The health systems of all the former socialist countries of Europe are in the midst of far-reaching reform.
The process is still in the early stages but certain patterns of finance and provision are beginning to emerge in a number of countries.
All are implementing payroll-based social insurance while some are beginning to restrict entitlement to those contributing.
There is a danger the process of restructuring will leave many without adequate insurance cover.
Market solutions are being introduced in many countries to improve the efficiency of provision.
Assuming the administrative cost is not too great, this may improve choice and quality of personnal care.
It is, however, unclear how far these solutions will tackle the fundamental public health problems endemic in these countries today.
Those countries that have bee slower to implement reform may benefit from learning from the successes and failures of the pioneers.
Mots-clés Pascal : Système santé, Financement, Europe est, Réforme
Mots-clés Pascal anglais : Health system, Financing, East Europe, Reform
Notice produite par :
ENSP - Ecole nationale de la santé publique (devenue EHESP)
Cote : 93/07-09 V
Code Inist : 002B30A01B. Création : 09/06/1995.