European health care reform: analysis of current strategies

Available in English, Russian, Spanish and Turkish
Richard B. Saltman and Josep Figueras (eds.)

Many governments in the WHO European Region are reviewing their health care systems and the suitability of their existing approaches to financing, organizing and delivering health care services. Yet health care reform is inherently a normative as well as an economic and organizational activity. Pressures to achieve better expenditure control and/or greater productivity and efficiency need to be balanced against deeply rooted moral imperatives to maintain universal access to necessary care, and to improve the equity with which services are distributed across social classes. This volume proves a broad overview of the health and health sector challenges faced by policy-makers in the European Region in the second half of the 1990s and reviews the available evidence on the impact of key reform strategies.