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Determinants of Legislation on Social Health Insurance in Transition Countries

Authors
 Sungkyoung Choi  ;  Myongsei Sohn  ;  Hyoung-Sun Jeong  ;  Soyoon Kim 
Citation
 INTERNATIONAL JOURNAL OF HEALTH SERVICES, Vol.52(1) : 89-98, 2022-01 
Journal Title
INTERNATIONAL JOURNAL OF HEALTH SERVICES
ISSN
 0020-7314 
Issue Date
2022-01
Keywords
USSR ; health ; health care reform ; insurance ; legislation ; universal health insurance
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.
Full Text
https://journals.sagepub.com/doi/10.1177/0020731420952013
DOI
10.1177/0020731420952013
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Medical Humanities and Social Sciences (인문사회의학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Preventive Medicine (예방의학교실) > 1. Journal Papers
Yonsei Authors
Kim, So Yoon(김소윤) ORCID logo https://orcid.org/0000-0001-7015-357X
Sohn, Myong Sei(손명세) ORCID logo https://orcid.org/0000-0002-4817-0127
Choi, Sungkyoung(최성경) ORCID logo https://orcid.org/0000-0003-0744-2445
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/183800
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