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Health care systems in EU pre-accession countries and European integration

Busse R

Arbeit & Sozialpolitik 56(5/6): 40-49




After the breakdown of the Eastern bloc in 1989/90, policy-makers in the CEE countries faced a number of problems in their health care systems: Arguably, the three main ones were 1. the high numbers of some health care inputs (especially hospital beds, to a lesser degree physicians) but equally an undersupply (or at least unequal distribution) of others, mainly pharmaceuticals and high technology, 2. low incentive levels for health care providers, often leading to a certain under-performance of the health services), and 3. the excessively overcentralized structure of the health care system. To address these problems, a number of similar strategies was pursued in all countries, but no country managed to tackle all three issues successfully.

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