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Within the triangle of healthcare legacies : comparing the performance of South-Eastern European health systems

Jakovljevic, Mihajlo Michael LU ; Arsenijevic, Jelena; Pavlova, Milena; Verhaeghe, Nick; Laaser, Ulrich and Groot, Wim (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
publishing date
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
  • 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
2019-07-16 03:54:55
@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},
  keyword      = {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},
  volume       = {20},
  year         = {2017},
}