Economic Transition and Health Care Reform: The Experience of Europe and Central Asia

42 Pages Posted: 29 Mar 2010

See all articles by Adam Leive

Adam Leive

University of Virginia - Frank Batten School of Leadership and Public Policy

Date Written: March 2010

Abstract

This paper exploits the staggered adoption of major concurrent health reforms in countries in Europe and Central Asia after 1990 to estimate their impact on public health expenditure, utilization, and avoidable deaths. While the health systems all derived from the same paradigm under central planning, they have since introduced changes to policies regarding cost-sharing, provider payment, financing, and the rationalization of hospital infrastructure. Provider payment reforms produce the largest impact on spending, with fee-for-service increasing spending and patient-based payment reducing it. The impact on avoidable deaths is generally negligible, but there is some evidence of improvements due to fee-for-service.

Keywords: Central Asia, Cross country analysis, Economic models, Economic reforms, Europe, Government expenditures, Health care, Statistics, Transition economies

Suggested Citation

Leive, Adam, Economic Transition and Health Care Reform: The Experience of Europe and Central Asia (March 2010). IMF Working Paper No. 10/75, Available at SSRN: https://ssrn.com/abstract=1578673

Adam Leive (Contact Author)

University of Virginia - Frank Batten School of Leadership and Public Policy ( email )

235 McCormick Rd.
P.O. Box 400893
Charlottesville, VA 22904-4893
United States

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