ИСТИНА

Before 1989, health systems in Central and Eastern Europe provided almost universal and equal access to health services to all inhabitants almost entirely financed from general taxation revenues. After 1989, all Central and Eastern European (CEE) countries implemented large-scale health reforms as they tried to convert the ‘socialist’ model of a health care system into a ‘modern’ one. In this paper we want to focus on health care revenue system changes after 1989 in the region, with focus on few selected countries, representing different models: a/ Czech Republic and Slovakia: switch to pluralistic health insurance system b/ Slovenia and Bulgaria: switch to monopolistic public health insurance system c/ Russia: switch to mixed system of public insurance and general taxation The intention of our paper not only to describe changes and to try to discuss why different reforms paths have been selected, but we want bit more. In the last part of the paper we plan to asses the question: “Are different financing model core/ important/ no factor responsible for different results from the point of view of HC delivery and its outcomes?” We do not expect that the modes of raising revenues for health acre play main role from the point of view of current different performance of post-socialist health care systems. However, we also feel that some relation can be discovered (by qualitative research, quantitative methods cannot provide effective results for such complicated question).