Winners and Losers: Expansion of Insurance Coverage in Russia in the 1990s

摘要: Objectives. This study sought to describe the evolution of Russian compulsory health insurance system and identify factors associated with noncoverage. Methods. Data from successive waves Longitudinal Monitoring Survey (1992–2000) were analyzed. Results. Insurance coverage grew rapidly throughout 1990s, although 11.8% country’s citizens still uninsured by 2000. Coverage initiation rates greater at first among who better off, but this gap closed over period. Among individuals working age, diminished age lower for unemployed, self-employed, those residing outside Moscow or St. Petersburg. Conclusions. The growth in Russia slowed toward end gaps remain. Achievement universal will require new, targeted policies.