Europe and Central Asia Knowledge Brief

67 items available

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This is a regular series of notes highlighting recent analyses, good practices, and lessons learned from the development work program of the World Bank’s Europe and Central Asia Region.

Items in this collection

Now showing 1 - 4 of 4
  • Publication
    Restructuring Regional Health Systems In Russia
    (World Bank, Washington, DC, 2010-10) Marquez, Patricio V.; Lebedeva, Nadezhda
    The delivery of health services in Russia is a federal, regional and municipal responsibility. Reform of the regional health systems, which suffer from over-reliance on curative and inpatient care, deteriorating infrastructure and equipment, and poor quality of services, is a major challenge for the country. From 2003-2008, the World Bank helped strengthen the stewardship capacity of Russia's Federal Ministry of Health and Social Development (MOHSD) and restructure health systems in two pilot regions: the Chuvash Republic and Voronezh oblast. In both regions, hospital bed numbers were reduced while simultaneously increasing service delivery capacity at the primary care, specialized ambulatory, and long-term care facility levels through the introduction of new technologies, clinical protocols, and resource allocation mechanisms that link payments to performance.
  • Publication
    Setting Incentives for Health Care Providers in Serbia
    (World Bank, Washington, DC, 2010-07) Cashin, Cheryl; Koettl, Johannes; Schneider, Pia
    The Serbian Government plans to reform its provider payment system for health care by setting incentives for providers to improve the quality and efficiency of care. Funds for health care are currently allocated on the basis of the number of staff and beds at health facilities. This encourages health care providers to use more staff and beds to define their budgets but does not reward improvements in productivity, quality of care or health outcomes.
  • Publication
    Redesigning Health Care in ECA : Some Lessons from the UK
    (World Bank, Washington, DC, 2010-06) Marquez, Patricio; Chalkidou, Kalipso; Cutler, Derek; Doyle, Nick
    The countries in Europe and Central Asia (ECA) have been struggling to deliver good, affordable health care to their populations. Indeed, life expectancy gains in the region have been significantly lower than in other middle or high-income countries, and in some ECA countries the relative low level of public sector funding to cover the cost of free medical care that is already promised by the governments to their citizens has consistently hindered access to quality services and led to a significant increase in out-of-pocket spending by patients for healthcare. The main challenge now is to redesign health systems to effectively address the changing health needs of the population, chiefly the increase in non-communicable diseases such as cardiovascular diseases, cancer, and injuries, as the leading causes of ill-health, premature mortality and disability.
  • Publication
    Combating Ukraine’s Health Crisis : Lessons from Europe
    (World Bank, Washington, DC, 2010-01) Menon, Rekha
    This knowledge brief synthesizes the important findings of a recent study. It spotlights key issues and challenges facing Ukraine's health sector and suggests strategies for improvement. To combat the current health crisis, Ukraine could look at the lessons learned by other European countries that have faced similar health crises.