J 2013

Financing Health Care: What Can we Learn from CEE Experience?

NEMEC, Juraj, Stanka SETNIKAR CANKAR, Todorka KOSTADINOVA, Ivan MALÝ, Zuzana KOTHEROVÁ et. al.

Basic information

Original name

Financing Health Care: What Can we Learn from CEE Experience?

Authors

NEMEC, Juraj (703 Slovakia, guarantor, belonging to the institution), Stanka SETNIKAR CANKAR (705 Slovenia), Todorka KOSTADINOVA (100 Bulgaria), Ivan MALÝ (203 Czech Republic, belonging to the institution) and Zuzana KOTHEROVÁ (203 Czech Republic, belonging to the institution)

Edition

Administrative Culture, 2013, 1736-6070

Other information

Language

English

Type of outcome

Článek v odborném periodiku

Field of Study

50600 5.6 Political science

Country of publisher

Estonia

Confidentiality degree

není předmětem státního či obchodního tajemství

References:

RIV identification code

RIV/00216224:14560/13:00066514

Organization unit

Faculty of Economics and Administration

Keywords in English

health-care; Central and Eastern Europe; reforms; access; health finance

Tags

Reviewed
Změněno: 25/11/2014 08:50, doc. JUDr. Ivan Malý, CSc.

Abstract

V originále

Our paper is based on four country samples – Bulgaria, Czech Republic, Slovakia and Slovenia. All these countries are new EU member states, where the (official) goal of the health-finance system is to guarantee universal and equal access to health services. In the first part the country studies describe the evolution of new health-finance systems in selected countries as well as the pros and cons of national solutions. The core part of this paper discusses two important health-financing issues – the decision about how to fund health services and particularly the decision about the relations of public and private funding of health care. We propose two core conclusions: first, because the mode of financing does not have a clear impact on outcomes of the health-care system, the decisions of CEE countries to switch from general taxation to social-insurance systems are based mainly on political rationality; second, introducing pluralistic social health insurance during early phases of transition is too risky.

Links

GAP403/12/0366, research and development project
Name: Identifikace a evaluace regionálně specifických faktorů úspěšnosti reforem v duchu NPM ? země CEE
MUNI/A/0786/2012, interní kód MU
Name: Hodnocení kvality veřejných politik v kontextu restriktivních omezení veřejných financí (Acronym: KvaVePol 2)
Investor: Masaryk University, Category A