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Health care in Moscow
1Centre of Russian and East European Studies, University College of Swansea.
BMJ (Clinical Research Ed.)
|September 25, 1993
Summary
Privatization is transforming Russian healthcare, with public and physician support for private clinics. However, challenges in implementing medical insurance and licensing may hinder improvements in public health.
Area of Science:
- Public Health
- Health Economics
- Healthcare Policy
Background:
- The Russian Federation is undergoing widespread privatization, impacting healthcare alongside industry and commerce.
- Public dissatisfaction with the former state-run system fuels support for transferring state clinics to the private sector.
- Physicians anticipate improved medical practice standards and compensation within a privatized healthcare framework.
Purpose of the Study:
- To examine the effects of healthcare privatization in the Russian Federation.
- To assess the implementation status and challenges of a new medical insurance system.
- To understand the implications for public health outcomes in Moscow.
Main Methods:
- Analysis of privatization trends in the healthcare sector.
- Review of the establishment and function of a clinic licensing commission in Moscow.
- Assessment of the progress and bureaucratic hurdles in implementing a national medical insurance system.
Main Results:
- Public and physician support for private healthcare initiatives is evident.
- A commission for licensing healthcare clinics has been established in Moscow to ensure standards.
- Implementation of the medical insurance system faces significant delays due to disputes and bureaucracy.
Conclusions:
- While privatization offers potential benefits for Russian healthcare, systemic challenges persist.
- Ensuring quality and safety through licensing is a key step, but broader reforms are needed.
- The ongoing delays in medical insurance implementation and existing health issues, particularly among the young in Moscow, highlight the need for effective policy execution.
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