Health care financing and economic development : a comparative study of the Czech Republic and Turkey

• Název v anglickém jazyce: Health care financing and economic development : a comparative study of the Czech Republic and Turkey
• Klíčová slova: Health care reform, policy diffusion, globalization, Turkey, Czech Republic.
• Klíčová slova anglicky: Health care reform, policy diffusion, globalization, Turkey, Czech Republic.
• Akademický rok vypsání: 2010/2011
• Typ práce: diplomová práce
• Jazyk práce: angličtina
• Ústav: Katedra veřejné a sociální politiky (23-KVSP)
• Vedoucí / školitel: MUDr. Petr Háva, CSc.
• Řešitel: skrytý - zadáno a potvrzeno stud. odd.
• Datum přihlášení: 03.03.2011
• Datum zadání: 03.03.2011
• Datum potvrzení stud. oddělením: 20.03.2017
• Datum a čas obhajoby: 28.06.2013 00:00
• Místo konání obhajoby: IPS FSV UK, U kříže 8/661 158 00 Praha 5 – Jinonice
• Datum odevzdání elektronické podoby: 16.05.2013
• Datum proběhlé obhajoby: 28.06.2013
• Oponenti: Mgr. Ing. Pavla Mašková, Ph.D.

Předběžná náplň práce

Health care systems in many countries around the world have been subject to major reform initiatives since 1980s and 1990s. The main rationale for reform was an increasing need to control costs in health care as the countries struggled to adapt to the global economic conjuncture and deal with their financial problems – limiting public spending was seen as a way of achieving cost control. The movement to reform health care arose in that context and spread amongst health care experts and policy makers.
The aim of my study is to understand how reforms were initiated and what forces drove them. The main question here is the following: “Why would countries with different levels of economic development and health care systems bring forth reforms which have common dimensions in the last few decades?” In relation to that, “Do such reforms cause a convergence among the health care systems with similar implications for their welfare states or are the commonalities only at the surface at the level of reform proposals?” I will try to answer these questions through the case studies of change in health care policies in Turkey and the Czech Republic, both of which having experienced the influence of global economic trends, yet are defined by fundamentally different economic, political and social conditions. The materials I will use include the government and political parties’ programs, health sector expertise reports, documents of the Ministry of Health, and reports and data from OECD, World Bank and WHO. The theoretical framework employed in this study is based on the policy diffusion theory, which aims at explaining the reason how and why a certain policy, which is implemented in one country is also adopted by other countries.

List of academic literature:

Beckman, M. and Nemeč, J., 1997. Health care systems in transition in Europe: the Czech case. In: Altenstetter C. and Björkman J.M. (eds), Health policy reform, national variations and globalization, London: Macmillan.

Berry, F.S., Berry, W.D., 1990. State lottery adoptions as policy innovations: An event history analysis. The American Political Science Review, 84 (2), pp. 395-415.

Bryndová, L., Pavloková, K., Roubal, T., Rokosová, M. and Gaskins, M., 2009. Health systems in transition: Czech Republic. European Observatory on health Systems and Policies: WHO.

Davis, C., 2009. Understanding the legacy: health financing systems in the USSR and Central and Eastern Europe prior to transition. In: Kutzin, J., Cashin, C. and Jakab, M. (eds), Implementing health financing reform: lessons from countries in transition. European Observatory on Health Systems and Policies: WHO.

Dobbin, F., Simmons, B. and Garrett G., 2007. The global diffusion of public policies: social construction, coercion, competition, or learning? Annual Review of Sociology, 33 (1), pp. 449-472.

Esping-Andersen, G., 1996. After the golden age? Welfare state dilemmas in a global economy. In: G. Esping-Andersen (ed), Welfare states in transition: national adaptations in global economies. London: SAGE.

Europe 2020. Official website: http://portal.cor.europa.eu/europe2020.

Haas, P. M., 1992. Epistemic communities and international policy coordination. International Organization, 46 (1), pp. 1-35.

Háva, P., 2010. Annual National Report 2010: Pensions, health and long-term care, Czech Republic. Analytical Support on the Socio-Economic Impact of Social Protection Reforms, on behalf of the European Commission DG Employment, Social Affairs and Equal Opportunities.

Háva, P., Mašková, P., 2009. Zdravotní politika Visegrádských zemí. Zdravotnictví ČR, XII (1,2): 12-20, 70-78.

