#10235. Changing the healthcare financing paradigm: Domestic actors and international organizations in the agenda setting for diffusion of social health insurance in post-communist Central and Eastern Europe

September 2026publication date
Proposal available till 30-05-2025
4 total number of authors per manuscript0 $

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Journal’s subject area:
Sociology and Political Science;
Development;
Public Administration;
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More details about the manuscript: Science Citation Index Expanded or/and Social Sciences Citation Index
Abstract:
This study elucidates the role of international organizations and domestic actors in post-communist healthcare reforms aiming at a paradigmatic shift in healthcare financing and the introduction of social health insurance in Albania, Latvia and Poland. It inductively derives a causal mechanism behind the reform processes from these case studies. We demonstrate that the agenda setting for changing the healthcare financing paradigm was domestically driven and underpinned by the “nothing like the old regime” causal mechanism. In the context of post-communist transition in Central and Eastern Europe this mechanism translated into an “anti-communist backlash”.
Keywords:
causal mechanisms; Central and Eastern Europe; international organizations; multiple-streams framework; post-communism; social health insurance

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