ArticlePrimary health care research & development2019
Primary care behind the former "Iron Curtain": changes and development of primary healthcare provision in the Eastern part of the European Union.
Article in Primary health care research & development, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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Who cites it
7 citing papers in PubMed.
- How far on the road? The role of family medicine/general practice in 10 Central and Eastern European countries: A mixed-method study.The European journal of general practice · 2025Article
- Health care provider payment schemes and their changes since 2010 across nine Central and Eastern European countries - a comparative analysis.Health policy (Amsterdam, Netherlands) · 2025Article
- Political factors and arrangements influencing primary health care financing and resource allocation: A scoping review protocol.PloS one · 2024Article
- How do nurses support chronically ill clients' participation and self-management in primary care? A cross-country qualitative study.BMC primary care · 2022Article
- Evaluation of primary care services in Hungary: a comprehensive description of provision, professional competences, cooperation, financing, and infrastructure, based on the findings of the Hungarian-arm of the QUALICOPC study.Primary health care research & development · 2021Article
- Effect of family doctor contract services on patient perceived quality of primary care in southern China.BMC family practice · 2020Article
- The Advantages and Disadvantages of Integrated Care Implementation in Central and Eastern Europe - Perspective from 9 CEE Countries.International journal of integrated careArticle
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Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe Alma-Ata Declaration was a big step in the development of primary care, defining the main tasks and populations' expectation. Celebrating the 40th year's anniversary is a good opportunity to make an analysis. Development of primary care was not parallel in the Eastern and Western part of Europe.
aimTo provide an overview on the societal and economic situation, structural and financial changes of healthcare systems in the former 'Soviet bloc' countries, to present an analysis of the primary healthcare (PHC) provision and to find relationships between economic development and epidemiological changes of the respective countries.
methodEpidemiological data, healthcare expenditures and structure, and financing schemes were compared; systematic literature search was performed.
resultsVisible improvements in population health, in the national economic condition, structural changes in healthcare and more focus to primary care were experienced everywhere. Higher life expectancies with high inter-country variation were observed in the former 'Soviet bloc' countries, although it could not be clearly linked to the development of healthcare system. PHC provision improved while structural changes were rarely initiated, often only as a project or model initiation. Single-handed practices are yet predominant. The gate-keeping system is usually weak; there were no effective initiatives to improve the education of nurses and to widen their competences. Migrations of workforce to Western countries become a real threat for the Central-East European countries.
conclusionLack of coordination between practices and interdisciplinary cooperation were recognized as the main barriers for further improvement in the structure.
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