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International comparison of the effectiveness of fiscal and insurance models of healthcare financing


  • Sheinman, Igor

    () (NRU HSE)

  • Terentieva, Svetlana

    () (NRU HSE)


The article analyzes the comparative characteristics of the two main models of health care financing: mandatory health insurance (MHI) and budget. Based on the theoretical analysis of their characteristics are formulated hypotheses about the impact of funding models on the performance of health care. Check these hypotheses performed by estimating multifactor econometric model based on the data on 28 post-Soviet countries for the period 1991-2012 years (27 indicators). It confirmed the hypothesis that the CHI system provides a steady flow of public expenditure on health, compared with the budget model. In discussing the results obtained emphasis on the variability of ways of organizing the CHI system of the countries. It is concluded that the benefits of a model MLA realized only when it is a rational design.

Suggested Citation

  • Sheinman, Igor & Terentieva, Svetlana, 2015. "International comparison of the effectiveness of fiscal and insurance models of healthcare financing," Economic Policy, Russian Presidential Academy of National Economy and Public Administration, vol. 6, pages 171-193.
  • Handle: RePEc:rnp:ecopol:e15611

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    References listed on IDEAS

    1. Ensor, Tim & Thompson, Robin, 1998. "Health insurance as a catalyst to change in former communist countries?," Health Policy, Elsevier, vol. 43(3), pages 203-218, March.
    2. Adam Wagstaff, 2010. "Social health insurance reexamined," Health Economics, John Wiley & Sons, Ltd., vol. 19(5), pages 503-517.
    3. Jeffrey M Wooldridge, 2010. "Solutions Manual and Supplementary Materials for Econometric Analysis of Cross Section and Panel Data," MIT Press Books, The MIT Press, edition 2, volume 1, number 0262731835, January.
    4. Шейман И. М. & Шевский В. И., 2015. "Кадровая Политика В Здравоохранении: Сравнительный Анализ Российской И Международной Практики," Вопросы государственного и муниципального управления // Public administration issues, НИУ ВШЭ, issue 1, pages 143-167.
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    More about this item


    health financing; compulsory medical insurance; post-Soviet countries;

    JEL classification:

    • I10 - Health, Education, and Welfare - - Health - - - General
    • I13 - Health, Education, and Welfare - - Health - - - Health Insurance, Public and Private
    • I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health


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