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Verdon S. Staines - A Health Sector Strategy for the Europe and Central Asia Region (Health, Nutrition, and Population Series)

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The health systems inherited by transition countries of Europe and Central Asia (ECA) are changing in response to fundamental and unprecedented challenges. Although the desired shape of future health systems in many ECA countries is discernible, the process for getting there must be invented along the way. A Health Sector Strategy for the Europe and Central Asia Region reviews substantive issues facing health policymakers in ECA. It summarizes the World Banks experience so far in this arena and the lessons it suggests. Furthermore, it outlines both an external strategy by which the Banks ECA health staff could assist countries to restructure their health systems and an internal strategy by which the staff could organize their own activities to achieve this result. The publication offers those outside the Bank a basis for professional dialogue to foster constructive change in the Banks approaches.

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title A Health Sector Strategy for the Europe and Central Asia Region - photo 1

title:A Health Sector Strategy for the Europe and Central Asia Region Health, Nutrition, and Population Series
author:Staines, Verdon S.
publisher:World Bank
isbn10 | asin:0821344811
print isbn13:9780821344811
ebook isbn13:9780585183251
language:English
subjectMedical policy--Former Soviet republics, Medical policy--Europe, Eastern, Health planning--Former Soviet republics, Health planning--Europe, Eastern, World Bank--Former Soviet republics, World Bank--Europe, Eastern.
publication date:1999
lcc:RA395.F6S73 1999eb
ddc:362.1/0947
subject:Medical policy--Former Soviet republics, Medical policy--Europe, Eastern, Health planning--Former Soviet republics, Health planning--Europe, Eastern, World Bank--Former Soviet republics, World Bank--Europe, Eastern.
Page i
A Health Sector Strategy for the Europe and Central Asia Region
Human Development Network
Health, Nutrition, and Population Series
Verdon S. Staines
The World Bank
Washington, D.C.
Page aa
Health, Nutrition, and Population Series
This new series is produced by Health, Nutrition, and Population Family (HNP) of the World Bank's Human Development Network. The series aims to provide a vehicle for publishing material on the Bank's work in the HNP sector, to consolidate the various previous publications in the sector, and to improve the standard for quality control, peer review, and dissemination of HNP publications.
The series focuses on publications that expand our knowledge of HNP policy and strategy issues through thematic reviews, analytical work, case studies, and examples of best practices. The volumes in the series focus on material of global and regional relevance.
The broad strategic themes of the series are proposed by its editorial committee, which is coordinated by Alexander Preker. The other members of this committee are Eugene Boostrom, Dean Jamison, Prabhat Jha, Rama Lakshminarayan, Maureen Lewis, Judith McGuire, Philip Musgrove, Mead Over, David Peters, Nicholas Prescott, George Schieber, and Jacques Van der Gaag.
Page ii
Copyright 1999
The International Bank for Reconstruction
and Development/THE WORLD BANK
1818 H Street, N.W.
Washington, D.C. 20433, U.S.A.
All rights reserved
Manufactured in the United States of America
First printing September 1999
The findings, interpretations, and conclusions expressed in this paper are entirely those of the author(s) and should not be attributed in any manner to the World Bank, to its affiliated organizations, or to members of its Board of Executive Directors or the countries they represent. The World Bank does not guarantee the accuracy of the data included in this publication and accepts no responsibility for any consequence of their use. The boundaries, colors, denominations, and other information shown on any map in this volume do not imply on the part of the World Bank Group any judgment on the legal status of any territory or the endorsement or acceptance of such boundaries.
The material in this publication is copyrighted. The World Bank encourages dissemination of its work and will normally grant permission promptly.
Permission to photocopy items for internal or personal use, for the internal or personal use of specific clients, or for educational classroom use, is granted by the World Bank, provided that the appropriate fee is paid directly to Copyright Clearance Center, Inc., 222 Rosewood Drive, Danvers, MA 01923, U.S.A., telephone 978-750-8400, fax 978-750-4470. Please contact the Copyright Clearance Center before photocopying items.
For permission to reprint individual articles or chapters, please fax your request with complete information to the Republication Department, Copyright Clearance Center, fax 978-750-4470.
All other queries on rights and licenses should be addressed to the World Bank at the address above or faxed to 202-522-2422.
Verdon S. Staines is senior economist and project team leader for Croatia at the World Bank.
Library of Congress Cataloging-in-Publication Data
Staines, Verdon S.
A health sector strategy for the Europe and Central Asia region / Verdon S. Staines.
p. cm. (Health, nutrition, and population series) ISBN 0-8213-4481-1
1. Medical policyFormer Soviet republics. 2. Medical policy
Europe, Eastern. Health planningFormer Soviet republics.
4. Health planningEurope, Eastern. 5. World BankFormer Soviet
republics. 6. World BankEurope, Eastern. I. Title. II. Series.
RA395.F6S73 1999 99-24418
362.1'0947dc21 CIP
Page iii
Contents
Foreword
v
Acknowledgments
vi
Abstract
vii
List of Acronyms
viii
Overview and Summary
1
1
Health Systems in Transition Countries in the Europe and Central Asia Region
11
Picture 2
Context
11
Picture 3
Key Issues
19
Picture 4
Embarking On Reform
26
Picture 5
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