Restructuring Regional Health Systems In Russia
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World Bank, Washington, DC
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The delivery of health services in
Russia is a federal, regional and municipal responsibility.
Reform of the regional health systems, which suffer from
over-reliance on curative and inpatient care, deteriorating
infrastructure and equipment, and poor quality of services,
is a major challenge for the country. From 2003-2008, the
World Bank helped strengthen the stewardship capacity of
Russia's Federal Ministry of Health and Social
Development (MOHSD) and restructure health systems in two
pilot regions: the Chuvash Republic and Voronezh oblast. In
both regions, hospital bed numbers were reduced while
simultaneously increasing service delivery capacity at the
primary care, specialized ambulatory, and long-term care
facility levels through the introduction of new
technologies, clinical protocols, and resource allocation
mechanisms that link payments to performance.
Palabras clave
ALCOHOL ABUSE, AMBULANCE, ANESTHESIA, AVERAGE OCCUPANCY RATE, CARDIOVASCULAR DISEASES, CERTIFICATION, CERVICAL CANCER, CERVICAL CANCER SCREENING, CHRONIC DISEASES, CITIES, COMPLICATIONS, DAY-CARE FACILITIES, DEATHS, DELIVERY OF HEALTH SERVICES, DIAGNOSIS, DIET, DISABILITY, DOCTORS, DRUGS, EMERGENCY MEDICAL SERVICES, EMERGENCY TREATMENT, FINANCIAL INFORMATION, GENERAL PRACTICE, GENERAL PRACTITIONERS, HEALTH CARE, HEALTH CARE DELIVERY, HEALTH CARE FACILITIES, HEALTH ECONOMICS, HEALTH EXPENDITURE, HEALTH FACILITIES, HEALTH FINANCE, HEALTH FINANCING, HEALTH INFORMATION, HEALTH INFORMATION SYSTEMS, HEALTH INSURANCE, HEALTH INSURANCE CONTRIBUTIONS, HEALTH INSURANCE SCHEME, HEALTH NEEDS, HEALTH ORGANIZATION, HEALTH POLICY, HEALTH PROMOTION, HEALTH RECORDS, HEALTH REFORM, HEALTH REFORMS, HEALTH SERVICES, HEALTH SPECIALIST, HEALTH SYSTEM, HEALTH SYSTEM RESTRUCTURING, HEALTH SYSTEMS, HEALTH WORKERS, HOSPITAL, HOSPITAL ADMISSIONS, HOSPITAL BEDS, HOSPITAL CARE, HOSPITAL SERVICES, HOSPITALS, HUMAN DEVELOPMENT, HUMAN RESOURCE DEVELOPMENT, HUMAN RESOURCES, ILL-HEALTH, ILLNESSES, INDIVIDUAL HEALTH, INFANT, INFANT DEATHS, INJURIES, INPATIENT CARE, INSTITUTIONAL CAPACITY, LEADING CAUSES, LONG - TERM CARE, LONG-TERM CARE, MANAGEMENT OF HEALTH, MEDICAL CARE, MEDICAL EQUIPMENT, MEDICAL FACILITIES, MEDICAL PERSONNEL, MEDICAL RESOURCES, MINISTRY OF HEALTH, MORTALITY, NATIONAL HEALTH, NURSES, OUTPATIENT SERVICES, PATIENTS, PHYSICAL ACTIVITY, PHYSICIANS, PRIMARY CARE, PRIMARY HEALTH CARE, QUALITY IMPROVEMENT, QUALITY OF CARE, QUALITY OF SERVICES, RADIO, REFERRALS, REHABILITATION, RESOURCE ALLOCATION, RESOURCE CONSTRAINTS, RISK FACTORS, RURAL AREAS, SCREENING, SERVICE DELIVERY, SMOKING, SOCIAL DEVELOPMENT, SURGERY, TECHNICAL ASSISTANCE, TUBERCULOSIS, TUBERCULOSIS PATIENTS, UNIVERSAL ACCESS, VACCINATIONS, WORKERS