Heper, M., 1991. Strong State and Interest Groups: the Post-1980 Experience, Berlin New York: Walter de Grueyter.

Heywood, A., 2011. Global Politics. London: Palgrave Macmillan.

Kirkpatrick C. and Öniş Z., 1991. Turkey in Mosley P., Harrigan J. and Toye J., Aid and Power: the World Bank & policy-based lending Volume 2 Case Studies, London: Routledge.

Lawson, C. and Nemeč, J., 2003. The political economy of Slovak and Czech Health Policy: 1989-2000, International Political Science Review, 24 (2), pp. 219-235.

Lee, K. and Goodman, H., 2002. Global policy networks: the propagation of health care financing reform since the 1980s. In: K. Lee, K. Buse and S. Fustukian (eds), Health policy in a globalizing world, Cambridge and New York: Cambridge University Press.

Lévi-Faur, D., 2005. The global diffusion of regulatory capitalism. Annals of the American Academy of Political and Social Science, 598 (1), pp. 12-32.

Moran, M., 1998. Explaining the rise of the market in health care. In: Ranade, W. (ed.). Markets and health care: a comparative analysis. Harlow: Longman.

OECD, Economic Surveys of Turkey and Czech Republic.

OECD Statistics.

Potůček, M., 2007. Welfare state transformations in Central and Eastern Europe. Public Policy and Forecasting - Prague Social Science Studies, no. 23.

Potůček, M., 2004. Accession and social policy: The case of the Czech Republic’, Journal of European Social Policy, vol. 14, pp. 253-266.

Rokosová M., Háva P., Schreyögg J. and Busse R., 2005. Health care systems in transition: Czech Republic, Copenhagen, WHO Regional Office for Europe on behalf of the European Observatory on Health Systems and Policies.

Steger, M. B. and Roy, R., 2010. Neoliberalism: a very short introduction. Oxford: New York.

Tatar, M., Mollahaliloğlu, S., Şahin, B., Aydın, S. and Maresso, A., Hernandez-Quevedo, C., 2011. Health care systems in transition: Turkey 2011, Copenhagen, European Observatory on Health Care Systems, vol.13, no.6, pp. 1-186.

Vepřek, J., Papeš, Z. and Vepřek P., 1995. Czech health care in economic transformation. Eastern European Economics, 33 (3), pp. 44-79.

Výborná, O., 1995. The reform of the Czech health care system. Eastern European economics, 33 (3), pp. 80-95.
Walt, G., Gibson, L., 1994. Reforming the health sector in developing countries: The central role of policy analysis. Health Policy and Planning, 9, pp. 353-70.

Weyland, K., 2005. Theories of policy diffusion: lessons from Latin American pension. Reform World Politics, 57 (2), pp. 262-295.

WHO, 2012. Health 2020: a European policy framework supporting action across government and society for health and well-being.

WHO European Health for All Database statistics.

Předběžná náplň práce v anglickém jazyce

Health care systems in many countries around the world have been subject to major reform initiatives since 1980s and 1990s. The main rationale for reform was an increasing need to control costs in health care as the countries struggled to adapt to the global economic conjuncture and deal with their financial problems – limiting public spending was seen as a way of achieving cost control. The movement to reform health care arose in that context and spread amongst health care experts and policy makers.
The aim of my study is to understand how reforms were initiated and what forces drove them. The main question here is the following: “Why would countries with different levels of economic development and health care systems bring forth reforms which have common dimensions in the last few decades?” In relation to that, “Do such reforms cause a convergence among the health care systems with similar implications for their welfare states or are the commonalities only at the surface at the level of reform proposals?” I will try to answer these questions through the case studies of change in health care policies in Turkey and the Czech Republic, both of which having experienced the influence of global economic trends, yet are defined by fundamentally different economic, political and social conditions. The materials I will use include the government and political parties’ programs, health sector expertise reports, documents of the Ministry of Health, and reports and data from OECD, World Bank and WHO. The theoretical framework employed in this study is based on the policy diffusion theory, which aims at explaining the reason how and why a certain policy, which is implemented in one country is also adopted by other countries.

List of academic literature:

Beckman, M. and Nemeč, J., 1997. Health care systems in transition in Europe: the Czech case. In: Altenstetter C. and Björkman J.M. (eds), Health policy reform, national variations and globalization, London: Macmillan.

Berry, F.S., Berry, W.D., 1990. State lottery adoptions as policy innovations: An event history analysis. The American Political Science Review, 84 (2), pp. 395-415.

