Governance of Hospitals in Central and Eastern Europe

  • Przemyslaw Marcin Sowa

Table of contents

  1. Front Matter
    Pages i-xix
  2. Przemyslaw Marcin Sowa
    Pages 1-13
  3. Przemyslaw Marcin Sowa
    Pages 149-193
  4. Przemyslaw Marcin Sowa
    Pages 247-253
  5. Back Matter
    Pages 255-260

About this book


This book presents a novel view of healthcare system transition in post-communist countries. It is the first region-wide comparative study of hospital governance in Eastern Europe. Comprehensive new material shows the evolution and significance of governance, complementing recent publications on the topic from industrialised countries. Throughout the book, governance is described and substantiated as a major component that, together with provider payment mechanisms, defines the hospital sector’s operations. This view subscribes to the economists’ growing appreciation of extra-financial aspects in the discussion of incentives and regulation of healthcare markets. In particular, the book explains how governance arrangements may affect the outcomes of healthcare financing reforms, and should thus be seen as a critical determinant of their success or failure. This new model of thinking about healthcare system transition emerges from an analysis of 22 countries over the course of two decades. While the primary focus of the study is on developing the hospital sector, an extensive background chapter provides a standalone introduction to the dynamically changing landscape of healthcare in Eastern Europe and an overview of the various problems and challenges the region is facing. Practitioners, policy-makers, academics and students interested in Eastern European healthcare systems, their origins, current status and ways forward, will appreciate the book’s reflections on the problem complexity, the clarity of its concepts, and its accessible style of presentation.


Emerging health care systems Governance and Eastern European hospitals Governance of hospitals in Central Europe Governance of hospitals in Eastern Europe Hospital Governance in post-communist countries Semashko model health care financing reforms in eastern europe health care markets in central europe health care markets in eastern europe health system transition in post-communist countries hospital reforms in central europe hospital reforms in eastern europe post-Semashko health systems

Authors and affiliations

  • Przemyslaw Marcin Sowa
    • 1
  1. 1.Australian National UniversityCanberraAustralia

Bibliographic information