After 1989, the Czech and Slovak health-care systems followed dissimilar policies. Change was faster, more profound and more experimental in the Czech Republic. But after 10 years there are clear similarities in their health status achievements and systemic problems. By showing how a common past and a similar insurance-based finance model interact with commitments to universal access, the common outcomes and problems are explained. It is argued that greater spending, rather than privatization, has improved health-care outcomes since transition began. It is also argued that most of the key problems with the two systems are finance related.
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References
1.
Auster, R.D. (1975). “Some Economic Determinants of the Characteristics of Public Workers.” In Economics of Public Choice, Vol. 2 (R.D. Leiter and G. Sirkin, eds), 185-198. New York: cuny.
2.
Business Central Europe (2001). “Picking Priorities: A Survey of Healthcare.” March: 45-52.
3.
Castle-Kanerova, M. (1992). “Social Policy in Czechoslovakia.” In The New Eastern Europe: Social Policy Past, Present and Future (D. Deacon, ed.), 91-117. London: Sage .
4.
Coulter, F., C. Heady, C. Lawson and S. Smith (1997). “Social Security Reform for Economic Transition: The Case of the Czech Republic.” Journal of Public Economics, 66: 313-326 .
5.
Davis, C. (2001). “The Health Sector: Illness, Medical Care and Mortality.” In Russia's Post-Communist Economy (B. Granville and P. Oppenheimer, eds), 475-538. Oxford: Oxford University Press .
6.
Fallenbuchl, Z.M. (1991). “Economic Reform and Changes in the Welfare System in Poland.” In Economic Reforms and Welfare Systems in the ussr, Poland and Hungary (J. Adam, ed.), 110-131. Basingstoke and London: Macmillan .
7.
Gedeon, P. (1995). “Hungary: Social Policy in Transition.” East European Politics and Societies, 9: 433-458 .
8.
Government of the Slovak Republic (1992). Programmatic Declaration of the Government of the Slovak Republic, document submitted for debate in the Slovak National Council, No. 2477/92/A.
9.
Hava, P. and L. Kruzik (1997). Srovnavaci analysa ceske a slovenske socialni politiky po ruku 1989 [Comparative Analysis of Czech and Slovak Health Policies after 1989]. Bratislava: space.
10.
Hava, P., L. Kruzik, J. Nemec, and M. Mikundova (1998). “Srovnavaci analysa ceske a slovenske zdravotni politiky po roce 1989” [“Comparative Analysis of Czech and Slovak Health Policies after 1989”]. In Socialni politika v Cechach a na Slovensku po roce 1989 [Social Policies in the Czech and Slovak Republics after 1989] (I. Radicova and M. Potucek), 289-320. Prague: Karolinum .
11.
Innes, A. (2001). Czechoslovakia: The Short Goodbye. New Haven, ct and London: Yale University Press .
12.
Kuvikova, H., M. Murgas, and J. Nemec (1998). Management zdravotnictva [Health Care Management]. Banska Bystrica: Trian .
13.
Maly, I. (1998). Problem optimalni alokace zdroju ve zdravotnictvi [The Problem of the Optimal Allocation of Resources in Health Care]. Brno: Masarykova univerzita .
14.
Millard, F. (1994). “Developments in Polish Health Care.” In Societies in Transition: East-Central Europe Today (S. Ringen and C. Wallace, eds), 73-89. Aldershot: Avebury .
15.
Miller, W.L., A.B. Grodeland, and T.Y. Koschechkina (1998). Are the People Victims or Accomplices?, lgi Discussion Papers No. 6. Budapest: lgi.
Orenstein, M. (1995). “Transitional Social Policy in the Czech Republic and Poland.” Sociological Review, 3: 179-196 .
18.
Potucek, M. (1994). “The Transformation of Czech Health in 1990-1992.” Unpublished manuscript, Institute of Sociological Studies, Charles University, Prague .
19.
Radicova, I. and M. Potucek (1997). “Two Social Policies Out of One: The Czech and Slovak Example.” Paper presented at the 19th meeting of the International Sociological Association Research Committee, entitled Welfare State Challenge, Marginalisation and Poverty, Copenhagen, Denmark.
20.
space (Center for Social Policy Analysis) (1995). Pre ludi a o ludoch [For People and about People]. Bratislava: space.
21.
unicef (1997). “Children at Risk in Central and Eastern Europe: Perils and Promises.” Economies in Transition, Regional Monitoring Report No. 4. Florence: unicef.
22.
who (World Health Organization) (2001). World Health Report 2000, Health Systems: Improving Performance. Geneva: who.
