ArticleInternational journal of environmental research and public health2021
Financing Healthcare in Central and Eastern European Countries: How Far Are We from Universal Health Coverage?
Article in International journal of environmental research and public health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers.
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Who cites it
25 citing papers in PubMed.
- Demographic, Geographic, and Temporal Patterns of Adult Dental Emergency Presentations in Arad County, Western Romania.Healthcare (Basel, Switzerland) · 2026Article
- Reducing private health expenditure in Greece: the case for regulated complementary health insurance.Frontiers in public health · 2026Article
- Key strategies for addressing the rising global burden and cost of healthcare.Journal of public health research · 2026Article
- The Reform That Was Never Completed: Why Greece Must Redesign Its Health Financing Architecture.Healthcare (Basel, Switzerland) · 2025Article
- Investigating the relationship between corruption and health system outcomes in Central and Eastern Europe.European journal of public health · 2025Article
- Dental Care and Oral Health Within the Framework of Bulgarian Public Health Financing.Healthcare (Basel, Switzerland) · 2025Article
- Catastrophic and impoverishing out-of-pocket payments for health care in Poland in 2013-2021.Health policy OPEN · 2025Article
- Digital pulse: Social media reaction to South Africa's National Health Insurance implementation.African journal of primary health care & family medicine · 2025Article
- Optimizing Patient Access to Orphan Medicinal Products: Lessons from Central and Eastern Europe.Journal of market access & health policy · 2025Article
- Diagnosis, management, and monitoring of interleukin-1 mediated diseases in Central and Eastern Europe: real-world data.Pediatric rheumatology online journal · 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
- Myasthenia gravis: understanding treatment patterns and direct medical costs in the Czech Republic.Orphanet journal of rare diseases · 2024Article
- Improving Vaccine Assessment Pathways and Decision Making in the Polish Immunization Program.Vaccines · 2024Article
- Primary healthcare services' accessibility and quality under compulsory social health insurance in Kazakhstan.Frontiers in public health · 2024Article
- Revitalizing neurosurgical frontiers: The EANS frontiers in neurosurgery committee's strategic framework.Brain & spine · 2024Article
- Management Barriers to Inter-Organizational Collaboration in Preoperative Treatment of Patients with Hip or Knee Osteoarthritis.Healthcare (Basel, Switzerland) · 2023Article
- Socio-demographic and regional differences in unmet healthcare needs among migrants in Europe.PloS one · 2023Article
- Diversity awareness, diversity competency and access to healthcare for minority groups: perspectives of healthcare professionals in Croatia, Germany, Poland, and Slovenia.Frontiers in public health · 2023Article
- Financial Burden of Medical Care, Dental Care, and Medicines among Older-Aged Population in Slovenia, Serbia, and Croatia.International journal of environmental research and public health · 2022Article
- Socioeconomic Determinants of Universal Health Coverage in the Asian Region.International journal of environmental research and public health · 2022Article
Corrections and comments
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
After the fall of communism, the healthcare systems of Central and Eastern European countries underwent enormous transformation, resulting in departure from publicly financed healthcare. This had significant adverse effects on equity in healthcare, which are still evident. In this paper, we analyzed the role of government and households in financing healthcare in eight countries (EU-8): Czechia, Estonia, Hungary, Latvia, Lithuania, Poland, Slovakia, and Slovenia. A desk research method was applied to collect quantitative data on healthcare expenditures and qualitative data on gaps in universal health coverage. A linear regression analysis was used to analyze a trend in health expenditure over the years 2000-2018. Our results indicate that a high reliance on out-of-pocket payments persists in many EU-8 countries, and only a few countries have shown a significant downward trend over time. The gaps in universal coverage in the EU-8 countries are due to explicit rationing (a limited benefit package, patient cost sharing) and implicit mechanisms (wait times). There is need to increase the role of public financing in CEE countries through budget prioritization, reducing patient co-payments for medical products and medicines, and extending the benefit package for these goods, as well as improving the quality of care.
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Registered trials
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