04241oam 22006855 450 991081186070332120240314014228.00-8213-9884-910.1596/978-0-8213-9883-8(CKB)2550000001100288(OCoLC)830669141(CaPaEBR)ebrary10732006(SSID)ssj0000916848(PQKBManifestationID)11493456(PQKBTitleCode)TC0000916848(PQKBWorkID)10890971(PQKB)10786508(MiAaPQ)EBC1316467(DLC) 2013010797(Au-PeEL)EBL1316467(CaPaEBR)ebr10732006(CaONFJC)MIL504714(OCoLC)853239255(DNLM)101603866(US-djbf)17660019(EXLCZ)99255000000110028820130312d2013 uf 0engurcn|||||||||rdacontentrdamediardacarrierGetting better improving health system results in Europe and Central Asia /Owen Smith and Son Nam Nguyen1st ed.Washington DC :The World Bank,[2013]1 online resource (pages cm)Europe and Central Asia reportsBibliographic Level Mode of Issuance: Monograph0-8213-9883-0 1-299-73463-4 Includes bibliographical references.Getting better? In search of convergence -- Improving welfare : the value of health -- Improving health : the heart of the matter -- Improving financial protection and equity : a safety net for all -- Improving efficiency : cutting the fat -- Improving institutions : ingredients not recipes -- Summary Q&A.Fifty years ago, health outcomes in the countries of Eastern Europe and Central Asia were not far behind those in Western Europe and well ahead of most other regions of the world. But progress since then has been slow. While life expectancy in the ECA region today is close to the global average, the gap with its western neighbors has doubled, and other middle-income regions have all surpassed ECA. Some countries in the region are doing better, but full convergence with the world’s most advanced health systems is still a long way off. At the same time, survey evidence suggests that the health sector is the top priority for additional investment among populations across the region. The experience of high-income countries also suggests that popular demand for strong and accessible health systems will only grow over time. Yet these aspirations must be reconciled with current fiscal realities. In brief, health sector issues are a challenge here to stay for policy-makers across the ECA region. This report draws on new evidence to explore the development challenge facing health sectors in ECA, and highlights three key agendas to help policy-makers seeking to achieve more rapid convergence with the world’s best performing health systems. The first is the health agenda, where the task is to strengthen public health and primary care interventions to help launch the "cardiovascular revolution" that has taken place in the West in recent decades. The second is the financing agenda, in which growing demand for medical care must be satisfied without imposing undue burden on households or government budgets. The third agenda relates to broader institutional arrangements. Here there are some key reform ingredients common to most advanced health systems that are still missing in many ECA countries. A common theme in each of these three agendas is the emphasis onimproving outcomes, or "Getting Better".Europe and Central Asia reports.World Bank e-Library.Medical careAsia, CentralMedical policyEuropeMedical careMedical policy362.1094Smith Owen1973-1676989Nguyen Son Nam1698796World Bank.DNLM/DLCDLCBOOK9910811860703321Getting better4080534UNINA