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Health care reforms in Latvia


  • Olga Bondarenko
  • Mykhailo Matvieiev
  • Kostiantyn Zahorulko

    (Kyiv School of Economics)


The paper reviews the health care reforms in Latvia on the basis of the Harvard Flagship approach. Constant transformations of the system, performed without a thoughtful plan, have led to relatively weak improvements in health outcomes and financial burden for citizens. The scope of changes was limited mainly to payment and organizational knobs, which, although effective in improving financial stimuli for providers, were insufficient to combat problems in either the sphere of patients’ satisfaction or financial protection. Latvia is not likely to be an example of how reform of medical care should be handled in Ukraine.

Suggested Citation

  • Olga Bondarenko & Mykhailo Matvieiev & Kostiantyn Zahorulko, 2018. "Health care reforms in Latvia," Suchasni ekonomichni doslidzhennja, Kyiv School of Economics, vol. 1(1), pages 28-41.
  • Handle: RePEc:kse:chasop:v:1:y:2018:i:1:p:28-41

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    References listed on IDEAS

    1. World Bank, 2017. "World Development Indicators 2017," World Bank Publications - Books, The World Bank Group, number 26447, November.
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    More about this item


    healthcare reform; Latvia; Harvard Flagship approach;
    All these keywords.

    JEL classification:

    • H51 - Public Economics - - National Government Expenditures and Related Policies - - - Government Expenditures and Health
    • I15 - Health, Education, and Welfare - - Health - - - Health and Economic Development
    • P46 - Economic Systems - - Other Economic Systems - - - Consumer Economics; Health; Education and Training; Welfare, Income, Wealth, and Poverty


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