Health care in central Asia
著者
書誌事項
Health care in central Asia
（European Observatory on Health Care Systems series / edited by Josep Figueras ... [et al.]）
Open University Press, 2002
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注記
Includes bibliographical references and index
内容説明・目次
内容説明
Central Asia remains one of the least known parts of the former Soviet Union. The five central Asian republics gained their unexpected independence in 1991. They have faced enormous challenges over the last decade in reforming their health care systems, including adverse macro-economic conditions and political instability. To varying extents, each country is diverging from a hierarchical and unsustainable Soviet model health care system. Common strategies have involved devolving the ownership of health services, seeking sources of revenue additional to shrinking state taxes, 'down-sizing' their excessive hospital systems, introducing general practitioners into primary care services, and enhancing the training of health professionals. This book draws on a decade of experience of what has worked and what has not. It is an invaluable source for those working in the region and for others interested in the experiences of countries in political and economic transition.
目次
Notes on contributors
Series editors' preface
Foreword
Part one: Context
Health care systems in the central Asian republics
an introduction
History and politics in central Asia
change and continuity
Macroeconomic pressures
Poverty, affordability and access to health care
Patterns of health
The Soviet legacy
the past as prologue
Part two: Health systems and services
The reform process
Health system funding
Allocating resources and paying providers
The health care workforce
Modernizing primary health care
Rationalizing hospital services
Restructuring public health services
Health care systems in transition
Part three: The countries
Profiles of country health care systems
References
Index.
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