The former Yugoslav Republic of Macedonia: Health System Review.

The former Yugoslav Republic of Macedonia: Health System Review. Health Syst Transit. 2017 May;19(3):1-160 Authors: Milevska Kostova N, Chichevalieva S, Ponce NA, van Ginneken E, Winkelmann J Abstract This analysis of the health system of the former Yugoslav Republic of Macedonia reviews recent developments in organization and governance, health financing, health care provision, health reforms and health system performance. The country has made important progress during its transition from a socialist system to a market-based system, particularly in reforming the organization, financing and delivery of health care and establishing a mix of private and public providers. Though total health care expenditure has risen in absolute terms in recent decades, it has consistently fallen as share of GDP, and high levels of private health expenditure remain. Despite this, the health of the population has improved over the last decades, with life expectancy and mortality rates for both adults and children reaching similar levels to those in ex-communist EU countries, though death rates caused by unhealthy behaviour remain high. Inheriting a large health infrastructure, good public health services and well-distributed health service coverage after independence in 1991, the country re-built a social health insurance system with a broad benefit package. Primary care providers were privatized and new private hospitals were allowed to enter the marke...
Source: Health systems in transition - Category: Health Management Tags: Health Syst Transit Source Type: news