Medicine And Books

European Health Care Reform: Analysis of Current Strategies; Back to Bismarck: Eastern European Health Care Systems in Transition

BMJ 1998; 316 doi: https://doi.org/10.1136/bmj.316.7142.1468a (Published 09 May 1998) Cite this as: BMJ 1998;316:1468
  1. Sakari Karjalainen, secretary general
  1. Research Council for Health, Academy of Finland

    European Health Care Reform: Analysis of Current Strategies

    Richard B Saltman, Josep Figueras

    WHO Regional Office of Europe, £13, pp 310

    ISBN 92 890 1336 2

    Back to Bismarck: Eastern European Health Care Systems in Transition

    Jörgen Marrée, Peter P Groenewegen

    Ashgate Avebury, £32.50, pp 138

    ISBN 1 85972 617 8

    Bismarck, Beveridge, and Semashko—what do these names have in common? Each man has given his name to a model that describes one of the predominant types of statutory financing of Europe's healthcare systems. In fact, the Semashko model, used by countries of the former Eastern bloc, does not exist any more. However, it was the starting point for all countries of central and eastern Europe and of the Commonwealth of Independent States when they decided to move towards the social insurance system (Bismarck model).

    Models have always been used to describe and simplify complex things. Reading European Health Care Reform reminded me of the breathtaking moment when I first saw the large map of “Biochemical pathways” …

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