Health policies in central and South Eastern Europe: challenges and chances

Abstract

Background: Fundamental political changes in Central and South Eastern Europe in the aftermath of the fall
of the iron curtain enter a new phase after accession of some countries to the EU.
Methods: The article reviews and analyses current regional and international developments and factors,
which are influential for health policies in the region. Special attention is given to collaboration – both of
technical and of political nature – within the region and with international organizations and donors. The
response to international health policy frameworks and the impact of international health strategies is being
analysed.
Results: The results point towards common political and structural features in the countries of the region.
Regional networks seem to be a very promising structure for health policy development. Despite the political
will, health care reforms still don’t show the expected results. The partnership with the EU is the most
influential one.
Conclusions: Regional networks need to be transformed into regionally owned structures. It seems to be
crucial to tackle informal parallel systems and to increase responsibility for health professionals. The need for
reforms and the prospect of neighbouring and joining the EU create a unique momentum to develop own
health policies without international interference.