Health system financing reforms and its impact on access to health care in low and lower middle income countries of WHO European Region : a systematic review
Year: 2014
Type: review
Study design: Systematic Review
Abstract: Health system financing reforms and its impact on access to health care in low and lower middle income countries of WHO European Region -A systematic reviewUnder Soviet communism, the Semashko models of prevailing healthcare systems in the low and lower middle income countries of WHO European region were centrally planned and managed using general government revenues.Over the last two decades, the collapse of the Soviet Union has created a unique opportunity for these countries of WHO European Region in line with other members of former communist nations for health systems reforms.This study examines the health systems financing reforms that has influenced in improving access for health services consumption.A literature search within major electronic health databases has been conducted.Based on the defined criteria for review, 62 publications are included for this review study.We have found that the adoption of health security measuresprotection from impoverishment arising from sickness are the hallmarks in Albania, Armenia, Georgia, Kyrgyzstan and Moldova while generating resources with improved efficiency for the health systems are the cornerstone for Tajikistan.Ukraine has followed rationing of services as demand side lever for cost containment and introduction of performance-basedprovider payments as supply side lever for efficiency improvement while service quality improvement is the focus for Uzbek health system reforms initiatives.This study sets the space for impact evaluations of the health system reforms in the perspective of population health need and financing mechanisms of the health systems in the low and lower middle income countries of WHO Europe.
Author: Amir Kassim
Language: English
Field: Medicine
Domain: Health Sciences
Open Access status: green
OpenAlex ID: W3096823623