Click here to download

La riforma del sistema di finanziamento del Servizio Sanitario nazionale albanese
Journal Title: MECOSAN 
Author/s: Niccolò Persiani, Alberto Romolini, Claudia Galanti, Maria José Caldés Pinilla, Michele De Luca 
Year:  2014 Issue: 89 Language: Italian 
Pages:  24 Pg. 7-30 FullText PDF:  854 KB
DOI:  10.3280/MESA2014-089002
(DOI is like a bar code for intellectual property: to have more infomation:  clicca qui   and here 


The Albanian healthcare system is currently in a period of deep transformation as well as the country is thinking about the future after the turbulent development of the last years. Moreover the admission of Albania among future members of the European Union has required an innovation in the healthcare system. This paper aims to analyze the financing system of the Albanian healthcare highlighting some future paths. In particular, the research underlines the transition from a financing model based on historical public expenditure to a system based on the performance of healthcare entities. The introduction of management thinking will then allow to develop a cost-based financing model, an accounting system in the teaching hospitals and, finally, a financing system able to pay for services provided by private healthcare entities. The article then offers a contribution to policy makers in order to define the future "paths" of the Albanian healthcare system in the next years.
Keywords: Albanian healthcare system, healthcare financing system, transition economies

  1. Albania Ministry of Health (1993). A new policy for the healthcare sector in Albania. Tirana.
  2. Albania Ministry of Health (2000). Albanian Public’s Perceptions of the Health Care System. Albanian Health System Recovery and Development Project. Tirana.
  3. Albania Ministry of Health (2004). The long term strategy for the development of the Albanian Health System. Tirana.
  4. Albanian Council of Minister (2001). National Strategy for socio-economic development. Tirana.
  5. Akin J., Birdsall N., Ferranti D. (1987). Financing Health services in developing countries: an agenda for reform. Washington, DC: The World Bank.
  6. Balabanova D., McKee M. (2002). Understanding informal payments for health care: The example of Bulgaria. Health Policy, 62: 243-273., DOI: 10.1016/s0168-8510(02)00035-0
  7. Belli P., Shahriari H., Curtio Medical Group (2002). Qualitative study on informal payments for health services in Georgia. Washington, DC: The World Bank.
  8. Bonilla-Chacin M.E. (2003). Health and poverty in Albania: Background paper for the Albania Poverty Assesment. Europe and Central Asia Sector for Human Development, Washington, DC: The World Bank.
  9. Bonilla-Chacin M.E., Murrugarra E., Teumorov M. (2005). Health Care During Transition and Health Systems Reform: Evidence from the Poorest CIS Countries. Social Policy & Administration, 39 (4): 381-408., DOI: 10.1111/j.1467-9515.2005.00446.x
  10. Borgonovi E. (2005). Principi e sistemi aziendali per le amministrazioni pubbliche. Milano: Egea.
  11. Cepiku D. (2005). Managerialita e governance nei sistemi sanitari dei Paesi in transione: il caso dell’Albania. In: Rapporto CEIS Sanità: Sette parole chiave del SSN. Università Tor Vergata: CEIS.
  12. Cercone J. (2002). Moldova: The Health Sector in Transition. Policy Note, Washington, DC: The World Bank.
  13. Chawla M., Berman P., Kawiorska D. (1998). Financing health services in Poland: new evidence on private expenditures. Health Economics, 7: 337-346., DOI: 10.1002/(SICI)1099-1050(199806)7:4<337::AIDHEC340>3.0.CO;2-Z
  14. Eisenhardt K.M. (1989). Building theories from case study research. Academy of Management Review, 14(4): 532-550., DOI: 10.5465/AMR.1989.4308385
  15. Ensor T. Savelyeva L. (1998). Informal payments for health care in the former Soviet Union: Some evidence from Kazakhstan. Health Policy and Planning, 13: 41-49.
