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The Advantages and Disadvantages of Integrated Care Implementation in Central and Eastern Europe – Perspective from 9 CEE Countries
INTRODUCTION: Health and social care systems in Central and Eastern European (CEE) countries have undergone significant changes and are currently dealing with serious problems of system disintegration, coordination and a lack of control over the market environment. DESCRIPTION: The increased health...
Autores principales: | , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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Ubiquity Press
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8588893/ https://www.ncbi.nlm.nih.gov/pubmed/34824563 http://dx.doi.org/10.5334/ijic.5632 |
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author | Kurpas, Donata Stefanicka-Wojtas, Dorota Shpakou, Andrei Halata, David Mohos, András Skarbaliene, Aelita Dumitra, Gindrovel Klimatckaia, Ludmila Bendova, Jana Tkachenko, Victoria |
author_facet | Kurpas, Donata Stefanicka-Wojtas, Dorota Shpakou, Andrei Halata, David Mohos, András Skarbaliene, Aelita Dumitra, Gindrovel Klimatckaia, Ludmila Bendova, Jana Tkachenko, Victoria |
author_sort | Kurpas, Donata |
collection | PubMed |
description | INTRODUCTION: Health and social care systems in Central and Eastern European (CEE) countries have undergone significant changes and are currently dealing with serious problems of system disintegration, coordination and a lack of control over the market environment. DESCRIPTION: The increased health needs related to the ageing society and epidemiological patterns in these countries also require funding needs to increase, rationing to be reformed, sectors to be integrated (the managed care approach), and an analytical information base to be developed if supervision of new technological approaches is to improve. The period of system transitions in CEE countries entailed significant changes in their health systems, including health care financing. DISCUSSION: Large deficits in the public financing of health systems were just one of the challenges arising from the economic downturn of the 1990s, which was coupled with inflation, increasing unemployment, low salaries, a large informal sector and tax evasion in a number of CEE countries. During the communist period, there was universal access to a wide range of health services, proving it difficult to retain this coverage. As a result, many states sought to ration publicly funded health services – for example, through patient cost-sharing or decreasing the scope of basic benefits. Yet, not all of these reform plans were implemented, and in fact, some were rolled back or not implemented at all due to a lack of social or political consensus. CONCLUSION: CEE health systems had come to practice implicit rationing in the form of under-the-table payments from patients, quasi-formal payments to providers to compensate for lack of funding, and long waiting lists forcing patients to the private sector. All these difficulties pose a challenge to the implementation of integrated care. |
format | Online Article Text |
id | pubmed-8588893 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Ubiquity Press |
record_format | MEDLINE/PubMed |
spelling | pubmed-85888932021-11-24 The Advantages and Disadvantages of Integrated Care Implementation in Central and Eastern Europe – Perspective from 9 CEE Countries Kurpas, Donata Stefanicka-Wojtas, Dorota Shpakou, Andrei Halata, David Mohos, András Skarbaliene, Aelita Dumitra, Gindrovel Klimatckaia, Ludmila Bendova, Jana Tkachenko, Victoria Int J Integr Care Policy Paper INTRODUCTION: Health and social care systems in Central and Eastern European (CEE) countries have undergone significant changes and are currently dealing with serious problems of system disintegration, coordination and a lack of control over the market environment. DESCRIPTION: The increased health needs related to the ageing society and epidemiological patterns in these countries also require funding needs to increase, rationing to be reformed, sectors to be integrated (the managed care approach), and an analytical information base to be developed if supervision of new technological approaches is to improve. The period of system transitions in CEE countries entailed significant changes in their health systems, including health care financing. DISCUSSION: Large deficits in the public financing of health systems were just one of the challenges arising from the economic downturn of the 1990s, which was coupled with inflation, increasing unemployment, low salaries, a large informal sector and tax evasion in a number of CEE countries. During the communist period, there was universal access to a wide range of health services, proving it difficult to retain this coverage. As a result, many states sought to ration publicly funded health services – for example, through patient cost-sharing or decreasing the scope of basic benefits. Yet, not all of these reform plans were implemented, and in fact, some were rolled back or not implemented at all due to a lack of social or political consensus. CONCLUSION: CEE health systems had come to practice implicit rationing in the form of under-the-table payments from patients, quasi-formal payments to providers to compensate for lack of funding, and long waiting lists forcing patients to the private sector. All these difficulties pose a challenge to the implementation of integrated care. Ubiquity Press 2021-11-08 /pmc/articles/PMC8588893/ /pubmed/34824563 http://dx.doi.org/10.5334/ijic.5632 Text en Copyright: © 2021 The Author(s) https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution 4.0 International License (CC-BY 4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. See http://creativecommons.org/licenses/by/4.0/. |
spellingShingle | Policy Paper Kurpas, Donata Stefanicka-Wojtas, Dorota Shpakou, Andrei Halata, David Mohos, András Skarbaliene, Aelita Dumitra, Gindrovel Klimatckaia, Ludmila Bendova, Jana Tkachenko, Victoria The Advantages and Disadvantages of Integrated Care Implementation in Central and Eastern Europe – Perspective from 9 CEE Countries |
title | The Advantages and Disadvantages of Integrated Care Implementation in Central and Eastern Europe – Perspective from 9 CEE Countries |
title_full | The Advantages and Disadvantages of Integrated Care Implementation in Central and Eastern Europe – Perspective from 9 CEE Countries |
title_fullStr | The Advantages and Disadvantages of Integrated Care Implementation in Central and Eastern Europe – Perspective from 9 CEE Countries |
title_full_unstemmed | The Advantages and Disadvantages of Integrated Care Implementation in Central and Eastern Europe – Perspective from 9 CEE Countries |
title_short | The Advantages and Disadvantages of Integrated Care Implementation in Central and Eastern Europe – Perspective from 9 CEE Countries |
title_sort | advantages and disadvantages of integrated care implementation in central and eastern europe – perspective from 9 cee countries |
topic | Policy Paper |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8588893/ https://www.ncbi.nlm.nih.gov/pubmed/34824563 http://dx.doi.org/10.5334/ijic.5632 |
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