IDEAS home Printed from https://ideas.repec.org/a/eee/hepoli/v96y2010i2p160-169.html
   My bibliography  Save this article

Do we have primary health care reform? The story of the Republic of Serbia

Author

Listed:
  • Simic, Snezana
  • Milicevic, Milena Santric
  • Matejic, Bojana
  • Marinkovic, Jelena
  • Adams, Orvill

Abstract

Objective To provide insight of national activities and international assistance in PHC reform and to assess their effects on technical and allocative efficiency as well as financial sustainability of primary health care in the Republic of Serbia.Materials and methods Analytical framework of the study consisted of gathering and reviewing of relevant political documents, international assistance project documentation, and analysis of routinely collected national statistical data based on the evaluation model of three groups of criteria: allocative, technical efficiency and financial sustainability in the public sector of Serbia from 2000 to 2007. Time trends were analyzed by Poisson regression models using average annual percentage changes - AAPC, and the percent of targeted change achieved by progress quotient - PQ.Results Allocative efficiency of the PHC during period of 8 years was improved, but technical efficiency was almost unchanged for all service, except for preschool health care. Financial sustainability was also improved measured by indirect indicators of health expenditure.Conclusions Results of this study indicated that we are on the right track with PHC reform, and international support is in accordance with the reform goals. Our approach has been and will remain incremental, gradualist and multi-faceted.

Suggested Citation

  • Simic, Snezana & Milicevic, Milena Santric & Matejic, Bojana & Marinkovic, Jelena & Adams, Orvill, 2010. "Do we have primary health care reform? The story of the Republic of Serbia," Health Policy, Elsevier, vol. 96(2), pages 160-169, July.
    • Handle: RePEc:eee:hepoli:v:96:y:2010:i:2:p:160-169
    as

    Download full text from publisher

    File URL: http://www.sciencedirect.com/science/article/pii/S0168-8510(10)00030-8
    Download Restriction: Full text for ScienceDirect subscribers only
    ---><---

    As the access to this document is restricted, you may want to search for a different version of it.

    References listed on IDEAS

    as
    1. Maynard, Alan & Bloor, Karen, 1995. "Primary care and health care reform: the need to reflect before reforming," Health Policy, Elsevier, vol. 31(3), pages 171-181, March.
    2. Parmelee, Donna E., 1985. "Whither the state in Yugoslav health care?," Social Science & Medicine, Elsevier, vol. 21(7), pages 719-728, January.
    3. Grielen, Saskia J. & Boerma, Wienke G. W. & Groenewegen, Peter P., 2000. "Science in practice: can health care reform projects in central and eastern Europe be evaluated systematically?," Health Policy, Elsevier, vol. 53(2), pages 73-89, September.
    4. Koppel, Agris & Meiesaar, Kersti & Valtonen, Hannu & Metsa, Andrus & Lember, Margus, 2003. "Evaluation of primary health care reform in Estonia," Social Science & Medicine, Elsevier, vol. 56(12), pages 2461-2466, June.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Jasna Gačić & Stefan Milojević & Snežana Knežević & Miljan Adamović, 2023. "Financial Literacy of Managers in Serbian Health Care Organizations as a Path to Sustainability," Sustainability, MDPI, vol. 15(7), pages 1-26, April.
    2. Vakulenko Veronika & Mattei Giorgia, 2023. "Reforming the Public Sector in Eastern European and Former Soviet Union Countries: A Systematic Literature Review," Central European Journal of Public Policy, Sciendo, vol. 17(1), pages 55-79, June.
    3. Dovey, Susan & Tilyard, Murray & Cunningham, Wayne & Williamson, Martyn, 2011. "Public and private funding of general practice services for children and adolescents in New Zealand," Health Policy, Elsevier, vol. 103(1), pages 24-30.
    4. Klančar, Darinka & Švab, Igor, 2014. "Primary care principles and community health centers in the countries of former Yugoslavia," Health Policy, Elsevier, vol. 118(2), pages 166-172.

