The appropriate role of the state in health is complex both in economic theory and in practice. Theory identifies three reasons for state action: public goods or services with large externalities (involving efficiency); poverty (involving equity); and failings peculiar to insurance markets for...

Describes the elements of health reform in Sierra Leone as the West African nation attempts to overhaul its health system and focus it on the neediest populations. To highlight the role of key stakeholders, the study reviews the actions proposed and taken for reforming a package of health...

This cross-national study provides empirical evidence of some of the trends in health status, health services, and health care financing that have occurred in countries undergoing economic transition in Central and Eastern Europe. Evidence shows that the transition has led to a significant...

This paper surveys health reform in the former Soviet countries of Central Asia. Reform efforts are evaluated in the context of achieving the goals of improving people's health status, maintaining acces and equity, improving efficiency, increasing clinical effectiveness, and assuring quality and...

This paper explores the impact of six non-communicable chronic diseases (NCCDs) on the decision to retire among men and women aged 45-85 in Jamaica using the 1991 and 1992 Survey of Living Conditions data base.