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Welfare, choice, and solidarity in transition : reforming the health section in Eastern Europe / János Kornai and Karen Eggleston.

By: Contributor(s): Material type: TextTextSeries: Federico Caffè lecturesPublication details: Cambridge ; New York : Cambridge University Press, 2001.Description: 1 online resource (xiii, 365 pages) : illustrationsContent type:
  • text
Media type:
  • computer
Carrier type:
  • online resource
ISBN:
  • 0511012314
  • 9780511012310
  • 0511031335
  • 9780511031335
  • 0511118929
  • 9780511118920
  • 9780511492464
  • 0511492464
Subject(s): Genre/Form: Additional physical formats: Print version:: Welfare, choice, and solidarity in transition.DDC classification:
  • 362.1/0947 21
LOC classification:
  • RA395.E852 .K67 2001eb
NLM classification:
  • WA 541 GA1
Other classification:
  • 44.10
Online resources:
Contents:
1. Introduction -- 2. The general principles of reform -- 3. The characteristics of the health sector -- 4. Some international experiences -- 5. The health sector in Eastern Europe: the initial state -- 6. The demand side: financing, benefits, and organization of insurance -- 7. The supply side: delivery-system ownership, organization, and contracting -- 8. The interaction of supply and demand: pricing, payment, hard budget constraints, and overall health-sector development -- 9. Concluding remarks.
Summary: Reform of the welfare sector is an important yet difficult challenge for all countries in transition from socialist central planning to market-oriented democracies. Here a scholar of the economics of socialism and post-socialist transition and a health economist take on this challenge. This 2001 book offers health sector reform recommendations for ten countries of Eastern Europe, drawn consistently from a set of explicit guiding principles. After discussing sector-specific characteristics, lessons of international experience, and the main set of initial conditions, the authors advocate reforms based on organized public financing for basic care, private financing for supplementary care, pluralistic delivery of services, and managed competition. Policymakers need to achieve a balance, both assuring social solidarity through universal access to basic health services and expanding individual choice and responsibility through voluntary supplemental insurance. The authors also consider the problems that undermine effectiveness of market-based competition in the health sector.
Holdings
Item type Current library Collection Call number Status Date due Barcode Item holds
eBook eBook e-Library EBSCO Medical Available
Total holds: 0

Includes bibliographical references (pages 343-359) and index.

Print version record.

1. Introduction -- 2. The general principles of reform -- 3. The characteristics of the health sector -- 4. Some international experiences -- 5. The health sector in Eastern Europe: the initial state -- 6. The demand side: financing, benefits, and organization of insurance -- 7. The supply side: delivery-system ownership, organization, and contracting -- 8. The interaction of supply and demand: pricing, payment, hard budget constraints, and overall health-sector development -- 9. Concluding remarks.

Reform of the welfare sector is an important yet difficult challenge for all countries in transition from socialist central planning to market-oriented democracies. Here a scholar of the economics of socialism and post-socialist transition and a health economist take on this challenge. This 2001 book offers health sector reform recommendations for ten countries of Eastern Europe, drawn consistently from a set of explicit guiding principles. After discussing sector-specific characteristics, lessons of international experience, and the main set of initial conditions, the authors advocate reforms based on organized public financing for basic care, private financing for supplementary care, pluralistic delivery of services, and managed competition. Policymakers need to achieve a balance, both assuring social solidarity through universal access to basic health services and expanding individual choice and responsibility through voluntary supplemental insurance. The authors also consider the problems that undermine effectiveness of market-based competition in the health sector.

WorldCat record variable field(s) change: 650

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