[Health reforms in Europe].

Health care systems share some common features all over Europe both in terms of strengths and weaknesses. Health care reforms have been implemented in Europe to overcome those weaknesses. Contracting as a way of health services provision is an outstanding feature of most reforms. Financing and management changes as a result of contracting are briefly reviewed. The importance of the cultural and economic environment cannot be overstressed and it is wise to implement contracting systems after pilot experiences.