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The Resource Governance of Hospitals in Central and Eastern Europe

Governance of Hospitals in Central and Eastern Europe

Label
Governance of Hospitals in Central and Eastern Europe
Title
Governance of Hospitals in Central and Eastern Europe
Creator
Subject
Language
eng
Cataloging source
MiAaPQ
Literary form
non fiction
Nature of contents
dictionaries
Governance of Hospitals in Central and Eastern Europe
Label
Governance of Hospitals in Central and Eastern Europe
Link
http://libproxy.rpi.edu/login?url=https://ebookcentral.proquest.com/lib/rpi/detail.action?docID=4068953
Publication
Copyright
Related Contributor
Related Location
Related Agents
Related Authorities
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Carrier category
online resource
Carrier category code
cr
Carrier MARC source
rdacarrier
Color
multicolored
Content category
text
Content type code
txt
Content type MARC source
rdacontent
Contents
  • Dedication -- Acknowledgements -- Contents -- Abbreviations and Acronyms -- List of Figures -- List of Tables -- Chapter 1: Introduction -- 1.1 A Study of Health Care in Transition -- 1.1.1 The Theme -- 1.1.2 Research Questions -- 1.1.3 Original Contribution -- 1.1.4 Policy Relevance -- 1.1.5 Choice of Countries -- 1.1.6 Structure of the Book -- 1.2 Terms and Definitions -- 1.2.1 Geographic Terms -- 1.2.2 Post-communist Transition -- 1.2.3 Health Care System and Its Objectives -- 1.2.4 Decentralisation and Other Institutional Change -- References -- Chapter 2: Selected Socio-economic Aspects of Post-{u00AD}communist Health-Care Transition -- 2.1 The Starting Point -- 2.2 An Institutional Transmutation -- 2.2.1 From Central Planning to Market Allocation -- 2.2.2 Institutional Implications of the Doctrine Change -- 2.3 Similarities and Dissimilarities of the Transition Countries -- 2.3.1 A Shared Inheritance -- 2.3.2 Diverse Economies and Transition Pathways -- 2.4 Macroeconomic and Socio-demographic Challenges of Transition -- 2.4.1 National Product and Aggregate Health Spending -- 2.4.2 Trends in Social and Demographic Determinants of Health -- Economic Inequalities -- The Age Structure of Population -- Education and Schooling -- Diseases of Civilisation -- Other Factors Exogenous to Health Systems -- 2.5 Emerging Health Care Systems -- 2.5.1 Motivations for Change -- 2.5.2 General Reform Directions -- 2.5.3 Public Revenue Collection and Pooling -- Revenue Collection -- Pooling of Public Funds -- Consequences of SHI Introduction -- 2.5.4 Statutory Coverage and Benefit Entitlement -- 2.5.5 Provider Payment Mechanisms in the Public System -- 2.5.6 The Role for Private Funds in the Health Financing Mix -- 2.5.7 A New Landscape of Health-Care Provision -- Debate Over Privatisation -- 2.6 Consistency and Quality of Reform -- 2.6.1 Capacity for Reform
  • 2.6.2 Definition of Goals and Strategies -- 2.6.3 Absence or Disregard of Evidence -- 2.6.4 Flaws in Reform Design -- 2.6.5 Time and Pace of Reform -- 2.6.6 Stakeholder Resistance -- 2.6.7 Regulatory Capture and Government Effectiveness -- 2.6.8 Path Dependence -- 2.6.9 Idiosyncratic Issues -- 2.6.10 Success Stories -- 2.7 Deficiencies of the Emergent Systems -- 2.7.1 Shared Challenges of Economic Performance -- 2.7.2 Health System Performance in a Subregional Layout -- Central and Eastern Europe -- The Variety of Former Soviet Republics (High-Income CIS) -- Caucasus and Central Asia -- 2.7.3 Corruption in Health Care -- The Presence and Forms of Corruption -- Forms of Informal Payments -- Implications -- Reasons for Existence -- Responses -- 2.7.4 Other Selected Problem Areas -- Workforce -- The Pharmaceutical Sector -- Health Technology Assessment -- Evidence-Based Policymaking -- Public Health -- Long-Term Care -- Mental Health Care -- 2.8 Problems of the Hospital Sector -- 2.8.1 Global Reasons for Hospital Reform -- 2.8.2 Historical Roots of CEE/CIS Hospital Issues -- 2.8.3 A Sector Unsusceptible to Reform -- 2.8.4 Key Problems in the Hospital Transition -- 2.9 Concluding Remarks -- References -- Chapter 3: Transformation of Hospital Governance in Post-Semashko Health Systems -- 3.1 Introduction -- 3.2 Background -- 3.3 Methods and Model -- 3.3.1 Methods and Data -- 3.3.2 The Model of Hospital Governance Transition -- 3.3.3 Limitations and Caveats -- 3.4 Stage 1: Integrated State Financing and Provision -- 3.4.1 Albania -- 3.4.2 Azerbaijan -- 3.4.3 Belarus -- 3.4.4 Tajikistan -- 3.4.5 Turkmenistan -- 3.4.6 Ukraine -- 3.4.7 Uzbekistan -- 3.5 Stage 2: Decentralised Facility Management -- 3.5.1 Kazakhstan -- 3.5.2 Kyrgyzstan -- 3.5.3 Moldova -- 3.5.4 The Russian Federation -- 3.6 Stage 3: Devolved Hospital Ownership -- 3.6.1 Hungary -- 3.6.2 Poland
