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.
James Warner Bjorkmann educated in political science at the University of Minnesota (BA summa cum laude 1966) and Yale University (MPhil 1969: PhD 1976), is Professor of Public Policy and Administration at the Institute of Social Studies, The Hague, as well as Professor of Public Administration and Development at Leiden University. Juraj Nemec is a professor at the Matej Bel University Banska Bystrica, Slovakia, and Masaryk University Brno in the Czech Republic.
1. Health Reforms in Central & Eastern Europe since 1990 Comparative Context and Concerns; 2 Health Reforms in Armenia, 1990-2010; 3 Health Reforms in Bulgaria; 4 Health Reforms in the Czech Republic; 5 Health Policy in Hungary; 6 Health System Reforms in the Republic of Macedonia (1991-2010); 7 Health Reforms in Romania; 8 Patterns of Health Care Reform in Economies under Transition: The Case of Russia; 9 Slovakia; 10 The Health Care System in Slovenia, 1980-2011; 11 Observations, Inferences and Conclusions.