU-8 countries, and only a few countries have shown a significant downward trend over time. The gaps in universal coverage in the EU-8 countries are due to explicit rationing (a limited benefit package, patient cost sharing) and implicit mechanisms (wait times). There is need to increase the role of public financing in CEE countries through budget prioritization, reducing patient co-payments for medical products and medicines, and extending the benefit package for these goods, as well as improving the quality of care.

show abstract

Twenty years after 1989: moving on from transitology

Cited by 9 publications

References 88 publications

Antecedents of use of e-health services in Central Eastern Europe: a qualitative comparative analysis

Antecedents of use of e-health services in Central Eastern Europe: a qualitative comparative analysis

Civil Society, ‘Traditional Values’ and LGBT Resistance to Heteronormative Rights Hegemony: Analysis of the UN Universal Periodic Review in the Russian Federation

Financing Healthcare in Central and Eastern European Countries: How Far Are We from Universal Health Coverage?

Contact Info

Product

Resources

About