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This book provides the first in-depth study of healthcare reforms
in post-communist Eastern Europe. Combining insights from
comparative politics and public policy analysis, it examines health
reforms in Slovenia, the Czech Republic, and Poland between 1989
and 2019. The book argues that the post-communist transformation of
healthcare policy has entailed a process of policy learning, and
that the countries' reform pathways were shaped by a series of
initiatives aimed at applying market-oriented policy ideas in
healthcare. The success of these initiatives has been influenced by
three factors: policy legacies, political competition, and
institutional configurations. The book offers a novel comparison of
health reform in the region and policy changes more generally. It
will appeal to scholars and students of public policy, health
policy, and European politics.
Health Politics in Europe: A Handbook is a major new reference
work, which provides historical background and up-to-date
information and analysis on health politics and health systems
throughout Europe. In particular, it captures developments that
have taken place since the end of the Cold War, a turning point for
many European health systems, with most post-communist transition
countries privatizing their state-run health systems, and many
Western European health systems experimenting with new public
management and other market-oriented health reforms. Following
three introductory, stage-setting chapters, the handbook offers
country cases divided into seven regional sections, each of which
begins with a short regional outlook chapter that highlights the
region's common characteristics and divergent paths taken by the
separate countries, including comparative data on health system
financing, healthcare access, and the political salience of health.
Each regional section contains at least one detailed main case,
followed by shorter treatments of the other countries in the
region. Country chapters feature a historical overview focusing on
the country's progression through a series of political regimes and
the consequences of this history for the health system; an overview
of the institutions and functioning of the contemporary health
system; and a political narrative tracing the politics of health
policy since 1989. This political narrative, the core of each
country case, examines key health reforms in order to understand
the political motivations and dynamics behind them and their impact
on public opinion and political legitimacy. The handbook's
systematic structure makes it useful for country-specific,
cross-national, and topical research and analysis.
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