Implementing Health Sector Reform in Central Asia

Implementing Health Sector Reform in Central Asia

Author: Zuzana Feachem

Publisher: World Bank Publications

Published: 1999

Total Pages: 172

ISBN-13: 9780821343371

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It is easy for reformers and their overseas advisers to develop conceptually strong plans for health sector reform that appeal to governments, donors, and academics. Transforming these plans into successful action has proved to be extremely difficult. Toward the goal of improving assistance to this sector, the Economic Development Institute (EDI) of the World Bank held a seminar in Ashgabat, Turkmenistan in June 1996. This publication provides a summary of the proceedings and papers presented at that seminar. It was attended by delegations from five countries in Central Asia and from Azerbaijan and Mongolia. The content of this volume emphasizes topics central to the restructuring of health sector financing and health care delivery systems at a time of transition to market economies and to democracy. Maintaining and improving the health status of the population while preventing rapid escalation of health care expenditure were the recurrent themes throughout the seminar.


Implementing Health Financing Reform

Implementing Health Financing Reform

Author: Joseph Kutzin

Publisher: World Health Organization

Published: 2010

Total Pages: 438

ISBN-13:

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Analyses the experience with the financing reforms implemented by the countries of Central Europe, Eastern Europe, the Cauxasus and Central Asia.


Health Care In Central Asia

Health Care In Central Asia

Author: Mckee

Publisher: Open University Press

Published: 2002

Total Pages: 248

ISBN-13:

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Central Asia remains one of the least known parts of the former Soviet Union. The five central Asian republics gained their unexpected independence in 1991. They have faced enormous challenges over the last decade in reforming their health care systems, including adverse macro-economic conditions and political instability. To varying extents, each country is diverging from a hierarchical and unsustainable Soviet model health care system. Common strategies have involved devolving the ownership of health services, seeking sources of revenue additional to shrinking state taxes, 'down-sizing' their excessive hospital systems, introducing general practitioners into primary care services, and enhancing the training of health professionals. This book draws on a decade of experience of what has worked and what has not. It is an invaluable source for those working in the region and for others interested in the experiences of countries in political and economic transition.


Designing and Implementing Health Care Provider Payment Systems

Designing and Implementing Health Care Provider Payment Systems

Author: Jack Langenbrunner

Publisher: World Bank Publications

Published: 2009-01-01

Total Pages: 348

ISBN-13: 0821378244

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Strategic purchasing of health services involves a continuous search for the best ways to maximize health system performance by deciding which interventions should be purchased, from whom these should be purchased, and how to pay for them. In such an arrangement, the passive cashier is replaced by an intelligent purchaser that can focus scarce resources on existing and emerging priorities rather than continuing entrenched historical spending patterns.Having experimented with different ways of paying providers of health care services, countries increasingly want to know not only what to do when paying providers, but also how to do it, particularly how to design, manage, and implement the transition from current to reformed systems. 'Designing and Implementing Health Care Provider Payment Systems: How-To Manuals' addresses this need.The book has chapters on three of the most effective provider payment systems: primary care per capita (capitation) payment, case-based hospital payment, and hospital global budgets. It also includes a primer on a second policy lever used by purchasers, namely, contracting. This primer can be especially useful with one provider payment method: hospital global budgets. The volume's final chapter provides an outline for designing, launching, and running a health management information system, as well as the necessary infrastructure for strategic purchasing.


A Survey of Health Reform in Central Asia

A Survey of Health Reform in Central Asia

Author: Jeni Klugman

Publisher: World Bank Publications

Published: 1996-01-01

Total Pages: 72

ISBN-13: 9780821338049

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World Bank Technical Paper No. 352. Six years into the transition from planned to market economies in Central and Eastern Europe, high unemployment rates, including a growing proportion of the long-term unemployed, represent a serious challenge to social welfare systems and policymakers. This paper analyzes labor market development in nine transition countries of the region by focusing on the dynamics of labor force behavior, employment, and unemployment. The countries include Bulgaria, Croatia, the Czech Republic, the Former Yugoslav Republic of Macedonia, Hungary, Poland, Romania, the Slovak Republic, and Slovenia.


Governance of Hospitals in Central and Eastern Europe

Governance of Hospitals in Central and Eastern Europe

Author: Przemyslaw Marcin Sowa

Publisher: Springer

Published: 2015-10-28

Total Pages: 276

ISBN-13: 9812877665

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This book presents a novel view of healthcare system transition in post-communist countries. It is the first region-wide comparative study of hospital governance in Eastern Europe. Comprehensive new material shows the evolution and significance of governance, complementing recent publications on the topic from industrialised countries. Throughout the book, governance is described and substantiated as a major component that, together with provider payment mechanisms, defines the hospital sector’s operations. This view subscribes to the economists’ growing appreciation of extra-financial aspects in the discussion of incentives and regulation of healthcare markets. In particular, the book explains how governance arrangements may affect the outcomes of healthcare financing reforms, and should thus be seen as a critical determinant of their success or failure. This new model of thinking about healthcare system transition emerges from an analysis of 22 countries over the course of two decades. While the primary focus of the study is on developing the hospital sector, an extensive background chapter provides a standalone introduction to the dynamically changing landscape of healthcare in Eastern Europe and an overview of the various problems and challenges the region is facing. Practitioners, policy-makers, academics and students interested in Eastern European healthcare systems, their origins, current status and ways forward, will appreciate the book’s reflections on the problem complexity, the clarity of its concepts, and its accessible style of presentation.


Learning from the World

Learning from the World

Author: J. Colombano

Publisher: Springer

Published: 2016-01-08

Total Pages: 331

ISBN-13: 1137372133

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In this far-ranging and provocative volume, Joe Colombano and Aniket Shah provide global perspectives on the most significant challenges facing modern America, seeking to inspire new ideas to redevelop America.


Health Reforms in South-East Europe

Health Reforms in South-East Europe

Author: W. Bartlett

Publisher: Springer

Published: 2012-09-24

Total Pages: 156

ISBN-13: 1137264772

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Over the last two decades the countries of South East Europe have engaged in far-reaching reforms of their health systems. However, overviews of reform efforts in this part of Europe have been sorely lacking. This book addresses this shortage through the analysis of key aspects of health reforms and health workforce mobility in South East Europe.


Prospects for Improving Nutrition in Eastern Europe and Central Asia

Prospects for Improving Nutrition in Eastern Europe and Central Asia

Author: Claudia Rokx

Publisher: World Bank Publications

Published: 2002

Total Pages: 156

ISBN-13: 9780821349953

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This report presents an overview of critical nutrition issues effecting the Eastern European and Central Asian (ECA) countries and suggests strategies for improvement. The ECA region is diverse in economic, political, and social structures, as are the nutrition problems in the region. The report finds that, in addition to poverty, lack of knowledge about basic nutrition among populations is also a key determinant of malnutrition in the ECA region.