Restructuring Regional Health Systems In Russia

Marquez, Patricio V.; Lebedeva, Nadezhda

Publication:
Restructuring Regional Health Systems In Russia

dc.contributor.author	Marquez, Patricio V.
dc.contributor.author	Lebedeva, Nadezhda
dc.date.accessioned	2012-08-13T10:33:34Z
dc.date.available	2012-08-13T10:33:34Z
dc.date.issued	2010-10
dc.description.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.	en
dc.identifier	http://documents.worldbank.org/curated/en/2010/10/13262671/restructuring-regional-health-systems-russia
dc.identifier.uri	http://hdl.handle.net/10986/10149
dc.language	English
dc.publisher	World Bank, Washington, DC
dc.relation.ispartofseries	Europe and Central Asia Knowledge brief; Volume No. 32
dc.rights	CC BY 3.0 IGO
dc.rights.holder	World Bank
dc.rights.uri	http://creativecommons.org/licenses/by/3.0/igo/
dc.subject	ALCOHOL ABUSE
dc.subject	AMBULANCE
dc.subject	ANESTHESIA
dc.subject	AVERAGE OCCUPANCY RATE
dc.subject	CARDIOVASCULAR DISEASES
dc.subject	CERTIFICATION
dc.subject	CERVICAL CANCER
dc.subject	CERVICAL CANCER SCREENING
dc.subject	CHRONIC DISEASES
dc.subject	CITIES
dc.subject	COMPLICATIONS
dc.subject	DAY-CARE FACILITIES
dc.subject	DEATHS
dc.subject	DELIVERY OF HEALTH SERVICES
dc.subject	DIAGNOSIS
dc.subject	DIET
dc.subject	DISABILITY
dc.subject	DOCTORS
dc.subject	DRUGS
dc.subject	EMERGENCY MEDICAL SERVICES
dc.subject	EMERGENCY TREATMENT
dc.subject	FINANCIAL INFORMATION
dc.subject	GENERAL PRACTICE
dc.subject	GENERAL PRACTITIONERS
dc.subject	HEALTH CARE
dc.subject	HEALTH CARE DELIVERY
dc.subject	HEALTH CARE FACILITIES
dc.subject	HEALTH ECONOMICS
dc.subject	HEALTH EXPENDITURE
dc.subject	HEALTH FACILITIES
dc.subject	HEALTH FINANCE
dc.subject	HEALTH FINANCING
dc.subject	HEALTH INFORMATION
dc.subject	HEALTH INFORMATION SYSTEMS
dc.subject	HEALTH INSURANCE
dc.subject	HEALTH INSURANCE CONTRIBUTIONS
dc.subject	HEALTH INSURANCE SCHEME
dc.subject	HEALTH NEEDS
dc.subject	HEALTH ORGANIZATION
dc.subject	HEALTH POLICY
dc.subject	HEALTH PROMOTION
dc.subject	HEALTH RECORDS
dc.subject	HEALTH REFORM
dc.subject	HEALTH REFORMS
dc.subject	HEALTH SERVICES
dc.subject	HEALTH SPECIALIST
dc.subject	HEALTH SYSTEM
dc.subject	HEALTH SYSTEM RESTRUCTURING
dc.subject	HEALTH SYSTEMS
dc.subject	HEALTH WORKERS
dc.subject	HOSPITAL
dc.subject	HOSPITAL ADMISSIONS
dc.subject	HOSPITAL BEDS
dc.subject	HOSPITAL CARE
dc.subject	HOSPITAL SERVICES
dc.subject	HOSPITALS
dc.subject	HUMAN DEVELOPMENT
dc.subject	HUMAN RESOURCE DEVELOPMENT
dc.subject	HUMAN RESOURCES
dc.subject	ILL-HEALTH
dc.subject	ILLNESSES
dc.subject	INDIVIDUAL HEALTH
dc.subject	INFANT
dc.subject	INFANT DEATHS
dc.subject	INJURIES
dc.subject	INPATIENT CARE
dc.subject	INSTITUTIONAL CAPACITY
dc.subject	LEADING CAUSES
dc.subject	LONG - TERM CARE
dc.subject	LONG-TERM CARE
dc.subject	MANAGEMENT OF HEALTH
dc.subject	MEDICAL CARE
dc.subject	MEDICAL EQUIPMENT
dc.subject	MEDICAL FACILITIES
dc.subject	MEDICAL PERSONNEL
dc.subject	MEDICAL RESOURCES
dc.subject	MINISTRY OF HEALTH
dc.subject	MORTALITY
dc.subject	NATIONAL HEALTH
dc.subject	NURSES
dc.subject	OUTPATIENT SERVICES
dc.subject	PATIENTS
dc.subject	PHYSICAL ACTIVITY
dc.subject	PHYSICIANS
dc.subject	PRIMARY CARE
dc.subject	PRIMARY HEALTH CARE
dc.subject	QUALITY IMPROVEMENT
dc.subject	QUALITY OF CARE
dc.subject	QUALITY OF SERVICES
dc.subject	RADIO
dc.subject	REFERRALS
dc.subject	REHABILITATION
dc.subject	RESOURCE ALLOCATION
dc.subject	RESOURCE CONSTRAINTS
dc.subject	RISK FACTORS
dc.subject	RURAL AREAS
dc.subject	SCREENING
dc.subject	SERVICE DELIVERY
dc.subject	SMOKING
dc.subject	SOCIAL DEVELOPMENT
dc.subject	SURGERY
dc.subject	TECHNICAL ASSISTANCE
dc.subject	TUBERCULOSIS
dc.subject	TUBERCULOSIS PATIENTS
dc.subject	UNIVERSAL ACCESS
dc.subject	VACCINATIONS
dc.subject	WORKERS
dc.title	Restructuring Regional Health Systems In Russia	en
dspace.entity.type	Publication
okr.date.disclosure	2010-12-20
okr.doctype	Publications & Research :: Brief
okr.doctype	Publications & Research
okr.docurl	http://documents.worldbank.org/curated/en/2010/10/13262671/restructuring-regional-health-systems-russia
okr.globalpractice	Health, Nutrition, and Population
okr.globalpractice	Governance
okr.globalpractice	Health, Nutrition, and Population
okr.identifier.externaldocumentum	000333037_20101220233253
okr.identifier.internaldocumentum	13262671
okr.identifier.report	58558
okr.language.supported	en
okr.pdfurl	http://www-wds.worldbank.org/external/default/WDSContentServer/WDSP/IB/2010/12/20/000333037_20101220233253/Rendered/PDF/585580BRI0ECA010BOX353808B01PUBLIC1.pdf	en
okr.region.administrative	Europe and Central Asia
okr.region.country	Russian Federation
okr.topic	Law and Development :: Health Law
okr.topic	Health, Nutrition and Population :: Population Policies
okr.topic	Health Economics and Finance
okr.topic	Health Monitoring and Evaluation
okr.topic	Health Systems Development and Reform
okr.unit	Health and Nutrition (ECSH1)
okr.unit	Office of the Regional Vice Pres (ECAVP)
okr.volume	1 of 1