ROBERTS, Andrew Lawrence. The Politics of Healthcare Reform in Postcommunist Europe: The Importance of Access. JOURNAL OF PUBLIC POLICY. CAMBRIDGE: CAMBRIDGE UNIV PRESS, 2009, vol. 29, No 3, p. 305-325. ISSN 0143-814X. Available from: https://dx.doi.org/10.1017/S0143814X09990110.
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Basic information
Original name The Politics of Healthcare Reform in Postcommunist Europe: The Importance of Access
Authors ROBERTS, Andrew Lawrence.
Edition JOURNAL OF PUBLIC POLICY, CAMBRIDGE, CAMBRIDGE UNIV PRESS, 2009, 0143-814X.
Other information
Original language English
Type of outcome Article in a journal
Confidentiality degree is not subject to a state or trade secret
Doi http://dx.doi.org/10.1017/S0143814X09990110
UT WoS 000208043000004
Keywords in English access; veto points; healthcare
Changed by Changed by: doc. Andrew Lawrence Roberts, Ph.D., učo 233595. Changed: 3/3/2014 11:36.
Abstract
Why do countries move from public to private financing of healthcare? This paper explores this issue by looking at the divergent reform trajectories of three postcommunist countries - the Czech Republic, Hungary, and Poland. While existing accounts emphasize veto points to explain changes in healthcare systems, the present analysis finds that moves towards private financing can be better explained by differences in access to the policymaking arm of the state. Specifically, a penetrable single-party government and weak bureaucratic capacities allow physicians to capture the reform process and implement their preferred policies. The results suggest that scholars of health policy should focus more attention on the actors seeking change and their access to policy makers.
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