Editorial: Structural Transitions in the Health Care Systems in Times of Uncertainty

Frontiers in Public Health

Piotr Romaniuk¹ 

关键词: health systems;    transition;    health reforms;    health care management;    health care assessment;   

DOI  :  10.3389/fpubh.2018.00233

学科分类：卫生学

来源: Frontiers

【 摘 要 】

The health care systems nowadays are complex structures, strongly engaged in bidirectoral influences with other spheres of social and economic life. Health systems, at the same time, has reached a status of focal area of public responsibility, being designed to answer essential population's needs and consuming a growing part of public expenditure. For that reason a suitable design of the systems maximizing their effectiveness remain of crucial importance for the general socio-economic systems in all contemporary countries. The issue, however, stays out of impact of simple one-dimensional solutions, being stressed by constant and diverese in nature pressure arising of internal and external factors. Constantly evolving internal structure becomes more and more complicated and susceptible to turmoils caused by competing interest groups. On the other hand, the external environment adds more concerns. Economic growth or decline may strongly affect systemic ability to meet population's health needs and ability to stabilize internal structure. Additionally, the social needs and expectations to be addressed remain dynamic in nature, showing tendencies to grow, but also transform, following the changing demographic structure. Current and future challenges related to health systems optimization undoubtedly include demographic transformation, in particular those related to the aging of the population, and the ability to cover at the expected level the demand for goods and services of the health care market. In the face of these rapid and inconsistent changes the internal and external health system environment is experiencing, there is a need to gain ability to seize opportunities and minimize emerging threats.

【 授权许可】

CC BY