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Main arrow Archive of previous Issues arrow ╣2 2015 (42) arrow SOME CAUSES OF DETERIORATED PERFORMANCE INDICATORS OF THE HEALTH PROTECTION SYSTEM IN RUSSIA
SOME CAUSES OF DETERIORATED PERFORMANCE INDICATORS OF THE HEALTH PROTECTION SYSTEM IN RUSSIA Print
Wednesday, 24 June 2015

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

Contacts: Vadim Tsybulsky, ň-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

  1. Alma-Atinskaya Deklaratsiya po pervichnoy mediko-sanitarnoy pomoshchi VOZ, 1978. [WHO Alma-Ata Declaration on primary health care,1978] [Online ] [cited 2015 Mar 14]. Available from: http://www.un.org/ru/documents/decl_conv/declarations/almaata78.shtml (In Russian)
  2. Rasporyazheniy po sokrashcheniyu vrachey-pensionerov ne bylo. [Orders to reduce retired doctors were not released]. Moscow. Argumenty.ru. [Online] 2014, November 20 [cited 2015 Mar 14]. Available from: http://argumentiru.com/society/2014/11/377831 . (In Russian)
  3. Buyanova D. Newspaper "Metro". 20 Nov 2014. [Online] 2014 November 20 [cited 2015 Mar 14]. Available from: http://issuu.com/metro_russia/docs/20141120_ru_moscow. (In Russian).
  4. Vsemirnaya Deklaratsiya po zdravookhraneniyu VOZ, 51 sessiya, 1998.[World Health Declaration, WHO, 51 session, 1998]. [Online ] [cited 2015 Mar 14]. Available from: http://www.med-prof.ru/vm37.html. (In Russian)
  5. Gurvich S. V. Perspektivnaya organizatsionnaya model' ambulatorno-poliklinicheskogo obsluzhivaniya v sisteme okhrany materinstva i detstva [Prospective organizational model of outpatient care in the system of maternity and child health protection]. Materialy IX s"ezda pediatrov Rossii "Detskoe zdravookhranenie Rossii: strategiya razvitiya", Moscow, 2001. P. 172(In Russian)
  6. Doklad o sostoyanii zdravookhraneniya v mire 2008 g. [World health report, 2008] [Online]. 2008 [cited 2015 Mar 14]. Available from: http://www.epidemiolog.ru/situation/1488.html. (In Russian)
  7. Zelenskiy V. Newspaper "Metro" 16.12.2014. ╣159. (In Russian)
  8. Kadyrov F.N Ekonomicheskie metody otsenki effektivnosti deyatel'nosti meditsinskikh uchrezhdeniy [Economical methods for assessing the efficiency of health care facilities]. Moscow: Menedzher zdravookhraneniya; 2013. 489 p. (In Russian)
  9. Kucherenko V.Z., Danishevskiy K.D. Naibolee izvestnye sistemy zdravookhraneniya razvitykh stran [Well known health care systems in the developed countries]. Ekonomika zdravookhraneniya 2000; (7): 5-12. (In Russian)
  10. O merakh po povysheniyu effektivnosti ispol'zovaniya resursov v zdravookhranenii [On measures to improve the efficiency in implementation of health care resources]. Reshenie Kollegii ministerstva zdravookhraneniya i sotsial'nogo razvitiya Rossiyskoy Federatsii ot 28.11.2001 g.), protokol ╣ 13. [Online] [cited 2015 Mar 14]. Available from: http://www.webapteka.ru/phdocs/doc1127.html. (In Russian)
  11. Ob osnovakh okhrany zdorov'ya grazhdan v Rossiyskoy Federatsii: [On the basis of population health protection in the Russian Federation]. Federal'nyy zakon ot 21 noyabrya 2011 g. N 323-FZ. [Online] [cited 2015 Mar 14]. Available from: http://base.garant.ru/12191967/ . (In Russian)
  12. Ob utverzhdenii perechnya zhiznenno neobkhodimykh i vazhneyshikh lekarstvennykh preparatov na 2012 g. [On approving the list of vital and essential medicines for 2012]. Rasporyazhenie Pravitel'stva RF ot 7 dekabrya 2011 g. N 2199-r. [Online] [cited 2015 Mar 14]. Available from: http://base.garant.ru/70105178/#ixzz3aURLyTJ4 . (In Russian)
  13. Opyt raboty po zdravookhraneniyu Stupinskogo rayona, Moskovskoy oblasti [Operational experience on health care in Stupino district, Moscow region] [Online] 2014 [cited 2015 Mar 14]. Available from: http://stupino.stinline.ru/otrasli/zdravoohr. (In Russian)
  14. Sorokina T.S. Stanovlenie Sovetskogo zdravookhraneniya i meditsiny (pervye gody Sovetskoy vlasti) [Formation of the Soviet health care and medicine (the first years of Soviet system)].In: Istoriya meditsiny [History of medicine]. V 2-kh tomakh. Tom 2.Glava 9. [Online] 1999 [cited 2015 Mar 14]. Available from: http://www.bibliotekar.ru/423/35.htm. (In Russian)

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