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Russian Federation. Health system review
Larisa Popovich1, Elena Potapchik, Sergey Shishkin
1Institute for Health Economics, State University, Moscow, Russia.
Health Systems in Transition
|March 30, 2012
Summary
Russia
Area of Science:
- Health Systems Research
- Health Policy Analysis
- Public Health
Background:
- The Russian health system transitioned from the centralized Semashko model post-Soviet Union.
- Mandatory Health Insurance (MHI) was adopted in 1993 to secure healthcare funding.
- A legacy of universal basic care access persists despite reforms.
Purpose of the Study:
- To analyze the Russian health system's organization, financing, and policy initiatives.
- To identify challenges and areas for improvement in health service delivery.
- To evaluate the impact of recent health programs and reforms.
Main Methods:
- Review of country-based Health System Review (HiT) data.
- Analysis of health financing mechanisms, particularly Mandatory Health Insurance (MHI).
- Examination of policy initiatives, institutional frameworks, and provider payment systems.
Main Results:
- Despite economic improvements, a significant urban-rural disparity in health access and outcomes exists.
- Public health spending remains low relative to available resources.
- Input-based provider payment mechanisms hinder technical efficiency.
Conclusions:
- Strengthening the MHI system and shifting to output-based provider payments are key to improving efficiency.
- Addressing the urban-rural divide requires targeted interventions for rural primary care.
- Further analysis is needed on optimizing public health spending and system performance.
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