Mit gondolnak a családorvos-rezidensek a                     hálapénzről?

Győrffy, Zsuzsa; Kopper, László; Mohos, András; Márkus, Bernadett; Nánási, Anna; Rinfel, József; Girasek, Edmond; Torzsa, Péter

doi:10.1556/650.2017.30768

Cited by 1 publication

(2 citation statements)

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“…Economic conditions of primary care are largely determined by the proportion of total health expenditure spent on primary care and the financial conditions for access to care for patients. Cost sharing and co-payment can threaten equity in financial access to care (Győrffy et al , 2017; Organisation for Economic Cooperation and Development, 2018). In these countries, the out of pocket payment or co-payment is usually higher than in the ‘Western’ part of Europe (Organisation for Economic Cooperation and Development, 2018; World Health Organization, 2018).…”

Section: Discussionmentioning

confidence: 99%

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Primary care behind the former “Iron Curtain”: changes and development of primary healthcare provision in the Eastern part of the European Union

Csilla

Rurik²,

Dózsa

et al. 2019

Prim Health Care Res Dev

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Background: The Alma-Ata Declaration was a big step in the development of primary care, defining the main tasks and populations’ expectation. Celebrating the 40th year’s anniversary is a good opportunity to make an analysis. Development of primary care was not parallel in the Eastern and Western part of Europe. Aim: To provide an overview on the societal and economic situation, structural and financial changes of healthcare systems in the former ‘Soviet bloc’ countries, to present an analysis of the primary healthcare (PHC) provision and to find relationships between economic development and epidemiological changes of the respective countries. Method: Epidemiological data, healthcare expenditures and structure, and financing schemes were compared; systematic literature search was performed. Results: Visible improvements in population health, in the national economic condition, structural changes in healthcare and more focus to primary care were experienced everywhere. Higher life expectancies with high inter-country variation were observed in the former ‘Soviet bloc’ countries, although it could not be clearly linked to the development of healthcare system. PHC provision improved while structural changes were rarely initiated, often only as a project or model initiation. Single-handed practices are yet predominant. The gate-keeping system is usually weak; there were no effective initiatives to improve the education of nurses and to widen their competences. Migrations of workforce to Western countries become a real threat for the Central-East European countries. Conclusion: Lack of coordination between practices and interdisciplinary cooperation were recognized as the main barriers for further improvement in the structure.

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Section: Discussionmentioning

confidence: 99%

“…There were little or no contribution by patients to funds of healthcare services, except for medicines; the scope of services was poorly defined. A healthcare provision was not always allocated to the needs of patients or local population (Jack et al , 1997; Windak and van Hasselt, 2005; Győrffy et al , 2017). …”

Section: Introductionmentioning

confidence: 99%