By Verdon S Staines

The healthiness structures inherited by way of transition international locations of Europe and primary Asia (ECA) are altering in line with primary and exceptional demanding situations. even though the specified form of health platforms in lots of ECA international locations is discernible, the method for buying there needs to be invented alongside the best way. 'A future health area procedure for the Europe and critical Asia sector' experiences major matters dealing with future health policymakers in ECA. It summarizes the area Bank's event to date during this area and the teachings it indicates. moreover, it outlines either an exterior approach through which the Bank's ECA overall healthiness employees may perhaps help international locations to restructure their wellbeing and fitness structures and an inner technique in which the workers may arrange their very own actions to accomplish this end result. The e-book deals these outdoor the financial institution a foundation for pro discussion to foster confident swap within the Bank's methods.

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Additional info for A Health Sector Strategy for the Europe and Central Asia Region (Health, Nutrition, and Population Series)

Example text

Those mechanisms would usually be integrated with the system for paying health-care providers. What process might best help ECA countries get from here to there? In approaching reform, ECA health systems should adopt three overriding priorities. These are to reduce the high prevalence of avoidable illness; to create affordable delivery systems that better match the care offered with the main causes of illness, disability, and death; and to take advantage of intersectoral avenues for promoting health.

Achieving universal coverage of needed care at affordable prices requires introducing suitable insurance (or other risk-pooling arrangements) and creating a mechanism to assure access to people who are poor as well as sick (such as relating premiums to ability to pay). In essence, the options are either to establish national health insurance, to create a regulated system of private insurance markets that guarantees access by consumers, or to develop a hybrid scheme of mandatory public basic insurance and voluntary private supplementary insurance.

These are to reduce the high prevalence of avoidable illness; to create affordable delivery systems that better match the care offered with the main causes of illness, disability, and death; and to take advantage of intersectoral avenues for promoting health. Devising an effective approach to restructuring the health sector is a great challenge. The health-care system in itself, is only one influence on health outcomes, and yet consists of complex and highly interdependent subsectors. Health financing changes must complement changes in the delivery system.

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