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Healthcare Reform in Russia: Problems and Prospects

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  • William Tompson

Abstract

This paper examines the prospects for reform of Russia’s healthcare system. It begins by exploring a number of fundamental imbalances that characterise the current half-reformed system of healthcare provision before going on to assess the government’s plans for going ahead with healthcare reform over the medium term. The challenges it faces include strengthening primary care provision and reducing the current over-reliance on tertiary care; restructuring the incentives facing healthcare providers; and completing the reform of the system of mandatory medical insurance. La réforme du système de santé en Russie: problèmes et perspectives La présente étude analyse les perspectives de réforme du système de santé en Russie. Il commence par explorer un certain nombre de déséquilibres fondamentaux qui caractérisent le système actuel, en état de semi-réforme, avant de passer en revue les projets du gouvernement à moyen terme. Les principaux enjeux sont de renforcer les soins primaires et réduire le recours excessif aux soins tertiaires, de réexaminer les incitations auxquelles font face les prestataires de soins et de mener à son terme la réforme de l'assurancemaladie obligatoire.

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File URL: http://dx.doi.org/10.1787/327014317703
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Bibliographic Info

Paper provided by OECD Publishing in its series OECD Economics Department Working Papers with number 538.

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Date of creation: 15 Jan 2007
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Handle: RePEc:oec:ecoaaa:538-en

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Keywords: health care; Russia; primary care; hospitalisation; health insurance; competition; pharmaceuticals; single payer; payeur unique; assurance maladie; soins primaires; hospitalisation; produits pharmaceutiques; système de santé; Russie; compétition;

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Cited by:
  1. Antonio Carvalho & Matthew Cable & Rabindra Nepal & Tooraj Jamasb, 2013. "Market-Oriented Structural Reforms and Human Development: Evidence from Transition Economies," Discussion Papers Series 493, School of Economics, University of Queensland, Australia.
  2. Galina Besstremyannaya & Jaak Simm, 2014. "Multi-payer health insurance systems in Central and Eastern Europe: lessons from the Czech Republic, Slovakia, and Russia," Working Papers w0203, Center for Economic and Financial Research (CEFIR).
  3. World Bank, 2011. "Russian federation : Social Expenditure and Fiscal Federalism in Russia," World Bank Other Operational Studies 2735, The World Bank.

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