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Main arrow Archive of previous Issues arrow ╣1 2014 (35) arrow Out-of-pocket expenses on pharmaceuticals and medical services and underlying factors
Out-of-pocket expenses on pharmaceuticals and medical services and underlying factors Print
Monday, 17 March 2014

L.I. Menshikova1,2, M.G. Dyachkova1, E.A. Mordovsky1
1 - NorthernStateMedicalUniversity (Arkhangelsk);
2 - Ministry of Health of the Arkhangelsk region.á

Summary. Background. In 1990-2000 against the background of deep economic crisis the national healthcare system faced a problem of substantially increasing rates of fee-for service medicine for general population.

The aim of the study was to identify and quantify factors for out-of-pocket expenses on pharmaceuticals and medical services in the Arkhangelsk region.

Methods and data. Sociological survey of 1960 patients of health care facilities of the Arkhangelsk region. Cross-impact of factors affecting possible presence or absence of out-of-pocket expenses on pharmaceuticals and medical services among the respondents was evaluated using logistic regression analysis.

Results. The overwhelming majority of respondents (82.6%) incur expenses for pharmaceuticals and medical services regardless of gender and residence. The total median annual expences per one family member exceeded 6,000 rubles. It was found out that the set of factors accounting for the presence of out-of-pocket expenses on pharmaceuticals and medical services varies. Expenses on pharmaceuticals donĺt depend upon health status. Factors related to performance of the regional healthcare system versus demographic and social and economic factors had but insignificant impact on presence of out-of-pocket expenses on pharmaceuticals and medical services among the respondents.

Scope of application. Conditions determining presence of out-of-pocket expenses on pharmaceuticals and medical services in the Arkhangelsk region were identified. Directions for care improvement for the population that are aimed at developing conditions for reduced rates of fee-for service medicine were specified.

Keywords. Medical care; pharmaceuticals; out-of-pocket expenses; factors determining presence of out-of-pocket expenses on pharmaceuticals and medical services

References

  1. Government expenditures for health care in the Russian Federation: problems and ways for their solving. World Bank. 32 p. [Internet] [cited 2013 Aug 08]. Available from: http://siteresources.worldbank.org/INTRUSSIANFEDERATION/Resources/Public_Spending_report_ru.pdf (In Russian).
  2. Zhidkova E.A. The ratio between paid and free medical care to population of the Russian Federation for the period of 2008-2010. Pediatriya 2013;(3):275-276. (In Russian).
  3. Lin A.A., Sokolova S.V. Pharmaceutical market: fundamental features. Problemy sovremennoy ekonomiki 2012;43(3):322 ľ 325. (In Russian).
  4. Bogatova T.V., Potapchik E.G., Chernets V.A., Chirikova A.E., Shilova L.S. Informal payment for health care in Russia. Shishkin S.V., editor. Moscow: Independent Institute for Social Policy. [Internet] 2002 [cited 2013 Aug 08]. Available from: http://www.socpol.ru/publications/pdf/book4.pdf (In Russian).
  5. Population reference for medical care by 20 percent population groups in 2009. Federal State Statistics Service. [Internet] [cited 2013 Aug 08]. Available from: http://www.gks.ru/bgd/regl/b10_44/IssWWW.exe/Stg/d02/10-27.htm (In Russian).
  6. Average consumer prices for some types of medical services. In: ôPaid care to population in Russia -2009ö. Federal State Statistics Service. [Internet] [cited 2013 Aug 08]. Available from: http://www.gks.ru/bgd/regl/b09_78/IssWWW.exe/Stg/08-02.htm (In Russian).
  7. Thomson S, Fobister S, Mosaialos S. Health care financing in the European Union: challenges and strategic decision. [Internet] 2010 [cited 2013 Aug 08]. Available from: http://www.euro.who.int/__data/assets/pdf_file/0016/126025/e92469R.pdf.
  8. Flek V.O., Zinland D.A. Modernization of Russian health care is a basis for providing accessibility and quality of medical care to population. St.-Petersburg: Izdatel'stvo Politekhnicheskogo Universiteta; 2011. 440 p. (In Russian).
  9. Cherkashina T.Yu. Russian population differentiation by consumption of medical service: scopes and factors. SPERO. Naselenie i sotsial'nye instituty 2012;(17):122-136. (In Russian).
  10. Shishkin S.V., Selezneva E.V., Burdjak A.Ja. Differences in access to health care to population of Russia. SPERO. Sotsial'naya politika: ekspertiza, rekomendatsii 2008;(8):135-158. (In Russian).

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