The Russian Federation adopted a nation-wide system of obligatory medical insurance in 1993 in an effort to earmark a targeted source of funding for health care and to reverse a steep decline in health outcomes.
The author conducted a survey in 1995-1996 of managers of two of the new institutional participants in Russia's health insurance scheme : Territorial Health Insurance Funds and private medical insurance companies.
The survey results reveal deep dissatisfaction with the level of financing provided by the new system ; continuing confusion and substantial regional variation in the implementation of the insurance legislation ; fierce bureaucratic and institutional infighting between the major players, stemming primarily from controversy over delineation of responsibilities and ongoing battles for control over resources ; promising hints of competition and other market-based incentives emerging from the current chaos ; and broad agreement that further structural reform must accompany increased infusions of resources in order for significant systemic improvements to be realized.
Mots-clés Pascal : Russie, Eurasie, Evaluation, Système santé, Economie santé, Législation, Assurance maladie, Financement, Compagnie assurance
Mots-clés Pascal anglais : Russia, Eurasia, Evaluation, Health system, Health economy, Legislation, Health insurance, Financing, Insurance company
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0392495
Code Inist : 002B30A01B. Création : 22/03/2000.