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Out-Of-Pocket Payments In The Post-Semashko Health Care System


  • Sergey Shishkin

    () (National Research University Higher School of Economics)

  • Elena Potapchik

    () (National Research University Higher School of Economics)

  • Elena Selezneva

    () (National Research University Higher School of Economics)


This paper presents the analysis results of existing practices of out-of-pocket payments in the Russian post-Semashko health care system. It was carried out based on the data reflected in the ‘Russia Longitudinal Monitoring Survey’ from 1991-2012 and data of the ‘Georating’ survey carried out in all regions of the Russian Federation in 2010. The trends of legal and informal out-of-pocket payments for inpatient and outpatient care are revealed, and the social and economic factors which make patients pay a fee for medical services for fee are identified. The changes in out-of-pocket health expenditures in 2005-2010 are analyzed, and the assessment of total (public and private) health expenditures on different types of health care is made

Suggested Citation

  • Sergey Shishkin & Elena Potapchik & Elena Selezneva, 2014. "Out-Of-Pocket Payments In The Post-Semashko Health Care System," HSE Working papers WP BRP 14/PA/2014, National Research University Higher School of Economics.
  • Handle: RePEc:hig:wpaper:14/pa/2014

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    More about this item


    Semashko health care system; health care; out-of-pocket payments; private payment; informal payment;

    JEL classification:

    • I10 - Health, Education, and Welfare - - Health - - - General
    • I11 - Health, Education, and Welfare - - Health - - - Analysis of Health Care Markets

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