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Health Care In Central Asia : European Observatory on Health Care Systems Series - Mckee

Health Care In Central Asia

European Observatory on Health Care Systems Series

By: Mckee

Paperback Published: 1st January 2002
ISBN: 9780335209262
Number Of Pages: 240

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Central Asia remains one of the least known parts of the former Soviet Union. The five central Asian republics gained their unexpected independence in 1991. They have faced enormous challenges over the last decade in reforming their health care systems, including adverse macro-economic conditions and political instability. To varying extents, each country is diverging from a hierarchical and unsustainable Soviet model health care system. Common strategies have involved devolving the ownership of health services, seeking sources of revenue additional to shrinking state taxes, 'down-sizing' their excessive hospital systems, introducing general practitioners into primary care services, and enhancing the training of health professionals. This book draws on a decade of experience of what has worked and what has not. It is an invaluable source for those working in the region and for others interested in the experiences of countries in political and economic transition.

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"...tour de force of collaborative effort." - Valerie Williamson

List of figures and tablesp. vii
List of contributorsp. x
Series editors' introductionp. xii
Forewordp. xiv
Acknowledgementsp. xv
Contextp. 1
Health care systems in the central Asian republics: an introductionp. 3
History and politics in central Asia: change and continuityp. 12
Macroeconomic pressuresp. 31
Poverty, affordability and access to health carep. 42
Patterns of healthp. 57
The Soviet legacy: the past as prologuep. 67
Health systems and servicesp. 77
The reform processp. 79
Health system fundingp. 92
Allocating resources and paying providersp. 108
The health care workforcep. 125
Modernizing primary health carep. 141
Rationalizing hospital servicesp. 151
Restructuring public health servicesp. 165
Health care systems in transitionp. 179
The countriesp. 195
Profiles of country health care systemsp. 197
Kazakhstanp. 197
Kyrgyzstanp. 201
Tajikistanp. 204
Turkmenistanp. 207
Uzbekistanp. 210
Indexp. 214
Table of Contents provided by Syndetics. All Rights Reserved.

ISBN: 9780335209262
ISBN-10: 0335209262
Series: European Observatory on Health Care Systems Series
Audience: Tertiary; University or College
Format: Paperback
Language: English , Multiple languages
Number Of Pages: 240
Published: 1st January 2002
Publisher: Open University Press
Country of Publication: GB
Dimensions (cm): 9.0 x 6.1  x 0.6