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Implementing Health Financing Reform: Lessons from Countries in Transition

To browse Academia. Elias Mossialos. Cristina Ugolini. The organisation of health care differs widely across Europe. Access to services, financing schemes, incentives for better care, and administrative efficiency are challenges that are being dealt with in a variety of ways. Are insurance-based systems the best solution for balancing resources and services or are national health funds preferable?

Does the introduction of competition fulfil high hopes for better service at lower costs? What are the relative advantages and drawbacks of central and local management of health care? Getie Alemay. The main purpose of this book is to present the planning, policy, system, reform, financing, management, economy and legislation debates on health and health services both at the EU level and in individual member and candidate countries in a systematic framework.

Armin Fidler. Chrystala Charalambous , Mamas Theodorou. William Genieys. In France, Germany, and Spain, state-strengthening reform of national health policies in the past two decades have been enacted at a time when economic globalization and neo-liberal ideology were combining to encourage the retreat of the state from other areas of economic management and social policy.

This article suggests two elements of explanation for that seeming contradiction. The first of these is an increasing reliance on regulatory instruments that allow increased state influence in a context of budgetary rigor. In addition, we find in all three cases that the competition among programmatic for legitimate authority over policy decisions worked to enhance the autonomy of sectoral decision-makers. Log in with Facebook Log in with Google. Remember me on this computer.

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