Health care systems in many countries around the world have been subject to major reform initiatives since 1980s and 1990s. The main rationale for reform was an increasing need to control costs in health care as the countries struggled to adapt to the global economic conjuncture and deal with their financial problems. The movement to reform health care arose in that context and spread amongst health care experts and policy makers. The aim of this study is to understand how reforms were initiated and what forces drove them. This topic is addressed through the case studies of change in health care policies in Turkey and the Czech Republic, both of which having experienced the influence of global economic trends, yet are defined by fundamentally different economic, political and social conditions. The findings of the study support that health policy ideas were diffused to the two countries via international policy networks; domestic contexts facilitated the diffusion. Interest groups were important actors in both countries, but the role played by various groups differed in the two countries. Finally, the countries appear to have tendency to converge to a certain degree with regard to their health financing system. Key words: Health care reform, policy diffusion, globalization, Czech Republic, Turkey.

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The diploma thesis Formation of the Health Policy in Vysočina Region is interested in the development of the health policy of the Vysočina Region and the creation and utilization of policy documents aimed at the health care. The constitution of regional public administrations in 2000, the abolition of districts in 2003 and the transfer of hospitals to the region brought new competences to regions. One of them is the health care administration. Originally, in cooperation with the Ministry of Health, and later self Vysočina Region decided to prepare a conceptual document, which would describe the current situation of the regional health service, define objectives and goals for its future direction. Vysočina Region authority started with arrangements of regional health care strategy in 2003 and finished 2007 with Zdravotní plán kraje Vysočina, which was not fully completed. Program Zdraví 21 pro kraj Vysočina and Koncepce eHealth Kraje Vysočina were presented later focused on other areas of health and health care. This thesis is interested by the formation of health care policy in Vysočina Region. The most important questions are how Vysočina Region authority prepared the strategic papers, how are these strategies applied and how is used the feedback in a renewal of the plans. There will be also compared the...

Thesis (Ph. D.)--RAND Graduate School, 2000. / Includes bibliographical references (p. 123-131). Also available on the Internet.

This postgraduate thesis investigates legal aspects of human assisted reproduction‘s reimbursement from the Public Health Insurance Fund‘s Budget. Nowadays human assisted reproduction is not covered by the State Budget in Lithuania. That‘s why this thesis presents hypothetical model of reimbursement. The model is substantiated using historical anglysis of the probleme, worldwide practice in biomedicine and health care management. Legal aspects are analysed from the standpoint of intersection in different branches of sciences. The emphasis lays on imperfect legislation and controversies of reproductive health care, it‘s close connections with ethical problemes in human relationships, on human life and traditional family protection as priority in Lithuania‘s Fundamental Law. Legal propositions are linked with Evidence Based Medicine Gudelines (EBMG) and efficient assesment of State Budget resources as a basis of Public Health Insurance.

Problems of mental health care in the Czech republic have been defined in the early nineties. Yet after nineteen years of progress in this area, these problems are still major topics in mental health care policy documents. Main purpose of diploma paper is therefore to analyse mental health care problems and at the same time also might-be solutions. Mental health care problems definitions as conceptualized in mental helth care policy documents are found to be plausible. Though the amount of supportive data is sufficent, there are differences in decisiveness of some arguments. Available solutions are brought up and described in various manners in order to show their own logic, rules and after all their usability. Final conclusions consider the roles and responsiblities of various policy actors.