IDEAS home Printed from https://ideas.repec.org/a/aph/ajpbhl/1998885755-758_5.html
   My bibliography  Save this article

From assurance to insurance in Russian Health Care: The Problematic transition

Author

Listed:
  • Burger Jr., E.J.
  • Field, M.G.
  • Twigg, J.L.

Abstract

Objectives. Given the declining health status of the Russian population and the negative social impact of ongoing economic reforms, it is important to understand the nature and scope of Russia's innovations in health care financing. Methods. Data on Russian health care and its financing were gathered from Russian newspapers and journals, US governmental agency reports, recent press accounts, and the authors' observations and interviews in Russia. Results. The 1991 statutory basis for the Russian mandatory medical insurance system replaced the traditional, state-funded medical care system with a regional system principally reliant on an enterprise-based with holding tax plus supplementation by local government and, to a minor extent, federal funds. The regional agent for distribution and management of these funds is a series of Territorial Health Insurance Funds, Implementation thus far has been highly uneven among territories. Conclusions. An insurance model patterned after the Western example may not be the optimal solution to Russia's current health financing problems. Given the chaotic nature of political and economic reform, Russia may simply not be ready for market- based medical insurance.

Suggested Citation

  • Burger Jr., E.J. & Field, M.G. & Twigg, J.L., 1998. "From assurance to insurance in Russian Health Care: The Problematic transition," American Journal of Public Health, American Public Health Association, vol. 88(5), pages 755-758.
    • Handle: RePEc:aph:ajpbhl:1998:88:5:755-758_5
    as

    Download full text from publisher

    To our knowledge, this item is not available for download. To find whether it is available, there are three options:
    1. Check below whether another version of this item is available online.
    2. Check on the provider's web page whether it is in fact available.
    3. Perform a search for a similarly titled item that would be available.

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Galina Besstremyannaya & Jaak Simm, 2012. "The impact of private health insurers on the quality of Russian regional health systems," Working Papers w0177, Center for Economic and Financial Research (CEFIR).
    2. repec:zbw:bofitp:2018_007 is not listed on IDEAS
    3. Marques II, Israel, 2018. "Firms and social policy preferences under weak institutions: Evidence from Russia," BOFIT Discussion Papers 7/2018, Bank of Finland Institute for Emerging Economies (BOFIT).
    4. Galina Besstremyannaya, 2014. "Urban inequity in the performance of social health insurance system: evidence from Russian regions," Working Papers w0204, Center for Economic and Financial Research (CEFIR).
    5. Tkatchenko-Schmidt, Elena & Renton, Adrian & Gevorgyan, Ruzanna & Davydenko, Ludmila & Atun, Rifat, 2008. "Prevention of HIV/AIDS among injecting drug users in Russia: Opportunities and barriers to scaling-up of harm reduction programmes," Health Policy, Elsevier, vol. 85(2), pages 162-171, February.
    6. Israel Marques, 2014. "Firms And Social Policy In The Post-Communist Bloc: Evidence From Russia," HSE Working papers WP BRP 87/EC/2014, National Research University Higher School of Economics.
    7. Galina Besstremyannaya, 2014. "Urban inequity in the performance of social health insurance system: evidence from Russian regions," Working Papers w0204, New Economic School (NES).
    8. 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.
    9. Marques II, Israel, 2018. "Firms and social policy preferences under weak institutions : Evidence from Russia," BOFIT Discussion Papers 7/2018, Bank of Finland, Institute for Economies in Transition.
    10. Galina Besstremyannaya & Jaak Simm, 2012. "The impact of private health insurers on the quality of Russian regional health systems," Working Papers w0177, New Economic School (NES).
    11. Galina Besstremyannaya, 2009. "Increased Public Financing and Health Care Outcomes in Russia," Transition Studies Review, Springer;Central Eastern European University Network (CEEUN), vol. 16(3), pages 723-734, October.

    More about this item

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:aph:ajpbhl:1998:88:5:755-758_5. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    We have no bibliographic references for this item. You can help adding them by using this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Christopher F Baum (email available below). General contact details of provider: https://www.apha.org .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.