Publication:
Getting Better : Improving Health System Outcomes in Europe and Central Asia

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dc.contributor.authorSmith, Owen
dc.contributor.authorNguyen, Son Nam
dc.date.accessioned2013-06-11T16:39:59Z
dc.date.available2013-06-11T16:39:59Z
dc.date.issued2013-06-10
dc.description.abstractThis report is about how to improve health system outcomes in countries in the Europe and Central Asia (ECA) region. Long-term historical trends indicate substantial room for improvement, especially when ECA's health outcomes are compared to those of the Austria, Belgium, Denmark, Finland, France, Germany, Greece, Ireland, Italy, Luxembourg, the Netherlands, Portugal, Spain, Sweden, and the United Kingdom (EU-15). Instead of catching up with their Western neighbors, many countries in ECA have been falling behind. This report, which explores the development challenge facing health sectors in ECA, identifies three key agendas for achieving more rapid convergence with the world's best-performing health systems: (i) the first is the health agenda, in which the main imperative is to strengthen public health and primary care interventions to help achieve the 'cardiovascular revolution' that has taken place in the west in recent decades; (ii) the second is the financing agenda, in which growing demand for medical care must be satisfied without imposing an undue burden on households, by achieving better financial protection, or on government budgets, by ensuring a more efficient use of resources; and (iii) the third agenda relates to broader institutional arrangements. Here, a few key reform ingredients are identified, each of which is common to most advanced health systems but lacking in many ECA countries.en
dc.identifier.doi10.1596/978-0-8213-9883-8
dc.identifier.isbn978-0-8213-9883-8
dc.identifier.urihttps://hdl.handle.net/10986/13832
dc.language.isoen_US
dc.publisherWashington, DC: World Bank
dc.relation.ispartofseriesEurope and Central Asia Reports;
dc.rightsCC BY 3.0 IGO
dc.rights.holderWorld Bank
dc.rights.urihttp://creativecommons.org/licenses/by/3.0/igo
dc.subjectaccess to health care
dc.subjectaccountability mechanisms
dc.subjectadult mortality
dc.subjectadult population
dc.subjectAging
dc.subjectAlcohol Consumption
dc.subjectalcohol policies
dc.subjectasphyxia
dc.subjectbasic human right
dc.subjectbasic needs
dc.subjectbudget caps
dc.subjectCancer
dc.subjectcapitation
dc.subjectCardiovascular Disease
dc.subjectcardiovascular risk factors
dc.subjectchild health
dc.subjectchild mortality
dc.subjectCholesterol
dc.subjectchronic disease
dc.subjectcompetition among insurers
dc.subjectcost sharing
dc.subjectdeaths
dc.subjectdecision making
dc.subjectDelivery of Health Care
dc.subjectdemand for health
dc.subjectdemand for health care
dc.subjectdepression
dc.subjectdiet
dc.subjectdisability
dc.subjectdisease burden
dc.subjectdisease diagnosis
dc.subjectDisease management
dc.subjectdissemination
dc.subjectdoctors
dc.subjectDrugs
dc.subjectearly childhood
dc.subjecteconomic growth
dc.subjectEconomic Perspectives
dc.subjectEconomic Review
dc.subjectelderly
dc.subjectemployment
dc.subjectepidemic
dc.subjectexcess mortality
dc.subjectexisting resources
dc.subjectfee for service
dc.subjectfee-for-service
dc.subjectfee-for-service methods
dc.subjectfee-for-service payment
dc.subjectFemales
dc.subjectfinancial consequences
dc.subjectFinancial Protection
dc.subjectfixed costs
dc.subjectgenes
dc.subjectglobal health
dc.subjectgross domestic product
dc.subjectgross national income
dc.subjectHealth Budgets
dc.subjectHealth Care
dc.subjecthealth care delivery
dc.subjecthealth care providers
dc.subjecthealth care provision
dc.subjectHealth Care Services
dc.subjecthealth care systems
dc.subjecthealth consequences
dc.subjecthealth coverage
dc.subjecthealth expenditure
dc.subjecthealth expenditures
dc.subjectHealth Financing
dc.subjecthealth indicators
dc.subjectHealth Insurance
dc.subjectHealth Insurance Fund
dc.subjecthealth legislation
dc.subjectHealth Organization
dc.subjecthealth outcomes
dc.subjectHealth Policy
dc.subjecthealth professionals
dc.subjecthealth programs
dc.subjectHealth Reform
dc.subjecthealth resources
dc.subjecthealth risks
dc.subjectHealth Sector
dc.subjectHealth Spending
dc.subjectHealth System
dc.subjectHealth Systems
dc.subjectHealth Trends
dc.subjecthealth-financing
dc.subjecthealthy life
dc.subjectheart attack
dc.subjectheart disease
dc.subjectHigh Blood Pressure
dc.subjectHIV/AIDS
dc.subjectHospital
