Anti-communist Backlash in the Croatian Healthcare System

Author:

Malinar Ante

Abstract

AbstractThe chapter explains the process of reforming the financial dimension of the Croatian healthcare system during the 1990–1993 period. Process tracing and qualitative content analysis are used to establish the causal mechanisms that underpinned these policy changes. Three mechanisms—doctors enter politics, old system departure, seeking solutions abroad—form a complex mechanism of anti-communist backlash. It shows that domestic physicians were crucial actors in the reform process. Moreover, their prevailing dissatisfaction with the communist healthcare system pushed the reforms in a new direction and stimulated a horizontal policy transfer process in which policy makers drew positive and negative lessons from Western and Central and Eastern Europe (CEE) countries. The outcome was a hybrid healthcare system based on Bismarckian, Beveridgean and neoliberal principles.

Publisher

Springer International Publishing

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