Publication: Restructuring Regional Health Systems In Russia
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Date
2010-10
ISSN
Published
2010-10
Author(s)
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.
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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://hdl.handle.net/10986/10149 License: CC BY 3.0 IGO.”