Reform of the welfare sector is an important yet difficult challenge for countries in transition from socialist central planning to market-oriented democracies. Here a scholar of the economics of socialism and a health economist offer health sector reform recommendations for ten countries of Eastern Europe, drawn from nine guiding principles.
Reform of the welfare sector is an important yet difficult challenge for countries in transition from socialist central planning to market-oriented democracies. Here a scholar of the economics of socialism and a health economist offer health sector reform recommendations for ten countries of Eastern Europe, drawn from nine guiding principles.
Part I. Points of Departure: 1. The general principles of reform 2. The characteristics of the health sector 3. Some international experiences 4. The health sector in Eastern Europe: the initial state Part II. Guidelines for Reform: 5. The demand side: financing, benefits, and organization of insurance 6. The supply side: delivery system ownership, organization, and contracting 7. The interaction of supply and demand: pricing, payment, hard budget constraints, and overall health-sector development 8. Concluding remarks.
Part I. Points of Departure: 1. The general principles of reform 2. The characteristics of the health sector 3. Some international experiences 4. The health sector in Eastern Europe: the initial state Part II. Guidelines for Reform: 5. The demand side: financing, benefits, and organization of insurance 6. The supply side: delivery system ownership, organization, and contracting 7. The interaction of supply and demand: pricing, payment, hard budget constraints, and overall health-sector development 8. Concluding remarks.
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