
Contents
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Health Status of the Russian Population Health Status of the Russian Population
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Health Care Resources Health Care Resources
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Health Facilities and Staff Health Facilities and Staff
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Health Care Expenditure Health Care Expenditure
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Public Health Care Expenditure Public Health Care Expenditure
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Private Expenditure on Health Private Expenditure on Health
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Voluntary Health Insurance and Out-of-Pocket Payments Voluntary Health Insurance and Out-of-Pocket Payments
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Institutional Reforms of Health Care during Transition Institutional Reforms of Health Care during Transition
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Introduction of CHI Introduction of CHI
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Reform of Drug Delivery for Citizens Eligible for Social Support Reform of Drug Delivery for Citizens Eligible for Social Support
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The Priority National Project “Health” The Priority National Project “Health”
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Outcomes of Health Care Finance Reforms Outcomes of Health Care Finance Reforms
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Fragmentation of Health Care Finance Fragmentation of Health Care Finance
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Regional Inequalities in Public Funding of Health Care Regional Inequalities in Public Funding of Health Care
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Failure to Create a Competitive Health Insurance Model Failure to Create a Competitive Health Insurance Model
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Structural Imbalances in the Health Care System Structural Imbalances in the Health Care System
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The New Wave of Reforms The New Wave of Reforms
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Barriers to Further Health Care Reforms Barriers to Further Health Care Reforms
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Conclusions Conclusions
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Notes Notes
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References References
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31 Russia’s Health Care System: Difficult Path of Reform
Get accessSergey Shishkin is a Professor of Economics and Research Director at the Institute for Health Economics, National Research University Higher School of Economics, Moscow, Russia. His research interests include economic analysis of social policies and economics of non-commercial sector.
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Published:01 October 2013
Cite
Abstract
The chapter offers a review and evaluation of changes in the Russian health care system over the past two decades. It examines the general trends in health care status of the population and the evolution of the sources of health care financing. I focus mainly on the institutional changes in the health care system since the beginning of transition in 1992. I argue that the reform in the early 1990s has created barriers, preventing the transition to more equitable and effective system. In the period of economic growth from 2000 to 2008, public policy toward health care became more active. Large-scale public programs were initiated in 2005–6. The new stage of reform began in 2010 with the new law on compulsory health insurance. I discuss the first outcomes of this policy and the barriers and the prospects for health care reforms.
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