Health Care In Central Asia
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Health Care In Central Asia
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Author : Mckee
language : en
Publisher: Open University Press
Release Date : 2002
Health Care In Central Asia written by Mckee and has been published by Open University Press this book supported file pdf, txt, epub, kindle and other format this book has been release on 2002 with Health & Fitness categories.
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.
Implementing Health Sector Reform In Central Asia
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Author : Zuzana Feachem
language : en
Publisher: World Bank Publications
Release Date : 1999
Implementing Health Sector Reform In Central Asia written by Zuzana Feachem and has been published by World Bank Publications this book supported file pdf, txt, epub, kindle and other format this book has been release on 1999 with Medical categories.
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.
10 Health Questions About The Caucasus And Central Asia
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Author : Elke Jakubowski
language : en
Publisher: Euro Publication
Release Date : 2009
10 Health Questions About The Caucasus And Central Asia written by Elke Jakubowski and has been published by Euro Publication this book supported file pdf, txt, epub, kindle and other format this book has been release on 2009 with Business & Economics categories.
This book highlights the essentials of health and health systems in Armenia, Azerbaijan, Georgia, Kazakhstan, Kyrgyzstan, Tajikistan, Turkmenistan and Uzbekistan. It then compares these national data with the average data for three groups: their own, the 15 countries that were members of the EU before 1 May 2004 and the 27 current EU Member States. Each chapter provides a concise overview of key health indicators in 1 of the 8 countries, summarizes the key features of the country's health system and describes the results of over a decade of health system reform. This popular series offers a quick and easy way to grasp the health essentials in a visually attractive format. Comparisons are a compelling source of information that policy-makers and stakeholders, both within countries and internationally, can use to take action against health disparities and alleviate the striking differences in health status among citizens across the WHO European Region.
A Survey Of Health Reform In Central Asia
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Author : Jeni Klugman
language : en
Publisher: World Bank Publications
Release Date : 1996-01-01
A Survey Of Health Reform In Central Asia written by Jeni Klugman and has been published by World Bank Publications this book supported file pdf, txt, epub, kindle and other format this book has been release on 1996-01-01 with Medical categories.
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.
Getting Better
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Author : Owen Smith
language : en
Publisher: World Bank Publications
Release Date : 2013-06-10
Getting Better written by Owen Smith and has been published by World Bank Publications this book supported file pdf, txt, epub, kindle and other format this book has been release on 2013-06-10 with Medical categories.
Health is a major development challenge facing Europe and Central Asia (ECA) today. Living long and healthy lives matters as much as achieving ever-higher incomes. This report is about how to improve health system outcomes in countries in the ECA region. This report, which explores the development challenge facing health sectors in ECA, identifies three key agendas for achieving more rapid convergence with the world's best-performing health systems: the first is the health agenda, in which the main imperative is to strengthen public health and primary-care interventions to help achieve the cardiovascular revolution that has taken place in the West in recent decades. The second is the financing agenda, in which growing demand for medical care must be satisfied without imposing an undue burden on households, by achieving better financial protection, or on government budgets, by ensuring a more efficient use of resources. The third agenda relates to broader institutional arrangements. Here, a few key reform ingredients are identified, each of which is common to most advanced health systems but lacking in many ECA countries.
Who Is Paying For Health Care In Eastern Europe And Central Asia
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Author : Maureen A. Lewis
language : en
Publisher: World Bank Publications
Release Date : 2000-01-01
Who Is Paying For Health Care In Eastern Europe And Central Asia written by Maureen A. Lewis and has been published by World Bank Publications this book supported file pdf, txt, epub, kindle and other format this book has been release on 2000-01-01 with Health & Fitness categories.
