Publication details

Why none of health reform attempts succeeded? The case of the Czech Republic

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Year of publication 2009
Type Article in Proceedings
Conference State and Administration in a Changing World
MU Faculty or unit

Faculty of Economics and Administration

Field Economy
Keywords health reform; government; health policy
Description Although there have been many attempts to start the health reform during past ten years in the Czech Republic; none of these attempts were successfully implemented. The exception is the partial success of the last health reform proposal (2007). The aim of the paper is to analyze two key conditions of initiation of the health reform in the Czech Republic. In other word, the paper will try to answer the question of why the last reform attempt seems to be more successful than previous ones. Considering the complexity of the health reform process the research is narrow down to examination only two of necessary conditions of successful health reform implementation. Author sets two conditions which are examined during the period 1998-2008. The first one is that the cabinet has to have majority in all important representative bodies (i.e. Chamber of deputies, Senate, Regions). This condition is based on assumption that each reform is inevitably tight with accepting new legislation. The second condition is that the Cabinet (fomated by more than one politicla party) has to reach at least 50% agreement on basic health reform principles. There is an assumption that the reform would be postponed in the case of disagreement.
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