TY - BOOK AU - Kornai,János AU - Eggleston,Karen TI - Welfare, choice, and solidarity in transition: reforming the health section in Eastern Europe T2 - Federico Caffè lectures SN - 0511012314 AV - RA395.E852 .K67 2001eb U1 - 362.1/0947 21 PY - 2001/// CY - Cambridge, New York PB - Cambridge University Press KW - Health care reform KW - Europe, Eastern KW - Medical policy KW - Health planning KW - Medical care KW - Health Care Reform KW - Services de santé KW - Réforme KW - Europe de l'Est KW - Politique sanitaire KW - Santé publique KW - Planification KW - HEALTH & FITNESS KW - Health Care Issues KW - bisacsh KW - MEDICAL KW - Public Health KW - Health Policy KW - Diseases KW - General KW - Health Care Delivery KW - fast KW - Gezondheidszorg KW - gtt KW - Hervormingen KW - ram KW - Eastern Europe KW - Electronic books N1 - Includes bibliographical references (pages 343-359) and index; 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 N2 - 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 UR - https://search.ebscohost.com/login.aspx?direct=true&scope=site&db=nlebk&db=nlabk&AN=72782 ER -