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Patient choice in the post-Semashko health care system

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Author Info

  • Sergey Shishkin

    ()
    (National Research University Higher School of Economics)

  • Alexandra Burdyak

    ()
    (Russian Presidential Academy of National Economy and Public Administration)

  • Elena Potapchik

    ()
    (National Research University Higher School of Economics,)

Abstract

The opportunity for patient choice in the health care system in CIS countries was created by the partial destruction of the referral system and the development of paid medical services. The data of two population surveys conducted in Russia in 2009 and 2011 show that patient choice of medical facility and physician is taking place in the post-Semashko health care system, and it is not restricted to the area of paid medical services. However for the majority of population the choice of medical facility and physician is not a necessity. Part of reason for patient choice is caused by the failure of the patient referral system to ensure the necessary treatment. For some Russian citizens, the choice of health care provider is a means to obtain better quality care, and in this respect the enhancement of patient choice is leading to the improved efficiency of the emerging health care system.

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Bibliographic Info

Paper provided by National Research University Higher School of Economics in its series HSE Working papers with number WP BRP 09/PA/2013.

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Length: 29 pages
Date of creation: 2013
Date of revision:
Publication status: Published in WP BRP Series: Public Administration / PA, December 2013, pages 1-29
Handle: RePEc:hig:wpaper:09/pa/2013

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Keywords: health care; Semashko system; patient choice; Russia;

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  1. Or, Zeynep & Cases, Chantal & Lisac, Melanie & Vrangbæk, Karsten & Winblad, Ulrika & Bevan, Gwyn, 2010. "Are health problems systemic? Politics of access and choice under Beveridge and Bismarck systems," Health Economics, Policy and Law, Cambridge University Press, vol. 5(03), pages 269-293, July.
  2. Wübker, Ansgar & Sauerland, Dirk & Wübker, Achim, 2008. "Does better information about hospital quality affect patients’ choice? Empirical findings from Germany," MPRA Paper 10479, University Library of Munich, Germany, revised 09 Sep 2008.
  3. Fotaki, Marianna, 2006. "Users' perceptions of health care reforms: Quality of care and patient rights in four regions in the Russian Federation," Social Science & Medicine, Elsevier, vol. 63(6), pages 1637-1647, September.
  4. Bevan, Gwyn & van de Ven, Wynand P. M. M., 2010. "Choice of providers and mutual healthcare purchasers: can the English National Health Service learn from the Dutch reforms?," Health Economics, Policy and Law, Cambridge University Press, vol. 5(03), pages 343-363, July.
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