  • 3.6.3 Romania -- 3.6.4 Slovakia -- 3.7 Stage 4: Corporatised Hospitals -- 3.7.1 Armenia -- 3.7.2 Bulgaria -- 3.7.3 The Czech Republic -- 3.7.4 Estonia -- 3.7.5 Latvia -- 3.7.6 Lithuania -- 3.8 Stage 5: A Privatised Hospital Sector -- 3.8.1 Georgia -- 3.9 Summary of Transition Stages -- 3.10 Lessons Learned About Governance -- 3.10.1 Governance Matters -- 3.10.2 A Variety of Approaches -- 3.10.3 Aspects of Reform Quality -- 3.10.4 Synergy with Financing Reform -- 3.10.5 Managerial Capacity -- 3.10.6 A Change that Is Not Meaningful -- 3.10.7 A Politically Sensitive Matter -- 3.10.8 A Measure for Financial Responsibility -- 3.10.9 Flexibility of Corporatised Forms -- 3.10.10 An Evolving Role of the Ministry of Health -- 3.10.11 Overall Strength of Governance -- 3.11 A Mapping of Governance Transition -- 3.12 An Extended Typology of Post-communist Health Care Systems -- 3.13 Conclusions -- References -- Chapter 4: Economic Implications of Transforming Hospital Governance -- 4.1 Introduction -- 4.2 Economic Features and Performance of the Semashko Model -- 4.3 Implications of the Departure from the Semashko Model -- 4.3.1 An Institutional Milestone -- 4.3.2 Redefining Roles for the Government and the Private Sector -- A Need for New Sector Principles -- Rationale and Forms of Government Participation -- Government Failure -- The "Make or Buy" Dilemma -- 4.3.3 Inevitability of Decentralisation -- 4.4 Decentralisation and Fiscal Federalism -- 4.4.1 Arguments in Favour of Decentralisation -- 4.4.2 Arguments in Favour of Centralisation -- 4.4.3 The Need for a Balance -- 4.4.4 Fiscal and "Nonfiscal" Federalism in Health Care -- 4.4.5 Ambiguities Surrounding Decentralisation Processes -- 4.4.6 Post-communist Experiences with Decentralisation in Health Care -- 4.5 Ownership and Legal Forms of Public Hospitals -- 4.5.1 Matters of Hospital Ownership
  • 4.5.2 Autonomy and Governance of Public Hospitals -- 4.5.3 Corporatisation and New Public Management -- 4.6 Economic Models of Hospital Behaviour -- 4.6.1 Overview -- 4.6.2 The Harding-Preker Model -- 4.7 Compilation of Economic Arguments behind Changing Hospital Governance -- 4.8 Suggestions for Reform -- 4.8.1 General Directions -- 4.8.2 Three Pillars of Reform -- 4.8.3 Common Mistakes of Governance Reform -- 4.9 Conclusions -- References -- Chapter 5: Statistical Evidence on Effects of Hospital Governance Reforms -- 5.1 Introduction -- 5.2 Methods -- 5.2.1 Estimation Strategy -- 5.2.2 Model Specification -- Comment on Unbalanced Panels -- 5.2.3 Robustness of Results -- Quadratic Time Function -- Quadratic Individual Country Trends -- Fixed-Effect Estimation -- Lagged Effects -- Alternative Interpretations of Institutional Arrangements -- 5.3 Data -- 5.3.1 Explanatory Variables -- Hospital Governance -- Alternative Interpretations of Hospital Governance -- Provider Payment Mechanisms -- System Inputs -- Control Variables -- 5.3.2 Response Variables -- Resources and Utilisation -- Mortality -- Do Hospital Reforms Affect Aggregate Health Expenditures? -- 5.4 Expected Outcomes -- 5.4.1 Theoretical Implications -- 5.5 Findings -- 5.5.1 Notes on the Presentation of Results -- 5.5.2 Results -- 5.6 Discussion of Findings -- 5.7 Alternative Specifications -- 5.7.1 Estimation Results -- Quadratic Time Function -- Quadratic Individual Country Trends -- Fixed-Effect Estimation -- Lagged Effects -- Alternative Interpretations of Institutional Arrangements -- 5.7.2 Discussion of Robustness -- 5.7.3 Other Study Limitations -- 5.8 Conclusions -- References -- Chapter 6: Key Findings and Concluding Remarks -- 6.1 The Background Chapter -- 6.2 Hospital Governance -- 6.3 Policy Implications -- References -- Index
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Extent
1 online resource (276 pages)
Form of item
online
Isbn
9789812877666
Media category
computer
Media MARC source
rdamedia
Media type code
c
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unknown sound
Specific material designation
remote

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