Mihajlo Michael Jakovljevic1, Jelena Arsenijevic2, Milena Pavlova2, Nick Verhaeghe3, Ulrich Laaser4, Wim Groot2,5. 1. a Health Economics and Pharmacoeconomics, Faculty of Medical Sciences , University of Kragujevac , Kragujevac , Serbia. 2. b Department of Health Services Research , CAPHRI, Maastricht University Medical Centre, Faculty of Health, Medicine and Life Sciences, Maastricht University , Maastricht , The Netherlands. 3. c Department of Public Health , I-CHER Interuniversity Centre for Health Economics Research, Ghent University , Ghent , Belgium. 4. d Section of International Public Health (S-IPH), Faculty of Health Sciences , University of Bielefeld , Bielefeld , Germany. 5. e Top Institute Evidence-Based Education Research (TIER); Maastricht University , Maastricht , The Netherlands.
Abstract
OBJECTIVE: Inter-regional comparison of health-reform outcomes in south-eastern Europe (SEE). METHODS: Macro-indicators were obtained from the WHO Health for All Database. Inter-regional comparison among post-Semashko, former Yugoslavia, and prior-1989-free-market SEE economies was conducted. RESULTS: United Nations Development Program Human Development Index growth was strongest among prior-free-market SEE, followed by former Yugoslavia and post-Semashko. Policy cuts to hospital beds and nursing-staff capacities were highest in post-Semashko. Physician density increased the most in prior-free-market SEE. Length of hospital stay was reduced in most countries; frequency of outpatient visits and inpatient discharges doubled in prior-free-market SEE. Fertility rates fell for one third in Post-Semashko and prior-free-market SEE. Crude death rates slightly decreased in prior-free-market-SEE and post-Semashko, while growing in the former Yugoslavia region. Life expectancy increased by 4 years on average in all regions; prior-free-market SEE achieving the highest longevity. Childhood and maternal mortality rates decreased throughout SEE, while post-Semashko countries recorded the most progress. CONCLUSIONS: Significant differences in healthcare resources and outcomes were observed among three historical health-policy legacies in south-eastern Europe. These different routes towards common goals created a golden opportunity for these economies to learn from each other.
OBJECTIVE: Inter-regional comparison of health-reform outcomes in south-eastern Europe (SEE). METHODS: Macro-indicators were obtained from the WHO Health for All Database. Inter-regional comparison among post-Semashko, former Yugoslavia, and prior-1989-free-market SEE economies was conducted. RESULTS: United Nations Development Program Human Development Index growth was strongest among prior-free-market SEE, followed by former Yugoslavia and post-Semashko. Policy cuts to hospital beds and nursing-staff capacities were highest in post-Semashko. Physician density increased the most in prior-free-market SEE. Length of hospital stay was reduced in most countries; frequency of outpatient visits and inpatient discharges doubled in prior-free-market SEE. Fertility rates fell for one third in Post-Semashko and prior-free-market SEE. Crude death rates slightly decreased in prior-free-market-SEE and post-Semashko, while growing in the former Yugoslavia region. Life expectancy increased by 4 years on average in all regions; prior-free-market SEE achieving the highest longevity. Childhood and maternal mortality rates decreased throughout SEE, while post-Semashko countries recorded the most progress. CONCLUSIONS: Significant differences in healthcare resources and outcomes were observed among three historical health-policy legacies in south-eastern Europe. These different routes towards common goals created a golden opportunity for these economies to learn from each other.
Entities:
Keywords:
Health indicators; Health resources; Population health; Post-Semashko; Socioeconomic transition; South-eastern Europe; Trend; Utilization; Yugoslavia
Authors: Branisav Oluic; Ivan Paunovic; Zlatibor Loncar; Vladimir Djukic; Aleksandar Diklic; Milan Jovanovic; Zeljko Garabinovic; Nikola Slijepcevic; Branislav Rovcanin; Dusan Micic; Aleksandar Filipovic; Vladan Zivaljevic Journal: BMC Cancer Date: 2017-05-25 Impact factor: 4.430
Authors: Mihajlo Jakovljevic; Carl Camilleri; Nemanja Rancic; Simon Grima; Milena Jurisevic; Kenneth Grech; Sandra C Buttigieg Journal: Front Public Health Date: 2018-08-06