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

Fifty years ago, health outcomes in the countries of Eastern Europe and Central Asia were not far behind those in Western Europe and well ahead of most other regions of the world. But progress since then has been slow. While life expectancy in the ECA region today is close to the global average, the...

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Online Access: Full text (MCPHS users only)
Main Author: Smith, Owen
Format: Electronic eBook
Language:English
Published: World Bank Group, 2013
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Local Note:ProQuest Ebook Central

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505 0 |a Cover; Contents; Foreword; Acknowledgments; Abbreviations; Overview; A Development Challenge; Figures; 0.1 Since 1960, Life Expectancy Gains in ECA Have Been the Lowest in the World; 0.2 Significant Variation in ECA's Health Trends across Countries and over Time; 0.3 Health Has Contributed Very Little to ECA's Development in the Past 50 Years; 0.4 Health Is a Top Priority for Populations across the Region; 0.5 A Road Map to the Report; The Health Agenda: Achieving a Cardiovascular Revolution; 0.6 Cardiovascular Disease Is the Main Source of the Life Expectancy Gap between ECA and the EU-15. 
505 8 |a 0.7 Fewer Smokers Are Quitting in ECA0.8 Widespread Support for Anti-tobacco Measures, Especially among Women; 0.9 High Blood Pressure Is Not Being Treated and Controlled; The Financing Agenda: A Safety Net for All-While Cutting the Fat; 0.10 The Quality of Key Health Care Services Can Be Improved; 0.11 The Balance between Out-of-Pocket Spending and Government Budgets Varies Widely; 0.12 Substantial Out-of-Pocket Payments for Health in ECA, Especially for Drugs; 0.13 A Greater Reliance on Out-of-Pocket Payments Undermines Financial Protection and Leads to Inequality in Use. 
505 8 |a 0.14 Government Health Budgets in ECA Cover a Wide Range but Are Smaller than in the EU-15The Institutional Agenda: Ingredients, Not Recipes; 0.15 Accountability of Primary Care Is Stronger in OECD Health Systems than in ECA; References; 0.16 Health System Capacity to Use Information Is Less Developed in ECA than in the OECD; 1. Getting Better? In Search of Convergence; Some Successes, but Overall Slow Progress on Key Objectives; 1.1 On and off the Curve; 1.2 Since 1960, Life Expectancy Gains in ECA Have Been the Lowest in the World; Boxes. 
505 8 |a 1.1 A Brief Historical Tour of Health Trends in ECA: Different Countries, Time Periods, NarrativesB1.1.1 Significant Variation in Life Expectancy Trends across Countries and over Time, 1970-2010; 1.3 More Backward Steps than Forward Steps on Financial Protection; 1.4 A Mostly Positive Picture on Cost Containment, 1997-2010; A Guide to the Report: Objective, Road Map, and Cross-Cutting Themes; 1.5 A Road Map to the Report; 1.2 A Note on Data Sources; Tables; B.1.2.1 Main Survey Data Sources; References; 2. Improving Welfare: The Value of Health; Health Is a Major Determinant of Welfare. 
505 8 |a 2.1 What Is Better Health Worth? Introducing the Value of Statistical Life2.1 The Value of Extra Years of Life Relative to Extra Income Is High; 2.2 Health Has Contributed Very Little to ECA's Development Trend in the Past 50 Years; 2.1 High Rates of Return on Many Health Care Services in the United States; Health Is a Public Priority Here to Stay; 2.2 Searching for the Impact of Health on Income; 2.3 Health Is a Top Priority for Populations across the Region, 2010; 2.4 High Expectations of Government in the Health Sector; 2.3 The Changing Politics of Health Spending; References. 
520 |a Fifty years ago, health outcomes in the countries of Eastern Europe and Central Asia were not far behind those in Western Europe and well ahead of most other regions of the world. But progress since then has been slow. While life expectancy in the ECA region today is close to the global average, the gap with its western neighbors has doubled, and other middle-income regions have all surpassed ECA. Some countries in the region are doing better, but full convergence with the world's most advanced health systems is still a long way off. At the same time, survey evidence suggests that the health s. 
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