dc.subjecthospital beds
dc.subjecthospital capacity
dc.subjectHospital Waste
dc.subjecthospitalization
dc.subjectHospitals
dc.subjecthousehold surveys
dc.subjectHuman Development
dc.subjecthuman health
dc.subjecthypertension
dc.subjectill health
dc.subjectillness
dc.subjectImmunization
dc.subjectimmunodeficiency
dc.subjectimportant policy
dc.subjectIncome
dc.subjectincome countries
dc.subjectInfant
dc.subjectInfant mortality
dc.subjectinfectious diseases
dc.subjectInformal Payments
dc.subjectinformal sector
dc.subjectinjuries
dc.subjectinsurance markets
dc.subjectintervention
dc.subjectlack of knowledge
dc.subjectlegal status
dc.subjectlevel of development
dc.subjectLife Expectancy
dc.subjectLife expectancy at birth
dc.subjectLife Expectancy Gains
dc.subjectlife-saving care
dc.subjectLiving Standards
dc.subjectlongevity
dc.subjectmagnetic resonance imaging
dc.subjectmarket failures
dc.subjectmaterial resources
dc.subjectmaternal and child health
dc.subjectmaternal mortality
dc.subjectmedical bills
dc.subjectMedical Care
dc.subjectMedical Insurance
dc.subjectmedical staff
dc.subjectmedical systems
dc.subjectmedical technologies
dc.subjectMedical technology
dc.subjectMental
dc.subjectMental Health
dc.subjectmigration
dc.subjectMillennium Development Goal
dc.subjectMillennium Development Goals
dc.subjectmodern medicine
dc.subjectmoral hazard
dc.subjectMorbidity
dc.subjectmortality
dc.subjectMRI
dc.subjectmultiple insurers
dc.subjectnational governments
dc.subjectnational health
dc.subjectnational health service
dc.subjectneonatal care
dc.subjectneonatal mortality
dc.subjectnutrition
dc.subjectpandemic
dc.subjectPatient
dc.subjectPatient Choice
dc.subjectpatient cost
dc.subjectPatients
dc.subjectpensions
dc.subjectpersonal behavior
dc.subjectPharmaceutical Spending
dc.subjectPharmaceuticals
dc.subjectphysicians
dc.subjectpneumonia
dc.subjectPocket Payments
dc.subjectpocket payments for health care
dc.subjectpolicy makers
dc.subjectPolicy Response
dc.subjectprevalence
dc.subjectPrimary Care
dc.subjectprimary health care
dc.subjectProgress
dc.subjectprostate
dc.subjectProvider payment
dc.subjectpublic health
dc.subjectpublic opinion
dc.subjectpurchasing power
dc.subjectpurchasing power parity
dc.subjectQuality Assurance
dc.subjectQuality of Care
dc.subjectQuality of Life
dc.subjectreform of health systems
dc.subjectRespect
dc.subjectrestaurants
dc.subjectrisk factor
dc.subjectRisk Factors
dc.subjectSafety Net
dc.subjectsafety nets
dc.subjectScreening
dc.subjectservice delivery
dc.subjectservice provision
dc.subjectSmokers
dc.subjectSmoking
dc.subjectsocial health insurance
dc.subjectsocial sectors
dc.subjectsocioeconomic status
dc.subjectsuicide
dc.subjectsyndrome
dc.subjectTB
dc.subjectTobacco Taxation
dc.subjectTreatment
dc.subjectTuberculosis
dc.subjectunder-five mortality
dc.subjectuse of resources
dc.subjectvaccinations
dc.subjectVaccines
dc.subjectviolence
dc.subjectWaste
dc.subjectWorld Health Organization
dc.titleGetting Better : Improving Health System Outcomes in Europe and Central Asiaen
dspace.entity.typePublication
okr.crossref.titleGetting Better
okr.date.disclosure2013-06-04
okr.date.doiregistration2025-04-15T10:42:59.237946Z
okr.doctypePublications & Research::Publication
okr.doctypePublications & Research
okr.globalpracticeFinance and Markets
okr.globalpracticeHealth, Nutrition, and Population
okr.identifier.doi10.1596/978-0-8213-9883-8
okr.identifier.report78185
okr.identifier.report78683
okr.language.supporteden
okr.peerreviewAcademic Peer Review
okr.region.administrativeEurope and Central Asia
okr.region.geographicalEurope
okr.region.geographicalCentral Asia
okr.region.geographicalEurope and Central Asia
okr.sectorFinance :: Non-compulsory health finance
okr.sectorHealth and other social services :: Health
okr.themeSocial dev/gender/inclusion :: Gender
okr.themeHuman development :: Child health
okr.themeHuman development :: Other communicable diseases
okr.themeHuman development :: Health system performance
okr.themeHuman development :: Population and reproductive health
okr.topicHealth, Nutrition and Population::Disease Control & Prevention
okr.topicHealth, Nutrition and Population::Health Economics & Finance
okr.topicHealth, Nutrition and Population::Health Monitoring & Evaluation
okr.topicHealth, Nutrition and Population::Health Systems Development & Reform
okr.topicHealth, Nutrition and Population::Population Policies
okr.unitHealth and Nutrition (ECSH1)
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