Financing Health Care: What Can we Learn from CEE Experience?
|Year of publication||2013|
|Type||Article in Periodical|
|Magazine / Source||Administrative Culture|
|MU Faculty or unit|
|Field||Management and administrative|
|Keywords||health-care; Central and Eastern Europe; reforms; access; health finance|
|Description||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.|