Constraints on Universal Health Care in the Russian Federation: Inequality, Informality and the Failures of Mandatory Health Insurance Reforms

Ограничения всеобщего здравоохранения в Российской Федерации: неравенство, неформальность и провалы реформ обязательного медицинского страхования
Linda J. Cook
2017-01-01

Informal paymentsMandatory health insuranceRussian FederationSocioeconomic inequalitiesUniversal health care
Cook provides a comprehensive overview of Russia’s post-communist health care system, including the health crisis of the 1990s, and the recovery of health care financing and health indicators for the population from 2000. The chapter recognizes the broad coverage of Russia’s health care system and focuses on obstacles to universal and effective coverage, including socioeconomic and regional inequalities as well as informal payments for health services. Cook assesses the system’s accomplishments and limitations, as well as the multiple efforts at health care reform since 1990. These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.
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Despite broad formal coverage, socioeconomic and regional inequalities constrain access to universal and effective health care in Russia.
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Informal payments for health services remain a major obstacle to equitable and effective coverage.
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Multiple health-care reforms since 1990 achieved limited results and failed to overcome persistent structural constraints within mandatory health insurance.
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Russia’s post-communist health system experienced a severe crisis in the 1990s, followed by recovery in health-care financing and population health indicators after 2000.
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The chapter evaluates both the accomplishments and limitations of Russia’s health-care system, emphasizing the gap between nominal coverage and actual access.

Russia’s post-communist health care system

Obstacles to universal and effective health care coverage, including socioeconomic and regional inequalities, informal payments, and limitations of mandatory health insurance reforms

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2017-01-01
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Linda J. Cook
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