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Web-economic-crisis-health-systems-and-health-web

Web-economic-crisis-health-systems-and-health-web Web-economic-crisis-health-systems-and-health-web

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18.06.2015 Views

Albania Genc Burazeri and Enver Roshi Economic trends • Albania's economy did not contract during crisis, although per capita GDP growth slowed in 2009 and 2010. Government spending as a share of GDP increased slightly in 2009 but declined in 2010 and 2011; expenditure levels are low relative to other European countries. • Public per capita health expenditure growth declined by 10.7% in 2010; OOP health expenditure levels decreased to a lesser extent (Albania: Figs 1 and 2). Policy responses Changes to public funding for the health system • No response reported. Changes to health coverage Population (entitlement) • No response reported. The benefits package • No response reported. User charges • No response reported. Changes to health service planning, purchasing and delivery Prices of medical goods • No response reported. Salaries and motivation of health sector workers • No response reported. Payment to providers • No response reported. Overhead costs: restructuring the Ministry of Health and purchasing agencies • No response reported.

324 Economic crisis, health systems and health in Europe: country experience % Albania: Fig. 1 Economic and fiscal indicators 2000–2007 and 2008–2011 1 60 55 50 45 40 35 30 25 20 15 10 5 0 −5 −10 −15 _ _ _ _ _ _ ● ● _ _ ● ● _ _ _ _ ● _ Real GDP per capita growth _ _ ● _ Deficit/surplus (% GDP) _ _ _ _ _ _ _ _ _ _ _ ● ● ● ● ● _ _ _ _ _ _ _ _ _ Government spending (% GDP) _ _ _ _ _ _ _ _ _ _ ● ● ● ● ● _ _ _ _ _ Government health spending (% total government spending) Notes: Deficit/surplus: World Bank; Other indicators: WHO Health for All. 10−year bond rates Albania: Fig. 2 Trends in per capita spending on health, 2000–2011 Year 2000−2007 2008 2009 2010 2011 _ ● _ _ Unemployment rate 300 Public spending per capita OOP spending per capita Non−OOP private spending per capita Per capita spending $, PPP 200 100 0 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 Growth % 0 −50 Growth % 30 20 10 0 −10 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 Public spending per capita growth OOP spending per capita growth Note: Spending calculated from WHO Health for All. Non−OOP private spending per capita growth 1 In the Figure 1 for each country in Part II, vertical lines indicate the distribution across European countries in each year, by quintile; the dots are average values across European countries in each year.

Albania<br />

Genc Burazeri <strong>and</strong> Enver Roshi<br />

Economic trends<br />

• Albania's economy did not contract during <strong>crisis</strong>, although per capita<br />

GDP growth slowed in 2009 <strong>and</strong> 2010. Government spending as a<br />

share of GDP increased slightly in 2009 but declined in 2010 <strong>and</strong> 2011;<br />

expenditure levels are low relative to other European countries.<br />

• Public per capita <strong>health</strong> expenditure growth declined by 10.7% in 2010;<br />

OOP <strong>health</strong> expenditure levels decreased to a lesser extent (Albania:<br />

Figs 1 <strong>and</strong> 2).<br />

Policy responses<br />

Changes to public funding for the <strong>health</strong> system<br />

• No response reported.<br />

Changes to <strong>health</strong> coverage<br />

Population (entitlement)<br />

• No response reported.<br />

The benefits package<br />

• No response reported.<br />

User charges<br />

• No response reported.<br />

Changes to <strong>health</strong> service planning, purchasing <strong>and</strong> delivery<br />

Prices of medical goods<br />

• No response reported.<br />

Salaries <strong>and</strong> motivation of <strong>health</strong> sector workers<br />

• No response reported.<br />

Payment to providers<br />

• No response reported.<br />

Overhead costs: restructuring the Ministry of Health <strong>and</strong> purchasing agencies<br />

• No response reported.

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