Health Reforms in Central and Eastern Europe

Options, Obstacles, Limited Outcomes

Edited by: James Warner Bjorkman, Juraj Nemec

Given dramatic changes in Central and Eastern Europe since the fall of the 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 of this book 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 the 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 book stresses 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.


308 pages

Publication Date: 6/28/2013
Format: Paper
ISBN: 9789462360631