TY - JOUR AU - Dubas-Jakóbczyk, K. AU - Albreht, T. AU - Behmane, D. AU - Bryndova, L. AU - Dimova, A. AU - Džakula, A. AU - Habicht, T. AU - Murauskiene, L. AU - Scîntee, S.G. AU - Smatana, M. AU - Velkey, Zita AU - Quentin, W. TI - Hospital reforms in 11 Central and Eastern European countries between 2008 and 2019: a comparative analysis JF - HEALTH POLICY J2 - HEALTH POLICY VL - 124 PY - 2020 IS - 4 SP - 368 EP - 379 PG - 12 SN - 0168-8510 DO - 10.1016/j.healthpol.2020.02.003 UR - https://m2.mtmt.hu/api/publication/31399138 ID - 31399138 N1 - Institute of Public Health, Faculty of Health Sciences, Jagiellonian University Medical College, Krakow, Poland National Institute of Public Health, Ljubljana, Slovenia Riga Stradiņš University, Riga, Latvia Institute of Economic Studies, Faculty of Social Sciences, Charles University, Prague, Czech Republic Medical University of Varna, Bulgaria School of Medicine, University of Zagreb, Croatia international health financing consultant, Tallinn, Estonia Department of Public Health, Institute of Health Sciences, Faculty of Medicine, Vilnius University, Lithuania National School of Public Health Management and Professional Development, Bucharest, Romania Ministry of Health of the Slovak Republic, Bratislava, Slovakia Health Services Management Training Centre, Semmelweis University, Budapest, Hungary Department of Health Care Management, Technische Universität Berlin, Germany European Observatory on Health Systems and Policies, Brussels, Belgium Cited By :2 Export Date: 10 August 2020 CODEN: HEPOE Correspondence Address: Dubas-Jakóbczyk, K.; Health Economics and Social Security Department, Institute of Public Health, Jagiellonian University Medical College, Grzegórzecka 20 Str., Poland; email: Katarzyna.Dubas@uj.edu.pl AB - This paper aims to: (1) provide a brief overview of hospital sector characteristics in 11 Central and Eastern European countries (Bulgaria, Czech Republic, Estonia, Croatia, Latvia, Lithuania, Hungary, Poland, Romania, Slovakia, Slovenia); (2) compare recent (2008 – 2019) hospital reforms in these countries; and (3) identify common trends, success factors and challenges for reforms. Methods applied involved five stages: (1) a theoretical framework of hospital sector reforms was developed; (2) basic quantitative data characterizing hospital sectors were compared; (3) a scoping review was performed to identify an initial list of reforms per country; (4) the list was sent to national researchers who described the top three reforms based on a standardized questionnaire; (5) received questionnaires were analysed and validated with available literature. Results indicate that the scope of conducted reforms is very broad. Yet, reforms related to hospital sector governance and changes in purchasing and payment systems are much more frequent than reforms concerning relations with other providers. Most governance reforms aimed at transforming hospital infrastructure, improving financial management and/or improving quality of care, while purchasing and payment reforms focused on limiting hospital activities and/or on incentivising a shift to ambulatory/day care. Three common challenges included the lack of a comprehensive approach; unclear outcomes; and political influence. Given similar reform areas across countries, there is considerable potential for shared learning. © 2020 Elsevier B.V. LA - English DB - MTMT ER - TY - CONF AU - Dénes, Rita Veronika AU - Koltai, Tamás AU - Dénes, Zoltán ED - European, Operations Management Association TI - The effect of complicated cases on the efficiency of musculoskeletal in-patient rehabilitation units in Hungarian healthcare systems T2 - 25th Annual EurOMA Conference. To Serve, To Produce and to Servitize in the Era of Networks, Big Data and Analytics PY - 2018 SP - 1 EP - 8 PG - 8 UR - https://m2.mtmt.hu/api/publication/30389457 ID - 30389457 LA - English DB - MTMT ER -