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Groenewegen, Peter P. & Dourgnon, Paul & Greß, Stefan & Jurgutis, Arnoldas & Willems, Sara, 2013. "Strengthening weak primary care systems: Steps towards stronger primary care in selected Western and Eastern European countries," Health Policy, Elsevier, vol. 113(1), pages 170-179.
    2. Ivan Paunović & Sotiris Apostolopoulos & Ivana Božić Miljković & Miloš Stojanović, 2024. "Sustainable Rural Healthcare Entrepreneurship: A Case Study of Serbia," Sustainability, MDPI, vol. 16(3), pages 1-27, January.
    3. Marko Matejic, 2017. "Reconfiguration of acute care hospitals in post-socialist Serbia: spatial distribution of hospital beds," International Journal of Health Planning and Management, Wiley Blackwell, vol. 32(2), pages 160-184, April.
    4. Daisy Volmer & Martin Mäesalu & J. Simon Bell, 2008. "Pharmacy Students' Attitudes Toward and Professional Interactions With People With Mental Disorders," International Journal of Social Psychiatry, , vol. 54(5), pages 402-413, September.
    5. Samuel S. Lieberman & Adam Wagstaff, 2009. "Health Financing and Delivery in Vietnam : Looking Forward," World Bank Publications - Books, The World Bank Group, number 2594, December.
    6. Habicht, Triin & Kasekamp, Kaija & Webb, Erin, 2023. "30 years of primary health care reforms in Estonia: The role of financial incentives to achieve a multidisciplinary primary health care system," Health Policy, Elsevier, vol. 130(C).
    7. von dem Knesebeck, Olaf & Joksimovic, Ljiljana & Badura, Bernhard & Siegrist, Johannes, 2002. "Evaluation of a community-level health policy intervention," Health Policy, Elsevier, vol. 61(1), pages 111-122, July.
    8. Brown, Malcolm C. & Crampton, Peter, 1997. "New Zealand policy strategies concerning the funding of general practitioner care," Health Policy, Elsevier, vol. 41(2), pages 87-104, August.
    9. Silcock, Jonathan & Ratcliffe, Julie, 1996. "The 1990 GP contract -- meeting needs?," Health Policy, Elsevier, vol. 36(2), pages 199-207, May.
    10. Habicht, Jarno & Kunst, Anton E., 2005. "Social inequalities in health care services utilisation after eight years of health care reforms: a cross-sectional study of Estonia, 1999," Social Science & Medicine, Elsevier, vol. 60(4), pages 777-787, February.
    11. Akinci, Fevzi & Mollahaliloğlu, Salih & Gürsöz, Hakki & Öğücü, Fatma, 2012. "Assessment of the Turkish health care system reforms: A stakeholder analysis," Health Policy, Elsevier, vol. 107(1), pages 21-30.
    12. Põlluste, Kaja & Kasiulevičius, Vytautas & Veide, Sarmite & Kringos, Dionne Sofia & Boerma, Wienke & Lember, Margus, 2013. "Primary care in Baltic countries: A comparison of progress and present systems," Health Policy, Elsevier, vol. 109(2), pages 122-130.
    13. Domantas Jasilionis & France Meslé & Vladimir M. Shkolnikov & Jacques Vallin, 2011. "Recent Life Expectancy Divergence in Baltic Countries," European Journal of Population, Springer;European Association for Population Studies, vol. 27(4), pages 403-431, November.
    14. Atun, Rifat Ali & Menabde, Nata & Saluvere, Katrin & Jesse, Maris & Habicht, Jarno, 2006. "Introducing a complex health innovation--Primary health care reforms in Estonia (multimethods evaluation)," Health Policy, Elsevier, vol. 79(1), pages 79-91, November.
    15. Kersnik, Janko, 2001. "Determinants of customer satisfaction with the health care system, with the possibility to choose a personal physician and with a family doctor in a transition country," Health Policy, Elsevier, vol. 57(2), pages 155-164, August.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:eee:hepoli:v:96:y:2010:i:2:p:160-169. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Catherine Liu or the person in charge (email available below). General contact details of provider: http://www.elsevier.com/locate/healthpol .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.