Determinants of Legislation on Social Health Insurance in Transition Countries.

IF 3.4 4区医学 Q1 HEALTH CARE SCIENCES & SERVICES

International Journal of Health Services Pub Date : 2022-01-01 Epub Date: 2020-08-20 DOI:10.1177/0020731420952013

Sungkyoung Choi, Myongsei Sohn, Hyoung-Sun Jeong, Soyoon Kim

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引用次数: 2

Abstract

This study aims to address the question: Why did transition countries enact laws related to social health insurance (SHI) at different times, even though they experienced dissolution of the Soviet Union at the same time in the early 1990s? We used Ragin's fuzzy-set qualitative comparative analysis to investigate the configurations of causal conditions that affected the speed of developing SHI-related legislation in 24 post-socialist countries. The potential causal conditions were health status, economic status, level of governance, level of democracy, issue salience, and number of medical professionals. We found 3 pathways that led to the enactment of SHI-related laws and 1 pathway that inhibits enactment. The key factors impacting enactment of SHI-related laws were non-corrupt governments and realization of democracy. In addition, medical professionals' involvement in policymaking could be the factor to enact SHI-related laws. Further research is needed for more in-depth analysis regarding what the laws specifically include, type of health insurance systems that were adopted based on the laws, and if the legislation contributed toward achieving universal health coverage.

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转型期国家社会健康保险立法的决定因素。

本研究旨在解决这样一个问题:为什么转型期国家在不同的时间颁布了与社会健康保险(SHI)相关的法律，尽管它们在20世纪90年代初同时经历了苏联的解体?我们使用Ragin的模糊集定性比较分析，调查了24个后社会主义国家中影响社会卫生相关立法发展速度的因果条件的配置。潜在的因果条件是健康状况、经济状况、治理水平、民主水平、问题突出程度和医疗专业人员数量。我们发现了3条导致shii相关法律制定的途径和1条抑制制定的途径。影响shii相关法律制定的关键因素是政府廉洁和民主的实现。此外，医疗专业人员参与政策制定可能是制定卫生相关法律的因素。需要进一步研究，以更深入地分析法律具体包括什么，根据法律采用的健康保险制度类型，以及立法是否有助于实现全民健康覆盖。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

International Journal of Health Services 医学-卫生保健

CiteScore

4.50

自引率

2.90%

发文量

审稿时长

>12 weeks

期刊介绍： The International Journal of Health Services is a peer-reviewed journal that contains articles on health and social policy, political economy and sociology, history and philosophy, ethics and law in the areas of health and well-being. This journal is a member of the Committee on Publication Ethics (COPE).