Detail
Článek
Článek online
FT
Medvik - BMČ
  • Je něco špatně v tomto záznamu ?

The Advantages and Disadvantages of Integrated Care Implementation in Central and Eastern Europe - Perspective from 9 CEE Countries

D. Kurpas, D. Stefanicka-Wojtas, A. Shpakou, D. Halata, A. Mohos, A. Skarbaliene, G. Dumitra, L. Klimatckaia, J. Bendova, V. Tkachenko

. 2021 ; 21 (4) : 14. [pub] 20211108

Jazyk angličtina Země Velká Británie

Typ dokumentu časopisecké články

Perzistentní odkaz   https://www.medvik.cz/link/bmc22001347

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.

Citace poskytuje Crossref.org

000      
00000naa a2200000 a 4500
001      
bmc22001347
003      
CZ-PrNML
005      
20220112153551.0
007      
ta
008      
220107s2021 xxk f 000 0|eng||
009      
AR
024    7_
$a 10.5334/ijic.5632 $2 doi
035    __
$a (PubMed)34824563
040    __
$a ABA008 $b cze $d ABA008 $e AACR2
041    0_
$a eng
044    __
$a xxk
100    1_
$a Kurpas, Donata $u Wroclaw Medical University, Faculty of Medicine, Wroclaw, Poland $u IFIC Board Member; EURIPA
245    14
$a The Advantages and Disadvantages of Integrated Care Implementation in Central and Eastern Europe - Perspective from 9 CEE Countries / $c D. Kurpas, D. Stefanicka-Wojtas, A. Shpakou, D. Halata, A. Mohos, A. Skarbaliene, G. Dumitra, L. Klimatckaia, J. Bendova, V. Tkachenko
520    9_
$a 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.
655    _2
$a časopisecké články $7 D016428
700    1_
$a Stefanicka-Wojtas, Dorota $u Wroclaw Medical University, Faculty of Medicine, Wroclaw, Poland
700    1_
$a Shpakou, Andrei $u Yanka Kupala State University of Grodno, Grodno, Belarus
700    1_
$a Halata, David $u VicusMedicus, s.r.o., Hostalkova, Czech Republic; Faculty of Medicine in Hradec Kralove, Charles University, Czech Republic $u EURIPA
700    1_
$a Mohos, András $u University of Szeged, Faculty of Medicine, Family Medicine Department, Hungary $u EURIPA
700    1_
$a Skarbaliene, Aelita $u Klaipeda University, Faculty of Health Sciences, Klaipeda, Lithuania
700    1_
$a Dumitra, Gindrovel $u Craiova, University of Medicine and Pharmacy; National Society of Family Medicine, Romania
700    1_
$a Klimatckaia, Ludmila $u Krasnoyarsk State Pedagogical University named after V.P. Astafiev, Krasnoyarsk, Russia
700    1_
$a Bendova, Jana $u BENMEDIKA s.r.o, Senec; Comenius University, Faculty of Medicine, Bratislava, Slovakia
700    1_
$a Tkachenko, Victoria $u Shupyk National Healthcare University of Ukraine, Kiev, Ukraine $u EURIPA
773    0_
$w MED00176121 $t International journal of integrated care $x 1568-4156 $g Roč. 21, č. 4 (2021), s. 14
856    41
$u https://pubmed.ncbi.nlm.nih.gov/34824563 $y Pubmed
910    __
$a ABA008 $b sig $c sign $y - $z 0
990    __
$a 20220107 $b ABA008
991    __
$a 20220112153547 $b ABA008
999    __
$a ind $b bmc $g 1745445 $s 1152494
BAS    __
$a 3
BAS    __
$a PreBMC
BMC    __
$a 2021 $b 21 $c 4 $d 14 $e 20211108 $i 1568-4156 $m International journal of integrated care $n Int J Integr Care $x MED00176121
LZP    __
$a Pubmed-20220107

Najít záznam

Citační ukazatele

Možnosti archivace