Better Outcomes through Health Reforms in the Russian Federation : The Challenge in 2008 and Beyond
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World Bank, Washington, DC
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The purpose of this discussion paper is
to discuss selected health challenges in the Russian
Federation, focusing on outcomes, expenditures and options
for policy and institutional reforms in the health care
system. The areas covered in the paper draw on recent
studies and reports, and take into account lessons derived
from the implementation of the World Bank-funded Health
Reform Implementation Project (HRIP) at the federal level
and in the Chuvash Republic and the Voronezh Oblast-the
pilot regions of the project, over the 2005-2007 period.
Palabras clave
ABILITY TO PAY, ACCESS TO HEALTH CARE, ADMINISTRATIVE COSTS, ADULT MORTALITY, AGED, AGING, ALCOHOL CONSUMPTION, ALLOCATIVE EFFICIENCY, AMBULANCE, AMBULANCE SERVICES, CARDIOVASCULAR DISEASES, CERTIFICATION, CHEMOTHERAPY, CHILD HEALTH, CHOICE OF PROVIDER, CLINICAL PRACTICE, COMMUNICABLE DISEASES, COMMUNITY HEALTH, COMPETENCIES, COST OF HEALTH CARE, COST OF HEALTH SERVICES, COST-SHARING ARRANGEMENTS, COUNSELLING, DEATH RATE, DEATHS, DECISION MAKING, DELIVERY OF HEALTH CARE, DEMAND FOR HEALTH, DEMAND FOR HEALTH SERVICES, DETERMINANTS OF HEALTH, DIABETES, DOCTORS, EFFECTIVENESS OF HEALTH CARE, EMERGENCY MEDICAL SERVICES, ENDOCRINE SYSTEM, EPIDEMIOLOGY, EPILEPSY, EXPENDITURES, FAMILIES, FAMILY PLANNING, FINANCIAL CONTRIBUTIONS, FINANCIAL PROTECTION, FINANCIAL RESOURCES, FINANCIAL RISK, FINANCIAL RISK PROTECTION, GENERAL PRACTICE, GENERAL PRACTITIONERS, HEALTH AFFAIRS, HEALTH CARE, HEALTH CARE DELIVERY, HEALTH CARE EXPENDITURE, HEALTH CARE EXPENDITURES, HEALTH CARE FINANCING, HEALTH CARE INSTITUTIONS, HEALTH CARE NEEDS, HEALTH CARE ORGANIZATIONS, HEALTH CARE PROFESSIONALS, HEALTH CARE PROVIDERS, HEALTH CARE PROVISION, HEALTH CARE REFORM, HEALTH CARE SERVICES, HEALTH CARE SPENDING, HEALTH CARE SYSTEM, HEALTH CARE SYSTEMS, HEALTH DETERMINANTS, HEALTH ECONOMISTS, HEALTH EDUCATION, HEALTH EXPENDITURE, HEALTH FACILITIES, HEALTH FINANCING, HEALTH FINANCING SYSTEM, HEALTH FOR ALL, HEALTH INEQUITIES, HEALTH INFORMATION, HEALTH INFORMATION SYSTEMS, HEALTH INSURANCE, HEALTH INSURANCE CONTRIBUTIONS, HEALTH INSURANCE FUNDS, HEALTH INSURANCE PLANS, HEALTH INSURERS, HEALTH INVESTMENTS, HEALTH MANAGEMENT, HEALTH NEEDS, HEALTH ORGANIZATION, HEALTH OUTCOMES, HEALTH POLICY, HEALTH PROFESSIONALS, HEALTH PROGRAMS, HEALTH PROMOTION, HEALTH RECORDS, HEALTH REFORM, HEALTH REFORMS, HEALTH SECTOR, HEALTH SERVICE, HEALTH SERVICE PROVIDERS, HEALTH SERVICE PROVISION, HEALTH SERVICES, HEALTH SPECIALIST, HEALTH STATUS, HEALTH SYSTEM, HEALTH SYSTEM GOALS, HEALTH SYSTEMS, HOLISTIC APPROACH, HOME CARE, HOME HEALTH CARE, HOSPITAL ADMISSIONS, HOSPITAL BEDS, HOSPITAL CARE, HOSPITAL SECTOR, HOSPITAL SERVICES, HOSPITALS, HR, HUMAN DEVELOPMENT, HUMAN RESOURCES, HYGIENE, HYPERTENSION, IMMUNIZATION, INCENTIVES FOR PROVIDERS, INCOME, INCOME COUNTRIES, INCOME GROUPS, INFANT MORTALITY, INFANTS, INJURIES, INPATIENT CARE, INTEGRATION, INTERMEDIARIES, INTERVENTION, LAWS, LIFE EXPECTANCY, LIFE EXPECTANCY AT BIRTH, LIVING CONDITIONS, MANAGEMENT OF PATIENTS, MEDICAL BENEFITS, MEDICAL CARE, MEDICAL EXPENDITURES, MEDICAL PERSONNEL, MEDICAL RECORDS, MEDICAL SERVICES, MEDICAL TECHNOLOGIES, MEDICINES, MENTAL HEALTH, MENTAL ILLNESS, MIGRANTS, MIGRATION, MORBIDITY, MORTALITY, NATIONAL HEALTH, NATIONAL HEALTH EXPENDITURE, NATIONAL HEALTH SERVICE, NATIONAL HEALTH SPENDING, NEEDS ASSESSMENT, NURSES, NURSING, NURSING HOME CARE, NUTRITION, OBESITY, OLDER PEOPLE, PALLIATIVE CARE, PARASITIC DISEASES, PATIENT, PATIENT CONFIDENTIALITY, PATIENT SATISFACTION, PATIENTS, PEOPLE WITH DISABILITIES, PERSONAL DEVELOPMENT, PHARMACY, PHYSICAL ACTIVITY, PHYSICIAN, PHYSICIANS, PHYSIOTHERAPISTS, POCKET PAYMENTS, POSTNATAL CARE, PRESCRIPTION DRUGS, PRIMARY CARE, PRIMARY HEALTH CARE, PRIMARY HEALTH CARE SERVICES, PRIVATE INSURANCE, PRIVATE INSURANCE POLICIES, PRIVATE SECTOR, PRIVATE SPENDING, PROGRAMS FOR HEALTH, PROVIDER PAYMENT, PROVISION OF HEALTH SERVICES, PUBLIC EXPENDITURE, PUBLIC HEALTH, PUBLIC HEALTH POLICIES, PUBLIC HEALTH SERVICES, PUBLIC HEALTH SPENDING, PUBLIC HEALTH STRATEGIES, PUBLIC PROVIDERS, PUBLIC PROVISION, PUBLIC SECTOR, PUBLIC SECTOR EFFICIENCY, PUBLIC SPENDING, QUALITY OF HEALTH, QUALITY OF HEALTH CARE, REHABILITATION, RISK FACTORS, SCREENING, SKIN DISEASES, SMOKING, SMOKING CESSATION, SOCIAL SERVICES, SOCIAL SUPPORT, SURGERY, TB CONTROL, TUBERCULOSIS, VENEREAL DISEASES, WORKPLACE