Bryndová, L., Pavloková, K., Roubal, T., Rokosová, M. and Gaskins, M., 2009. Health systems in transition: Czech Republic. European Observatory on health Systems and Policies: WHO.

Davis, C., 2009. Understanding the legacy: health financing systems in the USSR and Central and Eastern Europe prior to transition. In: Kutzin, J., Cashin, C. and Jakab, M. (eds), Implementing health financing reform: lessons from countries in transition. European Observatory on Health Systems and Policies: WHO.

Dobbin, F., Simmons, B. and Garrett G., 2007. The global diffusion of public policies: social construction, coercion, competition, or learning? Annual Review of Sociology, 33 (1), pp. 449-472.

Esping-Andersen, G., 1996. After the golden age? Welfare state dilemmas in a global economy. In: G. Esping-Andersen (ed), Welfare states in transition: national adaptations in global economies. London: SAGE.

Europe 2020. Official website: http://portal.cor.europa.eu/europe2020.

Haas, P. M., 1992. Epistemic communities and international policy coordination. International Organization, 46 (1), pp. 1-35.

Háva, P., 2010. Annual National Report 2010: Pensions, health and long-term care, Czech Republic. Analytical Support on the Socio-Economic Impact of Social Protection Reforms, on behalf of the European Commission DG Employment, Social Affairs and Equal Opportunities.

Háva, P., Mašková, P., 2009. Zdravotní politika Visegrádských zemí. Zdravotnictví ČR, XII (1,2): 12-20, 70-78.

Heper, M., 1991. Strong State and Interest Groups: the Post-1980 Experience, Berlin New York: Walter de Grueyter.

Heywood, A., 2011. Global Politics. London: Palgrave Macmillan.

Kirkpatrick C. and Öniş Z., 1991. Turkey in Mosley P., Harrigan J. and Toye J., Aid and Power: the World Bank & policy-based lending Volume 2 Case Studies, London: Routledge.

Lawson, C. and Nemeč, J., 2003. The political economy of Slovak and Czech Health Policy: 1989-2000, International Political Science Review, 24 (2), pp. 219-235.

Lee, K. and Goodman, H., 2002. Global policy networks: the propagation of health care financing reform since the 1980s. In: K. Lee, K. Buse and S. Fustukian (eds), Health policy in a globalizing world, Cambridge and New York: Cambridge University Press.

Lévi-Faur, D., 2005. The global diffusion of regulatory capitalism. Annals of the American Academy of Political and Social Science, 598 (1), pp. 12-32.

Moran, M., 1998. Explaining the rise of the market in health care. In: Ranade, W. (ed.). Markets and health care: a comparative analysis. Harlow: Longman.

OECD, Economic Surveys of Turkey and Czech Republic.

OECD Statistics.

Potůček, M., 2007. Welfare state transformations in Central and Eastern Europe. Public Policy and Forecasting - Prague Social Science Studies, no. 23.

Potůček, M., 2004. Accession and social policy: The case of the Czech Republic’, Journal of European Social Policy, vol. 14, pp. 253-266.

Rokosová M., Háva P., Schreyögg J. and Busse R., 2005. Health care systems in transition: Czech Republic, Copenhagen, WHO Regional Office for Europe on behalf of the European Observatory on Health Systems and Policies.

Steger, M. B. and Roy, R., 2010. Neoliberalism: a very short introduction. Oxford: New York.

Tatar, M., Mollahaliloğlu, S., Şahin, B., Aydın, S. and Maresso, A., Hernandez-Quevedo, C., 2011. Health care systems in transition: Turkey 2011, Copenhagen, European Observatory on Health Care Systems, vol.13, no.6, pp. 1-186.

Vepřek, J., Papeš, Z. and Vepřek P., 1995. Czech health care in economic transformation. Eastern European Economics, 33 (3), pp. 44-79.

Výborná, O., 1995. The reform of the Czech health care system. Eastern European economics, 33 (3), pp. 80-95.
Walt, G., Gibson, L., 1994. Reforming the health sector in developing countries: The central role of policy analysis. Health Policy and Planning, 9, pp. 353-70.

Weyland, K., 2005. Theories of policy diffusion: lessons from Latin American pension. Reform World Politics, 57 (2), pp. 262-295.

WHO, 2012. Health 2020: a European policy framework supporting action across government and society for health and well-being.

WHO European Health for All Database statistics.