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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.

Suggested Citation

  • William Tompson, 2007. "Healthcare Reform in Russia: Problems and Prospects," OECD Economics Department Working Papers 538, OECD Publishing.
    • Handle: RePEc:oec:ecoaaa:538-en
    DOI: 10.1787/327014317703
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    Citations

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    Cited by:

    1. World Bank, 2011. "Russian federation : Social Expenditure and Fiscal Federalism in Russia," World Bank Publications - Reports 2735, The World Bank Group.
    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, New Economic School (NES).
    3. 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.
    4. Igor Sheiman & Vladimir Shevski, 2017. "Two Models of Primary Health Care Development: Russia vs. Central and Eastern European Countries," HSE Working papers WP BRP 06/PSP/2017, National Research University Higher School of Economics.

    More about this item

    Keywords

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

    JEL classification:

    • I11 - Health, Education, and Welfare - - Health - - - Analysis of Health Care Markets
    • I12 - Health, Education, and Welfare - - Health - - - Health Behavior
    • I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health

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