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07 Dec 2006

Health Status and Health Care Systems in Central and Eastern European Countries

Bulgaria, Estonia, Poland, Slovakia and Hungary

Stanisława Golinowska / Agnieszka Sowa / Roman Topór-Mądry

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The analysis aims to describe processes of demographic and epidemiological change, as well as health status self-assessment in selected Central and Eastern Europe countries (CEECs), including both the new member states and the candidate countries. The analysis is presented in the context of the use of medical services and the structure of services used. Special attention is given to those demographic and epidemiological changes that have direct impact on the frequency of medical services used and, as such, determine increases in health care costs. The ageing process and health status improvement are the main hypothethical determinants of health care costs and are therefore presented in more detail. Additionally, changes in health behaviour – mainly in the use of medical services – are discussed in the context of institutional changes in the health care sector.
Comparative analysis covers the countries representing groups characterised by similar tendencies and specific health and demographic characteristics. Estonia respresents the Baltic states, Bulgaria, the Balkan countries, and Slovakia represents countries of Central Europe. Poland is a specific country, with demographic and epidemiological characteristics similar to Slovakia, but it is much larger, with a high share of rural population. In Hungary, demographic processes related to the second demographic transition began much earlier and are still dynamic, and as such, constitute a reference for other CEECs.