Ljubić B, Hrabac B
Ministry of Health of the Federation of Bosnia and Herzegovina, 71000 Sarajevo, Bosnia and Herzegovina.
Croat Med J. 1998 Sep;39(3):276-80.
The priority setting within the context of scarce resources in the Federation of Bosnia and Herzegovina (BH) can be divided into priorities within the health care services provision and priorities within the reconstruction process. Facing the resource scarcity, the Federation of BH has chosen to increase health insurance contribution rate to establish cost-sharing arrangements (co-payments) and priority setting to ration access to certain services funded by the compulsory health insurance ("basic package" of the health care services). Reconstruction process of the health care facilities is conducted on the federal level through the effective managerial infrastructure ("project implementation units"). This study reports on the consequences of the war in BH as a peculiar context of the overall reform objectives and priority setting.
波斯尼亚和黑塞哥维那联邦（波黑联邦）在资源稀缺背景下的优先事项设定可分为医疗服务提供方面的优先事项和重建过程中的优先事项。面对资源稀缺，波黑联邦选择提高健康保险缴费率以建立成本分摊安排（共同支付），并通过设定优先事项来限制获得由强制健康保险资助的某些服务（医疗服务的“基本套餐”）的机会。医疗设施的重建过程在联邦层面通过有效的管理基础设施（“项目实施单位”）进行。本研究报告了波黑战争作为总体改革目标和优先事项设定的特殊背景所产生的后果。
