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Social Health Insurance and Its Failures in the Czech Republic and Slovakia: The Role of the State


  • Jozef Medveď
  • Juraj Nemec
  • Leoš Vítek


Health care reforms in the Czech Republic and in Slovakia are based on the implementation of market-based instruments into the system, namely on privatization and health insurance. Such changes, especially the change of the system of financing of health care from 'socialist' taxation-based system to 'modern' insurance-based one, were supported by many arguments, showing expected positive outcomes. However, after more than ten years from starting the change, health care system performance criteria in both countries have not been improved as expected. In our paper we try to examine some potential purposes of such trends, with focus on rhetoric and reality of potential of health insurance to improve the performance of health systems in transitional countries.

Suggested Citation

  • Jozef Medveď & Juraj Nemec & Leoš Vítek, 2005. "Social Health Insurance and Its Failures in the Czech Republic and Slovakia: The Role of the State," Prague Economic Papers, University of Economics, Prague, vol. 2005(1), pages 64-81.
  • Handle: RePEc:prg:jnlpep:v:2005:y:2005:i:1:id:253:p:64-81

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    References listed on IDEAS

    1. Coulter, Fiona & Heady, Christopher & Lawson, Colin & Smith, Stephen, 1997. "Social security reform for economic transition: the case of the Czech Republic," Journal of Public Economics, Elsevier, vol. 66(2), pages 313-326, November.
    2. Peter Oppenheimer & Brigitte Granville, 2001. "Russia’s Post-Communist Economy," World Economics, World Economics, 1 Ivory Square, Plantation Wharf, London, United Kingdom, SW11 3UE, vol. 2(1), pages 149-168, January.
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    Cited by:

    1. Besstremyannaya, Galina, 2015. "Measuring the effect of health insurance companies on the quality of healthcare systems with kernel and parametric regressions," Applied Econometrics, Publishing House "SINERGIA PRESS", vol. 38(2), pages 3-20.

    More about this item


    Czech Republic; health reform; health insurance; performance of health care system; Slovakia;

    JEL classification:

    • I11 - Health, Education, and Welfare - - Health - - - Analysis of Health Care Markets
    • I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health


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