Informal payments in the health sector of Eastern and Central Asia are emerging as a fundamental aspect of health care financing and a serious impediment to health care reform. These informal payments, made to individuals or institutions in cash or in kind, are nearly always for services that are meant to be covered by the health care system. Such private payments to public personnel have created an informal market for health care , and are a form of corruption. This problem's roots are traced to declining revenues which have not coincided with a reduction in buildings, hospital beds and health personnel. In these circumstances informal payments compensate for lost earnings, and therefore reforms to modernise the region's health systems must compete with individuals' personal revenues. Options for addressing this problem include comprehensive anticorruption policies, downsizing of the public health system, reducing the set of services sibsidised by the state, encouraging cost sharing with those who can afford it, improving accountability, and promoting private alternatives.
A Health Sector Strategy For The Europe And Central Asia Region
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Author : Verdon S. Staines
language : en
Publisher: World Bank Publications
Release Date : 1999-01-01
A Health Sector Strategy For The Europe And Central Asia Region written by Verdon S. Staines and has been published by World Bank Publications this book supported file pdf, txt, epub, kindle and other format this book has been release on 1999-01-01 with Medical categories.
The health systems inherited by transition countries of Europe and Central Asia (ECA) are changing in response to fundamental and unprecedented challenges. Although the desired shape of future health systems in many ECA countries is discernible, the process for getting there must be invented along the way. 'A Health Sector Strategy for the Europe and Central Asia Region' reviews substantive issues facing health policymakers in ECA. It summarizes the World Bank's experience so far in this arena and the lessons it suggests. Furthermore, it outlines both an external strategy by which the Bank's ECA health staff could assist countries to restructure their health systems and an internal strategy by which the staff could organize their own activities to achieve this result. The publication offers those outside the Bank a basis for professional dialogue to foster constructive change in the Bank's approaches.
Millennium Development Goals For Health In Europe And Central Asia
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Author : World Bank
language : en
Publisher: World Bank Publications
Release Date : 2004
Millennium Development Goals For Health In Europe And Central Asia written by World Bank and has been published by World Bank Publications this book supported file pdf, txt, epub, kindle and other format this book has been release on 2004 with Health planning categories.
Carec Health Strategy 2030
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Author : Asian Development Bank
language : en
Publisher: Asian Development Bank
Release Date : 2022-05-01
Carec Health Strategy 2030 written by Asian Development Bank and has been published by Asian Development Bank this book supported file pdf, txt, epub, kindle and other format this book has been release on 2022-05-01 with Medical categories.
The CAREC Health Strategy 2030 aims to enhance health security through regional cooperation, benefiting the Central Asia Regional Economic Cooperation (CAREC) region’s population (including migrants and vulnerable population groups), health system managers and workers, and active development partners; and CAREC countries’ ministries of health. The strategy has four main pillars: (i) leadership and human resource capacity, (ii) technical preparedness, (iii) surge demands and access to supplies, and (iv) vulnerable population groups and border health. It is intended as a tool to guide CAREC health cooperation, dialogue and knowledge exchange, programming and mobilize new project financing.
Economic Transition And Health Care Reform
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Author : Adam Leive
language : en
Publisher: International Monetary Fund
Release Date : 2010-03-01
Economic Transition And Health Care Reform written by Adam Leive and has been published by International Monetary Fund this book supported file pdf, txt, epub, kindle and other format this book has been release on 2010-03-01 with Business & Economics categories.
This paper exploits the staggered adoption of major concurrent health reforms in countries in Europe and Central Asia after 1990 to estimate their impact on public health expenditure, utilization, and avoidable deaths. While the health systems all derived from the same paradigm under central planning, they have since introduced changes to policies regarding cost-sharing, provider payment, financing, and the rationalization of hospital infrastructure. Social health insurance is predicted to increase this share, although the leads of both social health insurance and primary care fee-for-service suggest endogeneity may be an issue with the outpatient share regressions. Provider payment reforms produce the largest impact on spending, with fee-for-service increasing spending and patient-based payment reducing it. The impact on avoidable deaths is generally negligible, but there is some evidence of improvements due to fee-for-service. Considering the corresponding relative reduction in inpatient admissions and the incentives fee-for-service provides to deliver additional services, perhaps there is an overprovision of services in the primary care setting and an underutilization of more specialized hospital services.