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After 1989 all Central and Eastern Europe — CEE (including Commonwealth of Independent States — CIS) countries realized large scale health care reforms. Reform measures were slightly different, but the general goals very similar — optimum efficiency/equity trade off and improved quality. Existing evaluations from different sources (WHO, World Bank, OECD, IMF, NISPAcee, LGI and many others) clearly indicate that many reform expectations were not achieved and fulfilled. There exists one obvious factor for limited success of health care reforms in CEE region — lack of financial resources (connected with the limited of capacity to use these limited inputs in effective and efficient way) — this issue is just briefly mentioned in our analysis. The main focus is on the other selected barrier for success — health policy making and implementation area. We try to respond to questions like: „Is there any real health policy in most of CEE countries — can effective reform be drafted? Are/can the concrete reforms measures be effectively implemented? Does the real, policy analysis based, feedback exist? Our analysis is based on examples from many countries in the region, obtained by the secondary analysis of existing documents. The focus will be the most developed area — new EU members, especially Slovakia and the Czech Republic, but less developed CIS countries will be included, too.

Health Policies versus Health Care Reforms and their Success in Central and Eastern Europe