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Primary care reforms in countries of the former soviet union: success and challenges.

Kühlbrandt, C., Boerma, W. Primary care reforms in countries of the former soviet union: success and challenges. Eurohealth: 2015, 21(2), 3-6
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This article examines primary care reforms in countries of the former Soviet Union. It places reforms in their wider political context and points to infrastructural, human and economic successes and challenges. There is great heterogeneity between countries regarding the effectiveness of their gatekeeping systems, their ability to reduce out-of-pocket payments and the levels of training for primary care staff. With the possible exceptions of Kyrgyzstan and the Republic of Moldova, most former Soviet countries are not yet in a position to provide the bulk of health services that are normally included in a fully operational family medicine model. (aut. ref.)