Europeanization of health policy in post-communist European societies: Comparison of six Western Balkan countries

Tresa, Eni; Czabanowska, Katarzyna; Clemens, Timo; Brand, Helmut; Babich, Suzanne M.; Bjegović-Mikanović, Vesna; Burazeri, Genc

doi:10.1016/j.healthpol.2022.05.015

Cited by 5 publications

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References 21 publications

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“…The mechanisms of EU influence discussed above have indeed led to a convergence in health policy (Greer, 2014;, including limited alignment between the healthcare systems and health policies in EU-15 and the 2004 EU accession countries Bankauskaite & O'Connor, 2008;Kugelberg et al, 2012;Löblová, 2018;Tresa et al, 2022). For example, the differences in tobacco and alcohol policies between EU-15 and the 2004 accession countries have decreased since the accession (cf.…”

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The role of European Union enlargement in mortality convergence across Europe

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The role of European Union enlargement in mortality convergence across Europe

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Health policy developments in the Western Balkan Countries 2000–19: towards European Health and Health Care Policies

Arenliu Qosaj,

Bourdeaux

2024

European Journal of Public Health

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Background Albania, Bosnia and Herzegovina, Kosovo, Montenegro, North Macedonia and Serbia have committed to becoming European Union (EU) member states. This, among others, implies that candidate/potential candidate states adopt legally authorized EU policies, including health. The study aims to identify the main country-specific health policy areas critical to the EU accession health policy dimension and present the change in associated selected health indicators from 2000 to 2019. Methods The study draws on published reports and analyses of official statistics over time and cross-country. Health care policy adherence to the European Commission’s recommended country-specific health actions was classified into five health policy areas: financing, payment, organization, regulation and persuasion. Key health policy areas for Western Balkan countries (WBCs) were identified. Health progress or lack thereof in catching up to the EU15 population health, health expenditure and the number of health professionals are measured. Results The European Commission prioritized financing and regulation for all WBCs in the five policy areas. Nine of the 18 analyzed selected health indicators showed divergence, and the other nine converged towards the EU15 averages. WBCs continue to face diverse public health challenges in improving life expectancy at birth, death rates caused by circulatory system diseases, malignant neoplasms, traffic accidents, psychoactive substance use, tuberculosis incidence, tobacco smoking prevalence and public-sector health expenditure. Conclusions By 2019, there is limited evidence of WBCs catching up to the average EU15 health levels and health care policies. Closer attention towards EU health and health care policies would be favourable.

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Unmet healthcare needs in Southeastern Europe: a systematic review

Maslyankov

2024

The Journal of Medicine Access

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Objectives: This study sought to systematically review the existing literature on self-reported unmet healthcare needs in Southeastern Europe. Methods: A systematic literature review of quantitative evidence in English and Bulgarian was performed in July 2023 using the following databases: Medline, Embase and EconLit. Publications were only included if they used self-reported unmet healthcare needs as an indicator of access to healthcare, concerned people living in Albania, Bosnia and Herzegovina, Bulgaria, Greece, Kosovo, Montenegro, Serbia, North Macedonia or Romania and if they were published after 2003. Quality assessment of the included publications was performed using the Appraisal tool for Cross-Sectional Studies (AXIS) tool. Results: Twenty-three publications of varying quality were included in the review. Significantly more evidence was available for Greece, Bulgaria and Romania than for the rest of the region. Data collected through Pan-European surveys were commonly used, but almost half of the studies were only descriptive. Generally, the prevalence of unmet healthcare needs has decreased over the years. Unmet healthcare needs were higher among people of lower socioeconomic and educational status, ethnic minorities and migrants and high cost was consistently identified as the primary barrier to accessing healthcare. Conclusion: Unmet healthcare needs are more prevalent among already disadvantaged societal groups. A trend of a declining prevalence of unmet needs has been observed, but it is more notable in the more socioeconomically developed countries. Improving financial protection should be a priority for the healthcare systems.

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Europeanization of health policy in post-communist European societies: Comparison of six Western Balkan countries

Cited by 5 publications

References 21 publications

The role of European Union enlargement in mortality convergence across Europe

The role of European Union enlargement in mortality convergence across Europe

Health policy developments in the Western Balkan Countries 2000–19: towards European Health and Health Care Policies

Unmet healthcare needs in Southeastern Europe: a systematic review

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