9780521159371

Welfare, Choice and Solidarity in Transition: Reforming the Health Sector in Eastern Europe

by
  • ISBN13:

    9780521159371

  • ISBN10:

    0521159377

  • Edition: Revised
  • Format: Paperback
  • Copyright: 2010-12-09
  • Publisher: Cambridge University Press
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Summary

Reform of the welfare sector is an important yet difficult challenge for all countries in transition from socialist central planning to market-oriented democracies. Here a scholar of the economics of socialism and post-socialist transition and a health economist take on this challenge. This 2001 book offers health sector reform recommendations for ten countries of Eastern Europe, drawn consistently from a set of explicit guiding principles. After discussing sector-specific characteristics, lessons of international experience, and the main set of initial conditions, the authors advocate reforms based on organized public financing for basic care, private financing for supplementary care, pluralistic delivery of services, and managed competition. Policymakers need to achieve a balance, both assuring social solidarity through universal access to basic health services and expanding individual choice and responsibility through voluntary supplemental insurance. The authors also consider the problems that undermine effectiveness of market-based competition in the health sector.

Table of Contents

Points of Departure
The general principles of reform
The characteristics of the health sector
Some international experiences
The health sector in Eastern Europe: the initial state
Guidelines for Reform
The demand side: financing, benefits, and organization of insurance
The supply side: delivery system ownership, organization, and contracting
The interaction of supply and demand: pricing, payment, hard budget constraints, and overall health-sector development
Concluding remarks
Table of Contents provided by Publisher. All Rights Reserved.

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