A radical reform is being prepared in the Russian Federation health care.
Its major point is a transition from tax-financed national health system to social health insurance.
The paper highlights the issues of forming the system of health insurance.
First, the arguments for a transition to a new model of finance are discussed.
Secondly, the concept of the new model and its implementation in the context of the regional experiment are addressed.
A discussion of current and expected developments focuses on two major issues : monopsony or pluralistic model of third-party purchasing ?
What is important for forming the market of health care provision ?
The major argument is that a transition from a highly integrated to a contractual model may start with regional monopsony or some version of it.
Mots-clés Pascal : Economie santé, Assurance maladie, Politique sanitaire, Russie, CEI, Système santé, Tiers payant, Réforme, Eurasie
Mots-clés Pascal anglais : Health economy, Health insurance, Health policy, Russia, IEC, Health system, Eurasia
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 94-0680473
Code Inist : 002B30A01B. Création : 09/06/1995.