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Coordinating Healthcare Under a Pluralistic Health Insurance System: The Case of Slovakia

Transylvanian Review of Administrative Sciences

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Title Coordinating Healthcare Under a Pluralistic Health Insurance System: The Case of Slovakia
 
Creator NEMEC, Juraj; Professor, Matej Bel University Banska Bystrica, Slovakiaand Masaryk University Brno, Czech Republic
SPACEK, David; Assistant Professor, Department of Public Economics,Faculty of Economics and Administration, Masaryk University Brno, Czech Republic
de VRIES, Michiel; Professor, Radboud University Nijmegen, Netherlands and Masaryk University Brno, Czech Republic
 
Subject healthcare coordination, semi-in-dependent institutions, networks.
 
Description The Slovak approach to decreasing health-care costs is based on a changed interpretation of the concept of ‘a minimum network of provid-ers’. This study describes the changes made in the healthcare system in Slovakia in order to keep it affordable. It shows how the initial inter-pretation of a minimum network as an assurance for general access to healthcare services slow-ly changed into a cutback making the minimum network an upper limit for healthcare. The study argues that the complexity of the network made for non-transparent policies, in which consulta-tion was nearly absent and vertical power be-came dominant, despite the semi-independence of actors in the network. This observation runs counter to the network theory suggestion that in complex networks, with semi-independent actors, vertical power becomes useless.
 
Publisher Babes Bolyai University
 
Contributor —
 
Date 2015-06-17
 
Type info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
Peer-reviewed Article
 
Format application/pdf
 
Identifier http://rtsa.ro/tras/index.php/tras/article/view/444
 
Source Transylvanian Review of Administrative Sciences; 2015: Issue No. 45 E/June; 168-184
1842-2845
 
Language eng
 
Relation http://rtsa.ro/tras/index.php/tras/article/view/444/433
 
Rights Copyright (c) 2015 Transylvanian Review of Administrative Sciences