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Transformations and Reforms of European Health Care Systems: The Case of Estonia

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  • Suchecka Jadwiga

    (Ph.D., Full Professor at the University of Łódź, Faculty of Economics and Sociology, Department of Spatial Econometrics)

Abstract

Celem artykułu jest prezentacja głównych kierunków zmian wprowadzanych w estońskim systemie zdrowia po transformacji systemowej gospodarki narodowej i przystąpieniu Estonii do Unii Europejskiej. Szczególna uwaga została zwrócona na sposoby pozyskiwania, gromadzenia i redystrybucji środków finansowych przeznaczonych na opiekę zdrowotną w poszczególnych okresach wprowadzania zmian. Początkowe zmiany wprowadzały daleko idącą decentralizację systemu zdrowotnego, natomiast kolejne reformy doprowadziły do ponownej jego centralizacji. Nasilenie się procesów ponownej centralizacji finansowania i zarządzania ochroną zdrowia nastąpiło po roku 2008, w którym zaobserwowano znaczny wpływ światowego kryzysu finansowego na kondycję gospodarki Estonii. W rezultacie wprowadzanych zmian ukształtował się mieszany system Bismarcka, zwany również hybrydowym.

Suggested Citation

  • Suchecka Jadwiga, 2014. "Transformations and Reforms of European Health Care Systems: The Case of Estonia," Comparative Economic Research, Sciendo, vol. 17(3), pages 1-20, September.
    • Handle: RePEc:vrs:coecre:v:17:y:2014:i:3:p:20:n:7
    DOI: 10.2478/cer-2014-0026
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    References listed on IDEAS

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    2. Kutzin, Joseph, 2001. "A descriptive framework for country-level analysis of health care financing arrangements," Health Policy, Elsevier, vol. 56(3), pages 171-204, June.
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