2. INTRODUCTION
• Largest country in the world stretching
from Europe to Pacific with 143million
population.
• Health is considered to be an indicator
of national well-being, which contributes
to the economic growth of the country
and to national security, in particular as
a way of ensuring sufficient recruits for
the armed forces
Health care sysem- Russia
3. • The Russian healthcare system
has faced a great deal of
criticism because of due to its
poor organizational structure,
lack of government funds,
providing free medication,
outdated medical equipment
and poorly paid staff, Russian
citizens fail to access an
acceptable level of healthcare .
Health care sysem- Russia
4. • Bloomberg report…2016 survey.
• Russian healthcare ranked last out of 55
developed countries.
• Doctor training in Russia is
very outdated,comparing many
practicing doctors educated in
Soviet times and qualifications
lagging behind the west
Health care sysem- Russia
5. Health care Access and Funding
• .
• Obligatoy Medical Insurance (OMI)
• funded by employers
• Russian social tax
• Employer will pay around 2–3% of there salary
• Free public clinics
Health care sysem- Russia
7. Soviet union government (1922-1990) brought
massive training efforts and hospital construction
to create a national system guaranteeing every
citizen the same access and type of service.
• State funded healthcare system
• All health personnel are state employees
• Up to the 1990s, the Soviet health system was
largely successful in controlling the major
infectious diseases.
Health care sysem- Russia
8. Dissolution of the Soviet Union(1990-2000) It was the
period of epidemiologic transition
• Political economy implodes,health care system thrown
into crisis.
• Public expenditure on health declined
• Infectious diseases re-emerged
• Life expectancy of male.. to below 60 years
• IMR…22 - 28 death per 1000 birth
• Other industrial countries it was 5-8 per 1000 birth
Health care sysem- Russia
9. (1990-2000) cont…
• Process of spontaneous privatization & shadow
commercialization raised barriers to health care.
• Inequalities based on low income strata in rural
population
Health care sysem- Russia
10. 2000-2010:Putin, Progress and Persistent
Problem
• Health and social policy for demographic
crisis …(population decline, low birth rate)
• Government expenditure in health care
increased
• Salaries recovered
• Regulations and price control on
pharmaceutical products
• National priority project health (NPPH)
on 2005…for pregnant mother, newborn
patient with Tb,cancerHealth care sysem- Russia
11. HEALTH CARE SYSTEM OF RUSSIA
PUBLIC
• Polyclinics,
Hospital,
Research
centers
• Under federal,
regional or
municipal
control
PARALLEL
• Polyclinics,
Hospital &
sanatoria
• Administrated
by ministry of
health
• For ministry
personnel
PRIVATE
• Only in urban area
• As of 2010 , only
124 private
hospitals
• Voluntary health
insurance(VHI)
• Wealthy Russians
and foreign expats
NGO
• HIVAIDS
• Tb and
Malaria
Health care sysem- Russia
14. • GDP ON HEALTH GRAPH
Health care sysem- Russia
15. BARRIERS TO UNIVERSAL ACCESS TO
HEALTH SYSTEM
• Inequalities
• Alcoholism
• Stigmatized group
• Failure of healthcare system
Health care sysem- Russia
16. Inequalities
• Household level, regional level, rural-urban
difference
• 1990 poverty…followed by rise in inequality by
2000 as poverty declined
• Use of private health service by wealthiest
quintile increased by 20% since 98’
• Distribution and payment for medical health
personnel vary with in Russia
Health care sysem- Russia
17. • Residents of poor or less developed region spend higher
share of their income on health than those living in
wealthier region
• Residents of poorer region pay because no free specialist
or diagnostic equipments are available…wealthier pay to
get higher quality care
• Rural population have less access and poorer over all
health comparing urban group.
• Avg number of doctors
Urban area- 50 per 10,000
Rural area- 12 per 10,000
Health care sysem- Russia
19. Stigmatized group
• HIVAIDS, Sex workers, IV Drug users
• Federal governments neglect… NGO and regional
health authorities placed majored role
• Counseling and Education
Health care sysem- Russia
20. The Crisis of Russian Health care
• Ineffective organization of health care delivery services.
• Lack of funding (so, forced to cut off new construction and other
fundamental investments)
• Outdated medical equipments.
• policy makers they put the goals of health protection
behind other "protected state priorities.“
( health care system is, for the moment, financed just at the survival
level)
Health care sysem- Russia
21. Conclusion
The Russian population are underfunded and suffer from lack of
resources in general. There are many famous medical research
centers, especially on the federal level,but are left without proper
financial support. Progress in all spheres of health care is under great
stress in Russia.
There are gradual improvements in financial and functional aspects of
healthcare as funding, increases in the average size of the prevention
and treatment facilities, growing provision of primary medical care,
increasing provision of highly specialized care, reduction in treatment
duration.However, current Russian healthcare problems include the
lack of control over the provision of healthcare professionals and
inefficient distribution of such professionals between federal regions,
cities, and rural areas, as well as different types of medical institutions
Health care sysem- Russia
22. • The OMI funds currently are collected more effectively. They
provide important help to the health care system, but the
established tariff level (3.6 percent from an enterprise's total
salary amount) is still insufficient because of constantly
diminishing budgetary support.
• The health care in Russia are directly interwoven with the
nation's future socio-economic development. The future
depends on the extent to which and by whom health care
will be funded as a system--through the state budget, by
special funds, or by people directly.
• This sphere of life is important for the future of the nation, it
would be very unwise to abandon a state-approved health
protection and care policy now or in the future.Health care sysem- Russia
