Health Affairs

Health Affairs, 28, no. 4 (2009): 1011-1021 doi: 10.1377/hlthaff.28.4.1011 © 2009 by Project HOPE	New Online   Getting Health Reform Done   After the State of the Union   Incremental Reform   E-Health in Developing World   Most-Read Articles in 2009

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Care Delivery

Innovations In Health Services Delivery From Transition Economies In Eastern Europe And Central Asia

Armin Fidler, Caryn Bredenkamp and Sally Schlippert

During the past fifteen years, the countries of the former Eastern Bloc transformed their centrally planned, supply-driven health care systems. Modernization of service delivery required innovations in financing and insurance and the restructuring of primary care and hospital networks. This review of experiences from Central and Southeast Europe, the Baltic States, Central Asia, and the Caucasus spotlights innovative health reforms in low- and middle-income countries, including contributions to improved service delivery, access to care, evidence-based medicine, and overall improvement in health system performance.

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