| Title | Health reform in central and eastern Europe and the former Soviet Union. | | Author(s) | Rechel B, McKee M | | Institution | European Observatory on Health Systems and Policies, London, UK. bernd.rechel@lshtm.ac.uk | | Source | Lancet 2009 Oct 3; 374(9696):1186-95. | | MeSH | Aged
Communism
Europe, Eastern
Family Practice
Female
Financing, Personal
Forecasting
Health Care Reform
Health Expenditures
Health Services Research
Health Transition
Humans
Infant Mortality
Infant, Newborn
Life Expectancy
Male
Models, Organizational
National Health Programs
Organizational Innovation
Politics
Primary Health Care
USSR
| | Abstract | In the two decades since the fall of the Berlin Wall, former communist countries in Europe have pursued wide-ranging changes to their health systems. We describe three key aspects of these changes-an almost universal switch to health insurance systems, a growing reliance on out-of-pocket payments (both formal and informal), and efforts to strengthen primary health care, often with a model of family medicine delivered by general practitioners. Many decisions about health policy, such as the introduction of health insurance systems or general practice, took into account political issues more than they did evidence. Evidence for whether health reforms have achieved their intended results is sparse. Of crucial importance is that lessons are learnt from experiences of countries to enable development of health systems that meet present and future health needs of populations. | | Language | eng | | Pub Type(s) | Journal Article
Research Support, Non-U.S. Gov't
Review
| | PubMed ID | 19801097 |
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