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Rebecca Voelker
JAMA contributor

JAMA. 1998;280:873.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

Reforms that are transforming health care in the former Yugoslav republic of Croatia from a universal, state-controlled system to one that is market-based seem to have inherent benefits: a stronger financing mechanism, fewer shortages of medical supplies, and improved allocation of health resources.

Yet researchers from Croatia and the Republic of China wrote in last month's American Journal of Public Health that reforms in Croatia could worsen the health status of middle- and low-income groups. By introducing copayments for almost all health services and prescriptions, additional costs have been shifted onto consumers and undercut their real incomes. The very needy have been exempted from copayments, but the number of exemptions recently has been reduced, the researchers reported.

The elimination of reimbursement for home visits, which were a mainstay of medical care for many Croatians, and for preventive care has resulted in a precipitous decline in the provision of . . . [Full Text of this Article]

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