The article reviews the socio-economic security of health sector workers across Eastern Europe and suggests that decision-makers and their advisers should reconsider reforms which presuppose job cuts and labor-saving technologies in countries with little alternative employment, few unemployment benefits and scant investment capital. It points out that a narrow focus on doctors, as change agents, will exclude many of the care providers who actually determine how patients experience health services. It argues that involving all occupational groups in change, extending social dialogue and enhancing stewardship have a better chance of ensuring acceptance of the reform agenda and so the delivery of quality care.
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