Health Policies versus Health Care Reforms and their Success in Central and Eastern Europe.

Prof. Juraj Nemec

Matej Bel University , Slovakia

The analysis is based on the examples of many countries in the region, derived from existing documents. The focus is on the most developed countries – new EU member states, especially in Slovakia and the Czech Republic, but data from less developed countries are also included. The main aim of the reform is equal to universal access to health care of the highest quality for all. Despite the fact that the reforms in Central and Eastern Europe highlighted the need to improve the prevention, minor changes have occurred in reality, since the existing lobby prefers expensive treatments cheaper preventive measures.

Key words: healthcare, Europe, reform.

Nemec J, Bel M. Health Policies versus Health Care Reforms and their Success in Central and Eastern Europe. Shidnoevr. z. vnutr. simejnoi med. 2015;1:58-65.


1. Agh A. [Synergies and Conflicts between Policy Regimes and Political Systems. Paper presented at XVI]. NISPAcee conference in Bratislava, 2008; conf_program_details.php? meeting_id=184&cid=16. English
2. Condrey SE. [Reforming Public Management in Ukraine: Toward a University-based Public Service Delivery Model, International Journal of Public Sector Management]. 1998; 11(1): 27-36. English
3. Czech Statistical Office, Statistical Yearbook of the Czech Republic. Prague: Czech Statistical Office, various issues. English
4. Davis CM. [Russia’s health reform: a complicated question]. Transition; 1993; 4(7): 1-13. English
5. Davis C, author; Granville B, Oppenheimer P, editors. [The Health Sector: Illness, Medical Care and Mortality]. Russias Post-Communist Economy. Oxford: Oxford University Press; 2001: 475-538. English
6. Dlouhy M. [An Alternative of Health System Performance Measurement in the Context of World Health Report 2000]. In: Theoretical and practical aspects of public finance. CD rom. Prague: VSE; 2004. English
7. EBRD, Transition Report 2007, London, EBRD. English
8. Euro Health Consumer Index 2006. Health Consumer Powerhouse AB (2006). RaportEHCI2006en.pdf English
9. Healthcare. Healthcare: Georgia 2001. Statistical compendium. Tbilisi; 2002. English
10. Chubarova T. [Reforming Russian Healthcare: Social Insurance or NHS?]. Health Management; 2004; 3 (13): 2004. English
11. Khadzhyradeva S, Kolisnichenko N. [Public Health Management and Policy Education and Training: Ukraine]. In: Rosenbaum A, Nemec J, Tolo K. [Health Care Delivery Systems]. Bratislava: NISPAcee. 2004: 230 — 280. English
12. Khachatryan T. [Public Health and the State of Healthcare in Republic of Armenia]. Health Management. 2006; 3 (19). English
13. Lawson C, Nemec J. [The Political Economy of Slovak and Czech Health Policy]. International Political Science Review. 2003; 24(2): 219—36. English
14. Le Grand J. [The Strategy of Equality]. London, Allen and Unwin. 1982. English
15. Maly I. Problem optimalni alokace zdroju ve zdravotnictvi. [Optimum health resource allocation problems]. Brno: Masarykova univerzita; 1998. Czech
16. Manzmanian DA, Sabatier PA. [Implementation and Public Policy]. University Press English; 1989.
17. Millard F, author; Ringen S, Wallace C, editors. [Developments in Polish Health Care]. In: [Societies in Transition: East-Central Europe Today]. Avebury, Aldershot; 1994. English
18. Miller WL, Grodeland AB, Koschechkina TY. [Are the People Victims or Accomplices]. Budapest: LGI; 1998. English
19. Nemec J, author; Kollar M, Meseznikov G, editors. Zdravotnictvo [Health care], Slovakia 2004: A Global Report on the State of Society. Bratislava: Institut pre verejne otazky (IVO); 2004.
20. Nemec J, Lawson C. Health Policy in Slovakia and the Outcomes of Health Care Reforms: In: Journal of Comparative Policy Analysis; 2005; 7 (1): 1989—2003. English
21. Nemec J, Lawson C. Health care reforms in CEE: processes, outcomes and selected explanations. In: NISPAcee Journal on Public Administration and Public Policy; 2008; 1 (1) English
22. PADCO Armenia Social Transition Program (2002) Report No. 87: [Recommendations for Improving the Definition and Administration of the Basic Benefits Package (BBP)]. Available at English
23. Pavlik M. Implementace verejne politiky. [Implementation of public policies]. Brno: Masaryk University. 2008. Czech
24. Pazitny P, Zajac R. [Health Care Reforms Strategy]. Bratislava: M.E.S.A. 10. 2001. Czech
25. Pazitny et al. [“Health Care”, in Slovakia 2005]. Bratislava: Institute for Public Affairs Czech; 2006. Czech
26. Pazitny et al. [“Health Care”, in Slovakia 2007]. Bratislava: Institute for Public Affairs Czech; 2008. Czech
27. Rosenbaum A, Nemec J, Tolo K. [Health Care Delivery Systems]. Bratislava: NISPAcee English (2004).
28. Shakarashvili G, author. [Decentralization in Healthcare]. Budapest: OSI-LGI; 2005. English.
29. Scheffler R, Potucek M, 2008. English