Prague Economic Papers 2005, 14(3):267-276 | DOI: 10.18267/j.pep.266

Health Care Regulation: Impact on the Supply of Outpatient Services in the Czech Republic

Martin Dlouhý
University of Economics, 4, W. Churchill Sq., CZ - 130 67 Prague 3 (e-mail: dlouhy@vse.cz).

The objective of this paper is to evaluate the impact of regulatory policy on the supply of outpatient services and on their geographical distribution in the Czech Republic. The analysis of regulatory policy is based on the review of literature. Trends and regional distribution were analysed quantitatively on the data for the period of 1990 to 2002. Regulation introduced in 1997 led to a financial stability of the health sector, but it did not have a great impact on the level and distribution of outpatient services. Regulatory policy can be seen as a failure if one assumes that improved quality, effectiveness, and efficiency are the objectives of the health system. The supply of outpatient services is unevenly distributed. For example, one-quarter of outpatient services in psychiatry is concentrated in the capital.

Keywords: regulation, health care, outpatient services, inequality, Gini coefficient, Robin Hood index
JEL classification: D63, H00, I18

Published: January 1, 2005  Show citation

ACS AIP APA ASA Harvard Chicago IEEE ISO690 MLA NLM Turabian Vancouver
Dlouhý, M. (2005). Health Care Regulation: Impact on the Supply of Outpatient Services in the Czech Republic. Prague Economic Papers, 14(3), 267-276. doi: 10.18267/j.pep.266
Download citation
  • BibTeX (.bib)
  • Bookends (.ris)
  • EasyBib (.ris)
  • EndNote (.enw)
  • EndNote 8 (.xml)
  • ISI WoS (.isi)
  • Medlars (.medlars)
  • Mendeley (.ris)
  • MODS (.xml)
  • Papers (.ris)
  • RefWorks (.txt)
  • RefManager (.ris)
  • RIS (.ris)
  • MS Word (.xml)
  • Zotero (.ris)
    • Open full article

    References

    1. Beckmann, M., Němec, J. (1997), "Health Care Systems in Transition in Eastern Europe: The Czech Case," in Altenstetter, C., Björkmann, J. W., eds., Health Policy Reform, National Variations and Globalization. New York: St. Martin's Press, pp. 314-330. Go to original source...
    2. Chang, R. K., Halfon, N. (1997), "Geographic Distribution of Pediatricians in the United States: An Analysis of the Fifty States and the Washington." Pediatrics, 100(2), pp. 172-179. Go to original source...
    3. Dlouhý, M., Mariel, P. (1999), "La Sanidad en la Republica Checa despues de nueve anos de democracia." Osasunkaria: revista vasca de salud publica y gestion sanitaria, 17, pp. 23-27.
    4. Dlouhý, M., Zelený, M., Lepič, M. (2001), "Geographical Differences in Distribution of General Practitioners in the Czech Republic" (in Czech). Zdravotní politika a ekonomika, 2, pp. 3-17.
    5. Gravelle, H., Sutton, M. (1998), "Trends in Geographical Inequalities in Provision of General Practitioners in England and Wales." Lancet, 352 (9144), pp. 1910. Go to original source...
    6. Jaroš, J., Kalina, K. (1998), "Czech Health Care System: Delivery and Financing." Prague, Czech Association for Health Services Research.
    7. Johnston, G., Wilkinson, D. (2001), "Increasingly Inequitable Distribution of General Practitioners in Australia, 1986-96." Australian and New Zealand Journal of Public Health, 25 (1), pp. 66-70. Go to original source...
    8. Massaro, T. A., Němec, J., Kalman, I. (1994), "Health System Reform in the Czech Republic. Policy Lessons from the Initial Experience of the General Health Insurance Company." JAMA, 271(23), pp.1870-1874. Go to original source...
    9. Ministry of Health (2004), "Efficient Health Care System which Respects Human Dignity: Draft Health Care Policy Concept for the Czech Republic for 2004 - 2009." Prague, Ministry of Health of the Czech Republic.
    10. NERA (1996), "The Health Care System in the Czech Republic." London, National Economic Research Associates.
    11. OECD (2003), "OECD Economic Surveys: The Czech Republic." Paris, Organization for Economic Cooperation and Development.
    12. Potůček, M. (1991), "The Health Care Reform in Czechoslovakia after 17 November 1989." Journal of Public Health Medicine, 13 (4), pp. 290-294.
    13. WHO (2000), "Health Care Systems in Transition: The Czech Republic." Copenhagen, World Health Organization, European Observatory on Health Care Systems.

    This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License (CC BY NC ND 4.0), which permits non-comercial use, distribution, and reproduction in any medium, provided the original publication is properly cited. No use, distribution or reproduction is permitted which does not comply with these terms.


    Return to the content