The politics of healthcare reform in postcommunist Europe: The importance of access

Andrew L Roberts*

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

13 Scopus citations

Abstract

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.

Original languageEnglish (US)
Pages (from-to)305-325
Number of pages21
JournalJournal of Public Policy
Volume29
Issue number3
DOIs
StatePublished - Dec 1 2009

Keywords

  • Access
  • Healthcare
  • Veto points

ASJC Scopus subject areas

  • Public Administration
  • Management, Monitoring, Policy and Law

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