LEADER 04241oam 22006855 450 001 9910811860703321 005 20240314014228.0 010 $a0-8213-9884-9 024 7 $a10.1596/978-0-8213-9883-8 035 $a(CKB)2550000001100288 035 $a(OCoLC)830669141 035 $a(CaPaEBR)ebrary10732006 035 $a(SSID)ssj0000916848 035 $a(PQKBManifestationID)11493456 035 $a(PQKBTitleCode)TC0000916848 035 $a(PQKBWorkID)10890971 035 $a(PQKB)10786508 035 $a(MiAaPQ)EBC1316467 035 $a(DLC) 2013010797 035 $a(Au-PeEL)EBL1316467 035 $a(CaPaEBR)ebr10732006 035 $a(CaONFJC)MIL504714 035 $a(OCoLC)853239255 035 $a(DNLM)101603866 035 $a(US-djbf)17660019 035 $a(EXLCZ)992550000001100288 100 $a20130312d2013 uf 0 101 0 $aeng 135 $aurcn||||||||| 181 $2rdacontent 182 $2rdamedia 183 $2rdacarrier 200 10$aGetting better $eimproving health system results in Europe and Central Asia /$fOwen Smith and Son Nam Nguyen 205 $a1st ed. 210 1$aWashington DC :$cThe World Bank,$d[2013] 215 $a1 online resource (pages cm) 225 1 $aEurope and Central Asia reports 300 $aBibliographic Level Mode of Issuance: Monograph 311 $a0-8213-9883-0 311 $a1-299-73463-4 320 $aIncludes bibliographical references. 327 $aGetting 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. 330 $aFifty 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 on 330 8 $aimproving outcomes, or "Getting Better". 410 0$aEurope and Central Asia reports. 410 0$aWorld Bank e-Library. 606 $aMedical care$zAsia, Central 606 $aMedical policy$zEurope 615 0$aMedical care 615 0$aMedical policy 676 $a362.1094 700 $aSmith$b Owen$f1973-$01676989 701 $aNguyen$b Son Nam$01698796 712 02$aWorld Bank. 801 0$bDNLM/DLC 801 1$bDLC 906 $aBOOK 912 $a9910811860703321 996 $aGetting better$94080534 997 $aUNINA