Restructuring Regional Health Systems In Russia
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 po...
| Main Authors: | , |
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| Language: | English |
| Published: |
World Bank, Washington, DC
2012
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| Subjects: | |
| Online Access: | http://documents.worldbank.org/curated/en/2010/10/13262671/restructuring-regional-health-systems-russia http://hdl.handle.net/10986/10149 |
| Summary: | 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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