Within the triangle of healthcare legacies : comparing the performance of South-Eastern European health systems
(2017) In Journal of Medical Economics 20(5). p.483-492- Abstract
OBJECTIVE: Inter-regional comparison of health-reform outcomes in south-eastern Europe (SEE).
METHODS: Macro-indicators were obtained from the WHO Health for All Database. Inter-regional comparison among post-Semashko, former Yugoslavia, and prior-1989-free-market SEE economies was conducted.
RESULTS: United Nations Development Program Human Development Index growth was strongest among prior-free-market SEE, followed by former Yugoslavia and post-Semashko. Policy cuts to hospital beds and nursing-staff capacities were highest in post-Semashko. Physician density increased the most in prior-free-market SEE. Length of hospital stay was reduced in most countries; frequency of outpatient visits and inpatient discharges doubled in... (More)
OBJECTIVE: Inter-regional comparison of health-reform outcomes in south-eastern Europe (SEE).
METHODS: Macro-indicators were obtained from the WHO Health for All Database. Inter-regional comparison among post-Semashko, former Yugoslavia, and prior-1989-free-market SEE economies was conducted.
RESULTS: United Nations Development Program Human Development Index growth was strongest among prior-free-market SEE, followed by former Yugoslavia and post-Semashko. Policy cuts to hospital beds and nursing-staff capacities were highest in post-Semashko. Physician density increased the most in prior-free-market SEE. Length of hospital stay was reduced in most countries; frequency of outpatient visits and inpatient discharges doubled in prior-free-market SEE. Fertility rates fell for one third in Post-Semashko and prior-free-market SEE. Crude death rates slightly decreased in prior-free-market-SEE and post-Semashko, while growing in the former Yugoslavia region. Life expectancy increased by 4 years on average in all regions; prior-free-market SEE achieving the highest longevity. Childhood and maternal mortality rates decreased throughout SEE, while post-Semashko countries recorded the most progress.
CONCLUSIONS: Significant differences in healthcare resources and outcomes were observed among three historical health-policy legacies in south-eastern Europe. These different routes towards common goals created a golden opportunity for these economies to learn from each other.
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- author
- Jakovljevic, Mihajlo Michael LU ; Arsenijevic, Jelena ; Pavlova, Milena ; Verhaeghe, Nick ; Laaser, Ulrich and Groot, Wim
- publishing date
- 2017-05
- type
- Contribution to journal
- publication status
- published
- subject
- keywords
- Birth Rate/trends, Cross-Cultural Comparison, Europe, Eastern/epidemiology, Health Policy, Health Services/statistics & numerical data, Hospital Bed Capacity/statistics & numerical data, Hospitalization/statistics & numerical data, Humans, Life Expectancy/trends, Medical Staff, Hospital/statistics & numerical data, Mortality/trends, Nursing Staff, Hospital/statistics & numerical data
- in
- Journal of Medical Economics
- volume
- 20
- issue
- 5
- pages
- 10 pages
- publisher
- Informa Healthcare
- external identifiers
-
- pmid:28035843
- scopus:85009756454
- ISSN
- 1941-837X
- DOI
- 10.1080/13696998.2016.1277228
- language
- English
- LU publication?
- no
- id
- a7b3f7d0-5ad2-4a65-bc9f-e1199bfc1652
- date added to LUP
- 2018-09-01 22:38:57
- date last changed
- 2024-07-08 18:06:03
@article{a7b3f7d0-5ad2-4a65-bc9f-e1199bfc1652,
abstract = {{<p>OBJECTIVE: Inter-regional comparison of health-reform outcomes in south-eastern Europe (SEE).</p><p>METHODS: Macro-indicators were obtained from the WHO Health for All Database. Inter-regional comparison among post-Semashko, former Yugoslavia, and prior-1989-free-market SEE economies was conducted.</p><p>RESULTS: United Nations Development Program Human Development Index growth was strongest among prior-free-market SEE, followed by former Yugoslavia and post-Semashko. Policy cuts to hospital beds and nursing-staff capacities were highest in post-Semashko. Physician density increased the most in prior-free-market SEE. Length of hospital stay was reduced in most countries; frequency of outpatient visits and inpatient discharges doubled in prior-free-market SEE. Fertility rates fell for one third in Post-Semashko and prior-free-market SEE. Crude death rates slightly decreased in prior-free-market-SEE and post-Semashko, while growing in the former Yugoslavia region. Life expectancy increased by 4 years on average in all regions; prior-free-market SEE achieving the highest longevity. Childhood and maternal mortality rates decreased throughout SEE, while post-Semashko countries recorded the most progress.</p><p>CONCLUSIONS: Significant differences in healthcare resources and outcomes were observed among three historical health-policy legacies in south-eastern Europe. These different routes towards common goals created a golden opportunity for these economies to learn from each other.</p>}},
author = {{Jakovljevic, Mihajlo Michael and Arsenijevic, Jelena and Pavlova, Milena and Verhaeghe, Nick and Laaser, Ulrich and Groot, Wim}},
issn = {{1941-837X}},
keywords = {{Birth Rate/trends; Cross-Cultural Comparison; Europe, Eastern/epidemiology; Health Policy; Health Services/statistics & numerical data; Hospital Bed Capacity/statistics & numerical data; Hospitalization/statistics & numerical data; Humans; Life Expectancy/trends; Medical Staff, Hospital/statistics & numerical data; Mortality/trends; Nursing Staff, Hospital/statistics & numerical data}},
language = {{eng}},
number = {{5}},
pages = {{483--492}},
publisher = {{Informa Healthcare}},
series = {{Journal of Medical Economics}},
title = {{Within the triangle of healthcare legacies : comparing the performance of South-Eastern European health systems}},
url = {{http://dx.doi.org/10.1080/13696998.2016.1277228}},
doi = {{10.1080/13696998.2016.1277228}},
volume = {{20}},
year = {{2017}},
}