Tsybulsky V.B.
Federal Research Institute for Health Organization and Informatics, Moscow

Contacts: Vadim Tsybulsky, å-mail: This e-mail address is being protected from spam bots, you need JavaScript enabled to view it

Abstract. Purpose of the study: to identify and propose for extensive discussion some causes of deteriorated performance of the Russian healthcare system.

Data. Materials on creation and development of the state healthcare system during the Soviet period and in modern Russia.

Methods: statistical, socio-hygienic, content analysis.

Results. The author identified nine most important causes of deterioration in the Russian healthcare: under financing; low social status of first contact physicians; mistakes in organization of primary healthcare delivery; problems related to reorganization of outpatient care delivery and compulsory health insurance; imperfect medical staff training; role of administrators in healthcare management; problems related to provision of medicines; private medical practice; and introduction of economic principles into the healthcare system.

Suggestions to improve this situation are proposed for extensive discussion among the medical community.

Conclusions. The main of the seven conclusions made by the author is as follows: currently the state system fails to meet objectives of health protection in Russia. Urgent measures to support primary care are required.

Keywords: system of health protection; primary medical care; general practitioner; staff training; economics; private practice; compulsory health insurance.

References

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