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Tajikistan: health system review / World Health Organization. Regional Office for Europe;European Observatory on Health Systems and Policies;Khodjamurodov, Ghafur;Sodiqova, Dilorom;Akkazieva, Baktygul;Rechel, Bernd

Tác giả : World Health Organization. Regional Office for Europe;European Observatory on Health Systems and Policies;Khodjamurodov, Ghafur;Sodiqova, Dilorom;Akkazieva, Baktygul;Rechel, Bernd

Nhà xuất bản : World Health Organization. Regional Office for Europe

Năm xuất bản : 2016

Tùng thư : Health Systems in Transition, vol. 18 (1)

Chủ đề : 1. Delivery of Health Care -- organization and administration. 2. Evaluation Studies. 3. Health Care Reform. 4. Health Systems Plans. 5. Healthcare Financing. 6. Tajikistan. 7. Publications.

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114 p. The pace of health reforms in Tajikistan has been slow and in many aspectsthe health system is still shaped by the country’s Soviet legacy. Thecountry has the lowest total health expenditure per capita in the WHOEuropean Region, much of it financed privately through out-of-pocket payments.Public financing depends principally on regional and local authorities, thuscompounding regional inequalities across the country. The high share of privateout-of-pocket payments undermines a range of health system goals, includingfinancial protection, equity, efficiency and quality. The efficiency of the healthsystem is also undermined by outdated provider payment mechanisms andlack of pooling of funds. Quality of care is another major concern, due tofactors such as insufficient training, lack of evidence-based clinical guidelines,underuse of generic drugs, poor infrastructure and equipment (particularly atthe regional level) and perverse financial incentives for physicians in the formof out-of-pocket payments. Health reforms have aimed to strengthen primaryhealth care, but it still suffers from underinvestment and low prestige. A basicbenefit package and capitation-based financing of primary health care havebeen introduced as pilots but have not yet been rolled out to the rest of thecountry. The National Health Strategy envisages substantial reforms in healthfinancing, including nationwide introduction of capitation-based payments forprimary health care and more than doubling public expenditure on health by2020; it remains to be seen whether this will be achieved.

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Thông tin dữ liệu nguồn

Thư viện	Ký hiệu xếp giá	Dữ liệu nguồn
Tổ chức y tế thế giới		https://iris.who.int/handle/10665/330246

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260	__	$bWorld Health Organization. Regional Office for Europe ,$c2016
490	__	$aHealth Systems in Transition, vol. 18 (1)
520	__	$a114 p.
520	__	$aThe pace of health reforms in Tajikistan has been slow and in many aspectsthe health system is still shaped by the country’s Soviet legacy. Thecountry has the lowest total health expenditure per capita in the WHOEuropean Region, much of it financed privately through out-of-pocket payments.Public financing depends principally on regional and local authorities, thuscompounding regional inequalities across the country. The high share of privateout-of-pocket payments undermines a range of health system goals, includingfinancial protection, equity, efficiency and quality. The efficiency of the healthsystem is also undermined by outdated provider payment mechanisms andlack of pooling of funds. Quality of care is another major concern, due tofactors such as insufficient training, lack of evidence-based clinical guidelines,underuse of generic drugs, poor infrastructure and equipment (particularly atthe regional level) and perverse financial incentives for physicians in the formof out-of-pocket payments. Health reforms have aimed to strengthen primaryhealth care, but it still suffers from underinvestment and low prestige. A basicbenefit package and capitation-based financing of primary health care havebeen introduced as pilots but have not yet been rolled out to the rest of thecountry. The National Health Strategy envisages substantial reforms in healthfinancing, including nationwide introduction of capitation-based payments forprimary health care and more than doubling public expenditure on health by2020; it remains to be seen whether this will be achieved.
650	_2	$aDelivery of Health Care $xorganization and administration
650	_2	$aEvaluation Studies
650	_2	$aHealthcare Financing
650	_2	$aHealth Care Reform
650	_2	$aHealth Systems Plans
650	_2	$aTajikistan
655	__	$aPublications
700	__	$aEuropean Observatory on Health Systems and Policies
700	__	$aKhodjamurodov, Ghafur
700	__	$aSodiqova, Dilorom
700	__	$aAkkazieva, Baktygul
700	__	$aRechel, Bernd
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Tajikistan: health system review / World Health Organization. Regional Office for Europe;European Observatory on Health Systems and Policies;Khodjamurodov, Ghafur;Sodiqova, Dilorom;Akkazieva, Baktygul;Rechel, Bernd

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