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首页> 外文期刊>Journal of Public Policy >The Politics of Healthcare Reform in Postcommunist Europe: The Importance of Access
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The Politics of Healthcare Reform in Postcommunist Europe: The Importance of Access

机译：后共产主义欧洲的医疗改革政治：获取的重要性

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Why do countries move from public to private financing of healthcare? This paper explores this issue by looking at the divergent reform trajectories of three postcommunist countries - the Czech Republic, Hungary, and Poland. While existing accounts emphasize veto points to explain changes in healthcare systems, the present analysis finds that moves towards private financing can be better explained by differences in access to the policymaking arm of the state. Specifically, a penetrable single-party government and weak bureaucratic capacities allow physicians to capture the reform process and implement their preferred policies. The results suggest that scholars of health policy should focus more attention on the actors seeking change and their access to policy makers.
机译：为什么国家从医疗保健的公共融资转向私人融资？本文通过考察三个后共产主义国家（捷克共和国，匈牙利和波兰）的不同改革轨迹来探讨这一问题。尽管现有账目强调否决点来解释医疗保健系统的变化，但本分析发现，向国家筹资部门获取资金的差异可以更好地解释向私人融资的方向。具体而言，强大的一党专制政府和薄弱的官僚机构能力使医生能够把握改革进程并实施他们偏爱的政策。结果表明，卫生政策学者应更多地关注寻求变革的参与者以及他们与决策者的接触。

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