Belarus: health system review
AbstractThe Health Systems in Transition (HiT) profi les are country-based reports that provide a detailed description of a health system and of policy initiatives in progress or under development. HiTs examine different approaches to the organization, fi nancing and delivery of health services and the role of the main actors in health systems; describe the institutional framework, process, content and implementation of health and health care policies; and highlight challenges and areas that require more in-depth analysis. Since independence, the health system in Belarus retained many of the key features of the Semashko system. The system is still characterized by a hierarchical management structure, line-item budgeting and domination of inpatient care, although capitation funding has been introduced in some areas and there have been consistent efforts to strengthen the role of primary care. The incremental change approach, rather than introducing radical reforms, allowed stability in health care funding and service provision during severe fi scal diffi culties in the 1990s. However, the incremental reform approach has not yet led to improvements in service quality or a signifi cant reduction of excess hospital beds. High levels of health expenditure, universal access and a comprehensive package of care refl ect the Government’s commitment to the population’s well-being. Issues of high costs in the hospital sector and of overburden in primary care demonstrate the necessity of moving forward with the reform programme. The focus for future reform is on strengthening primary care and improving the quality and effi ciency of health services. The key challenges in achieving this involve reducing excess hospital capacity, improving health care management, use of evidence-based treatment and diagnostic procedures, and the development of cost-effective technologies. Involving all stakeholders in the development of further reform planning and achieving consensus among them will be key to its success.
Richardson, E; Boerma, W; Malakhova, I; Rusovich, V; Fomenko, A and Anker, S & European Observatory on Health Systems and Policies. (2008). Belarus: health system review. World Health Organization. Regional Office for Europe. https://apps.who.int/iris/handle/10665/330340
Health Systems in Transition;vol. 10, n. 6
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Richardson, E; Malakhova, I; Novik, I and Famenka, A; European Observatory on Health Systems and Policies (World Health Organization. Regional Office for Europe, 2013)This analysis of the Belarusian health system reviews the developments in organization and governance, health financing, healthcare provision, health reforms and health system performance since 2008. Despite considerable ...