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  1. The development of market approaches in Russia.

    Article - En anglais

    European Healthcare Management Association's Annual Conference. Varsovie, 1993.

    This issue of the journal presents a selection of the papers from the European Healthcare Management Association's Annual Conference in Warsaw (1993), organized on the theme of « Managing Healthcare Markets ». (éditorial).

    In the late 1980s, it became clear that poor outcomes of the Russian health system were caused not only by underfunding but also by inadequate management of healthcare.

    Some features of the system led to great inefficiency in medical care provision and an irrational structure of medical care.

    The recognition of this fact has intensified the search for new methods of finance and management.

    The underlying idea of health care reform in Russia is to weaken provider's dominance, to make them more responsive to consumer preferences, and to change the structure of medical care. the main developments of the reform parallel the reforms in Western countries.

    These are primarily the separation of finance and provision of meical care, with the shift from an integrated to a contractual model of relationships between payers and providers.

    But the specific characteristics of the healthcare situation, primarily the great underfunding and the absolute dominance of state owned medical facilities, make the reform in the Russian health sector more radical.

    This paper highlights the issues of the current and planned developments in the Russian health sector.

    After presenting the main characteristics of the current health systems, it addresses economic experiments ...


    Mots-clés Pascal : Système santé, Marché, Financement, Assurance maladie, Réforme, URSS

    Mots-clés Pascal anglais : Health system, Markets, Financing, Health insurance, Reform, USSR

    Logo du centre Notice produite par :
    ENSP - Ecole nationale de la santé publique (devenue EHESP)

    Cote : 94/01-03 V

    Code Inist : 002B30A01B. Création : 09/06/1995.