Economic Transition and Health Care Reform: The Experience of Europe and Central Asia
AbstractThis paper exploits the staggered adoption of major concurrent health reforms in countries in Europe and Central Asia after 1990 to estimate their impact on public health expenditure, utilization, and avoidable deaths. While the health systems all derived from the same paradigm under central planning, they have since introduced changes to policies regarding cost-sharing, provider payment, financing, and the rationalization of hospital infrastructure. Provider payment reforms produce the largest impact on spending, with fee-for-service increasing spending and patient-based payment reducing it. The impact on avoidable deaths is generally negligible, but there is some evidence of improvements due to fee-for-service.
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Bibliographic InfoPaper provided by International Monetary Fund in its series IMF Working Papers with number 10/75.
Date of creation: 01 Mar 2010
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This paper has been announced in the following NEP Reports:
- NEP-ALL-2010-05-02 (All new papers)
- NEP-HEA-2010-05-02 (Health Economics)
- NEP-TRA-2010-05-02 (Transition Economics)
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