From assurance to insurance in Russian health care: the problematic transition.

摘要: OBJECTIVES: Given the declining health status of Russian population and negative social impact ongoing economic reforms, it is important to understand nature scope Russia's innovations in care financing. METHODS: Data on its financing were gathered from newspapers journals. US government agency reports, recent press accounts, authors' observations interviews Russia. RESULTS: The 1991 statutory basis for mandatory medical insurance system replaced traditional, state-funded with a regional principally reliant an enterprise-based with-holding tax plus supplementation by local and, minor extent, federal funds. agent distribution management these funds series Territorial Health Insurance Funds. Implementation thus far has been highly uneven among territories. CONCLUSIONS: An model patterned after Western example may not be th...