Publication: Restructuring Regional Health Systems In Russia
Date
2010-10
ISSN
Published
2010-10
Author(s)
Marquez, Patricio V.
Lebedeva, Nadezhda
Abstract
The delivery of health services in
Russia is a federal, regional and municipal responsibility.
Reform of the regional health systems, which suffer from
over-reliance on curative and inpatient care, deteriorating
infrastructure and equipment, and poor quality of services,
is a major challenge for the country. From 2003-2008, the
World Bank helped strengthen the stewardship capacity of
Russia's Federal Ministry of Health and Social
Development (MOHSD) and restructure health systems in two
pilot regions: the Chuvash Republic and Voronezh oblast. In
both regions, hospital bed numbers were reduced while
simultaneously increasing service delivery capacity at the
primary care, specialized ambulatory, and long-term care
facility levels through the introduction of new
technologies, clinical protocols, and resource allocation
mechanisms that link payments to performance.
Citation
“Marquez, Patricio V.; Lebedeva, Nadezhda. 2010. Restructuring Regional Health Systems In Russia. Europe and Central Asia Knowledge brief; Volume No. 32. © World Bank, Washington, DC. http://openknowledge.worldbank.org/entities/publication/9c5ffca2-60cd-5b3b-9c40-81e818dc4d3d License: CC BY 3.0 IGO.”