  16. Falkingham J. (2004). Poverty, out-of-pocket payments, and access to health care: Evidence from Tajikistan. Social Science and Medicine, 58: 247-258., DOI: 10.1016/S0277-9536(03)00008-X
  17. Gamkrelidze A., Atun R., Gotsadze G., MacLehosc L. (2002). Health Care Systems in Transition: Georgia. Copenhagen: European Observatory on Health Care Systems.
  18. Goldstein E., Preker A., Adeyi O., Chelleraj G. (1996). Trends in Health Status, Services and Finance: The Transition in Central and Eastern Europe. Vol. I, World Bank Technical Paper, No. 341, Washington, DC: The World Bank.
  19. Hovhannisyan S., Tragakes E., Lessof S., Aslanian H., Mkrtchyan (2001). Health Care Systems in Transition: Armenia. Copenhagen: European Observatory on Health Care Systems.
  20. Ilkhamov A., Jakubowsky E. (2001). Health Care Systems in Transition: Uzbekistan. Copenhagen: European Observatory on Health Care Systems.
  21. Lewis M. (2000). Who is paying for health care in eastern europe and central asia. Human Development Sector Unit Europe and Central Asia Region, Washington, DC: The World Bank.
  22. Kornai J., Eggleston K. (2001). Choice and Solidarity: The Health Sector in Eastern Europe and Proposals for Reform. International Journal of Health Care Finance and Economics, 1: 59-84., DOI: 10.1023/A:1011504122300
  23. Kurkchiyan M. (1999). Report on health care in Armenia. Mimeo, Washington, DC: The World Bank.
  24. Maciocco G. (2009). Politica, salute e sistemi sanitari. Roma: Il pensiero scientifico editore.
  25. McKee M. (1991). Health services in Central and Eastern Europe: past problems and future prospects.
  26. Journal of Epidemiology Community Health. 45: 260-265.
  27. McKee M., Healy J., Falkingham J. (Eds) (2002). Health care in central Asia. Milton Keynes: Open University Press.
  28. Ministry of Health-Republic of Albania (2004). Albania National Health Accounts 2003.
  29. Ministry of Health-Republic of Albania (2010). Development and Institutionalization of National Health Accounts (NHA).
  30. Nuri B., Tragakes E. (2002). Health care systems in transition: Albania. Copenhagen: European Observatory on Health Care Systems, 4 (6).
  31. Rahminov R., Gedik G., Healty J. (2000). Health Care Systems in Transition: Tajikistan. Copenhagen: European Observatory on Health Care Systems.
  32. Thompson R. Witter S. (2000). Informal payments in transitional economies: Implications for health sector reform. International Journal of Health Planning and Management, 15 (3): 169-187., DOI: 10.1002/1099-1751(200007/09)15:3<169::AIDHPM589>3.0.CO;2-2
  33. Tomini S.M., Groot W. (2013). Paying informally for public health care in Albania: scarce resources or governance failure? Applied economics, 45 (36): 5119-5130., DOI: 10.1080/00036846.2013.818216
  34. Tomini S.M., Packard T.G., Tomini F. (2013). Catastrophic and impovershing effects of out-of-pocket payments for health care in Albania: evidence from Albania living standards measurement surveys 2002, 2005 and 2008. Health policy and planning, 28 (4): 419-428., DOI: 10.1093/heapol/czs073
  35. World Bank (1992). Albania: health sector reform during the transition. Washington DC.
  36. World Bank (2006). Albania Health Sector Note. Report No. 32612-AL. Washington DC.
  37. World Health Organisation (1993). Investing in Health, World Development Indicators. New York.
  38. World Health Organisation (2013). European health for all database – WHO Regional Office for Europe. www.who.int.
  39. Yin R. (1994). Case study research: Design and methods (2nd ed.). Thousand Oaks, CA: Sage Publishing.

Niccolò Persiani, Alberto Romolini, Claudia Galanti, Maria José Caldés Pinilla, Michele De Luca, in "MECOSAN" 89/2014, pp. 7-30, DOI:10.3280/MESA2014-089002

   

FrancoAngeli is a member of Publishers International Linking Association a not for profit orgasnization wich runs the CrossRef service, enabing links to and from online scholarly content