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2017 | OriginalPaper | Buchkapitel

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

verfasst von : Linda J. Cook

Erschienen in: Towards Universal Health Care in Emerging Economies

Verlag: Palgrave Macmillan UK

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Abstract

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.

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Fußnoten
1
In the 1980s less than one-half of 1 percent of the population had access to the elite system, while about half were served in the lowest-quality, rural district system (Davis 1988). Education and social status also played important roles in health care utilization (Rusinova and Brown 2003).
 
2
Potapchik et al. (2011), World Bank (2011a), UNDP (2010).
 
3
Feeley et al. (1999), Blam and Kovalev (2003, 2006), Cook (2014a).
 
4
This section draws on the results of numerous national surveys, including the Russian Longitudinal Monitoring Survey, 1994–2000 (http://​www.​cpc.​unc.​edu/​projects/​rlms-hse, accessed 03 March 2016), the National Survey on Public Well-Being and Engagement with Social Programs (NOBUS) in 2003 (World Bank 2005) as well as regional surveys reported in Aarva et al. (2009) and Blam and Kovalev (2006).
 
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Metadaten
Titel
Constraints on Universal Health Care in the Russian Federation: Inequality, Informality and the Failures of Mandatory Health Insurance Reforms
verfasst von
Linda J. Cook
Copyright-Jahr
2017
DOI
https://doi.org/10.1057/978-1-137-53377-7_10