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DEFICIT AND HEALTH REFORM TWO DIFFERENT PHENOMENA? pp. 171-194 $100.00
Authors:  (Z. Darmopilova, Z. Zigova, Masaryk University, Brno,Czeck Republic)
Abstract:
Health sector in Czech Republic is now on the threshold of extensive and complex reform.
The reasons of launching the reform are not only the trends challenging health systems in
almost all developed countries, such as ageing of population or development of new
diagnostic and treatment methods. The system itself contains a certain predisposition to
deficits, or, in other words, it lacks the auto-regulatory mechanisms on both the demand and
supply sides. Public health insurance (p. h. i.), which is the main source of financing the
health sector in Czech Republic, is referred as being indebted for several years. Different
sources quote different amount of this cumulative debt - the reason and, simultaneously, the
consequence lies in an insufficient definition of this term. Furthermore, different causes of
debt emergence are quoted as well.
This paper analyzes eventual causal relationship among financial balance of p. h. i.
system, necessity of health reform and success of reform enforcement. Authors identify
possible factors influencing the p. h. i. debt cumulation against historical background of
Czech health sector development and examine the relation between the debt and health
reform initiation. The category of p. h. i. debt is subject to analyses of its definition, causes of
emergence and the role of the debt in health reform. Health reform is introduced according to
its goals together with its timing within the context of p. h. i. debt development. The main
objective is to identify key player who, due to his strategy of supporting the reform, has an
influence on successful enforcement and implementation of examined reform policy in the
Czech Republic. 


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DEFICIT AND HEALTH REFORM TWO DIFFERENT PHENOMENA? pp. 171-194