Sustainability of Healthcare Financing in the Western Balkans : An Overview of Progress and Challenges

This paper explores the major challenges to the sustainability of health sector financing in the countries of the Western Balkans - Albania, Bosnia and Herzegovina, the Former Yugoslav Republic of Macedonia, Montenegro, Serbia and the province of K...

Full description

Bibliographic Details
Main Authors:	Bredenkamp, Caryn, Gragnolati, Michele
Format:	Policy Research Working Paper
Language:	English
Published:	World Bank, Washington, DC 2012
Subjects:	BARRIERS TO REVENUE GENERATION FISCAL SPACE EXPENDITURE CONTAINMENT HEALTHCARE PROVIDERS HEALTH FINANCING SUSTAINABILITY HEALTH SYSTEM EFFICIENCY INCENTIVES REVENUE COLLECTION
Online Access:	http://documents.worldbank.org/curated/en/2007/10/8460959/sustainability-healthcare-financing-western-balkans-overview-progress-challenges http://hdl.handle.net/10986/7377

id	okr-10986-7377
recordtype	oai_dc
spelling	okr-10986-73772021-04-23T14:02:34Z Sustainability of Healthcare Financing in the Western Balkans : An Overview of Progress and Challenges Bredenkamp, Caryn Gragnolati, Michele BARRIERS TO REVENUE GENERATION FISCAL SPACE EXPENDITURE CONTAINMENT HEALTHCARE PROVIDERS HEALTH FINANCING SUSTAINABILITY HEALTH SYSTEM EFFICIENCY INCENTIVES REVENUE COLLECTION This paper explores the major challenges to the sustainability of health sector financing in the countries of the Western Balkans - Albania, Bosnia and Herzegovina, the Former Yugoslav Republic of Macedonia, Montenegro, Serbia and the province of Kosovo. It focuses on how the incentives created by the different elements of the healthcare financing system affect the behavior of healthcare providers and individuals, and the resulting inefficiencies in revenue collection and expenditure containment. The paper analyzes patterns of healthcare expenditure, finding that there is some evidence of cost containment, but that current expenditure levels - while similar to that in EU countries as a share of GDP - are low in per capita terms and the fiscal space to increase expenditures is extremely limited. It also examines the key drivers of current healthcare expenditure and the most significant barriers to revenue generation, identifying some key health reforms that countries in the sub-region could consider in order to enhance the efficiency and sustainability of their health systems. Data are drawn from international databases, country institutions, and household surveys. 2012-06-07T14:17:31Z 2012-06-07T14:17:31Z 2007-10 http://documents.worldbank.org/curated/en/2007/10/8460959/sustainability-healthcare-financing-western-balkans-overview-progress-challenges http://hdl.handle.net/10986/7377 English Policy Research Working Paper; No. 4374 CC BY 3.0 IGO http://creativecommons.org/licenses/by/3.0/igo/ World Bank World Bank, Washington, DC Publications & Research :: Policy Research Working Paper Publications & Research Europe and Central Asia Serbia Albania Macedonia Kosovo Bosnia and Herzegovina Montenegro
repository_type	Digital Repository
institution_category	Foreign Institution
institution	Digital Repositories
building	World Bank Open Knowledge Repository
collection	World Bank
language	English
topic	BARRIERS TO REVENUE GENERATION FISCAL SPACE EXPENDITURE CONTAINMENT HEALTHCARE PROVIDERS HEALTH FINANCING SUSTAINABILITY HEALTH SYSTEM EFFICIENCY INCENTIVES REVENUE COLLECTION
spellingShingle	BARRIERS TO REVENUE GENERATION FISCAL SPACE EXPENDITURE CONTAINMENT HEALTHCARE PROVIDERS HEALTH FINANCING SUSTAINABILITY HEALTH SYSTEM EFFICIENCY INCENTIVES REVENUE COLLECTION Bredenkamp, Caryn Gragnolati, Michele Sustainability of Healthcare Financing in the Western Balkans : An Overview of Progress and Challenges
geographic_facet	Europe and Central Asia Serbia Albania Macedonia Kosovo Bosnia and Herzegovina Montenegro
relation	Policy Research Working Paper; No. 4374
description	This paper explores the major challenges to the sustainability of health sector financing in the countries of the Western Balkans - Albania, Bosnia and Herzegovina, the Former Yugoslav Republic of Macedonia, Montenegro, Serbia and the province of Kosovo. It focuses on how the incentives created by the different elements of the healthcare financing system affect the behavior of healthcare providers and individuals, and the resulting inefficiencies in revenue collection and expenditure containment. The paper analyzes patterns of healthcare expenditure, finding that there is some evidence of cost containment, but that current expenditure levels - while similar to that in EU countries as a share of GDP - are low in per capita terms and the fiscal space to increase expenditures is extremely limited. It also examines the key drivers of current healthcare expenditure and the most significant barriers to revenue generation, identifying some key health reforms that countries in the sub-region could consider in order to enhance the efficiency and sustainability of their health systems. Data are drawn from international databases, country institutions, and household surveys.
format	Publications & Research :: Policy Research Working Paper
author	Bredenkamp, Caryn Gragnolati, Michele
author_facet	Bredenkamp, Caryn Gragnolati, Michele
author_sort	Bredenkamp, Caryn
title	Sustainability of Healthcare Financing in the Western Balkans : An Overview of Progress and Challenges
title_short	Sustainability of Healthcare Financing in the Western Balkans : An Overview of Progress and Challenges
title_full	Sustainability of Healthcare Financing in the Western Balkans : An Overview of Progress and Challenges
title_fullStr	Sustainability of Healthcare Financing in the Western Balkans : An Overview of Progress and Challenges
title_full_unstemmed	Sustainability of Healthcare Financing in the Western Balkans : An Overview of Progress and Challenges
title_sort	sustainability of healthcare financing in the western balkans : an overview of progress and challenges
publisher	World Bank, Washington, DC
publishDate	2012
url	http://documents.worldbank.org/curated/en/2007/10/8460959/sustainability-healthcare-financing-western-balkans-overview-progress-challenges http://hdl.handle.net/10986/7377
_version_	1764402433882062848

Sustainability of Healthcare Financing in the Western Balkans : An Overview of Progress and Challenges

Similar Items