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

dc.creatorBredenkamp, Caryn
dc.creatorGragnolati, Michele
dc.date2012-06-07T14:17:31Z
dc.date2012-06-07T14:17:31Z
dc.date2007-10
dc.date.accessioned2026-07-01T01:22:38Z
dc.descriptionThis 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.
dc.formatapplication/pdf
dc.formattext/plain
dc.identifierhttp://documents.worldbank.org/curated/en/2007/10/8460959/sustainability-healthcare-financing-western-balkans-overview-progress-challenges
dc.identifierhttps://hdl.handle.net/10986/7377
dc.identifierhttps://doi.org/10.1596/1813-9450-4374
dc.identifier.urihttp://hdl.handle.net/123456789/417532
dc.languageEnglish
dc.publisherWorld Bank, Washington, DC
dc.relationPolicy Research Working Paper; No. 4374
dc.rightsCC BY 3.0 IGO
dc.rightshttp://creativecommons.org/licenses/by/3.0/igo/
dc.rightsWorld Bank
dc.subjectBARRIERS TO REVENUE GENERATION
dc.subjectFISCAL SPACE
dc.subjectEXPENDITURE CONTAINMENT
dc.subjectHEALTHCARE PROVIDERS
dc.subjectHEALTH FINANCING SUSTAINABILITY
dc.subjectHEALTH SYSTEM EFFICIENCY
dc.subjectINCENTIVES
dc.subjectREVENUE COLLECTION
dc.titleSustainability of Healthcare Financing in the Western Balkans : An Overview of Progress and Challenges

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