Obligatory medical insurance in Russia: the participants' perspective
Abstract
The Russian Federation adopted a nation-wide system of obligatory medical insurance in 1993 in an effort to earmark a targeted source of funding for health care and to reverse a steep decline in health outcomes. The author conducted a survey in 1995-1996 of managers of two of the new institutional participants in Russia's health insurance scheme: Territorial Health Insurance Funds and private medical insurance companies. The survey results reveal deep dissatisfaction with the level of financing provided by the new system; continuing confusion and substantial regional variation in the implementation of the insurance legislation; fierce bureaucratic and institutional infighting between the major players, stemming primarily from controversy over delineation of responsibilities and ongoing battles for control over resources; promising hints of competition and other market-based incentives emerging from the current chaos; and broad agreement that further structural reform must accompany increased infusions of resources in order for significant systemic improvements to be realized.Download Info
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Bibliographic Info
Article provided by Elsevier in its journal Social Science & Medicine.
Volume (Year): 49 (1999)
Issue (Month): 3 (August)
Pages: 371-382
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Keywords: Russia Insurance Finance Institutions Survey;References
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Citations
Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.Cited by:
- Adam Wagstaff, 2010.
"Social health insurance reexamined,"
Health Economics,
John Wiley & Sons, Ltd., vol. 19(5), pages 503-517.
- Wagstaff, Adam, 2007. "Social health insurance reexamined," Policy Research Working Paper Series 4111, The World Bank.
- Lloyd-Sherlock, Peter, 2000. "Old Age and Poverty in Developing Countries: New Policy Challenges," World Development, Elsevier, vol. 28(12), pages 2157-2168, December.
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