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The Health Sector in the Slovak Republic; Efficiency and Reform


  • Victoria Gunnarsson
  • Sergio Lugaresi
  • Marijn Verhoeven


The paper assesses the financial situation of the health sector in the Slovak Republic. It also evaluates the efficiency of health expenditures and service delivery in comparison to the OECD and other new EU member states and suggests avenues for cost recovery and reform. The health sector of the Slovak Republic is plagued by financial problems. To turn around health system finances and achieve larger gains in health outcomes, the efficiency of health spending needs to increase and the mix and quality of real health resources need to be improved. Although Slovak's overall health spending efficiency is on par with that of the OECD, substantial inefficiencies occur in the process of transforming intermediate health inputs into health outcomes. Efficiency may be enhanced by containing the cost of drugs and reducing reliance on hospital care. Also, although cost-effectiveness may be relatively high at present, its sustainability in the future is an issue.

Suggested Citation

  • Victoria Gunnarsson & Sergio Lugaresi & Marijn Verhoeven, 2007. "The Health Sector in the Slovak Republic; Efficiency and Reform," IMF Working Papers 07/226, International Monetary Fund.
  • Handle: RePEc:imf:imfwpa:07/226

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    References listed on IDEAS

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    Cited by:

    1. International Monetary Fund, 2008. "Republic of Croatia; Selected Issues," IMF Staff Country Reports 08/159, International Monetary Fund.
    2. World Bank, 2011. "Russian federation : Social Expenditure and Fiscal Federalism in Russia," World Bank Other Operational Studies 2735, The World Bank.
    3. Martin Kahanec & M. Guzi & M. Martišková & M. Paleník & F. Pertold & Z. Siebertová, 2012. "GINI Country Report: Growing Inequalities and their Impacts in the Czech Republic and Slovakia," GINI Country Reports czech_slovak, AIAS, Amsterdam Institute for Advanced Labour Studies.
    4. Michal Paleník, 2013. "GINI Country Report: The Czech Republic and Slovakia," Research Reports 7, Central European Labour Studies Institute (CELSI).
    5. Etibar Jafarov & Victoria Gunnarsson, 2008. "Efficiency of Government Social Spending in Croatia," Financial Theory and Practice, Institute of Public Finance, vol. 32(3), pages 289-320.
    6. Victoria Gunnarsson & Etibar Jafarov, 2008. "Government Spending on Health Care and Education in Croatia; Efficiency and Reform Options," IMF Working Papers 08/136, International Monetary Fund.

    More about this item


    Expenditure efficiency; Slovak Republic; Health care; health sector reform; hospital beds; health spending; health outcomes; health expenditures; Slovakia;

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