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Main
PERCEPTION OF INJUSTICE OF INEQUALITY IN ACCESS TO HEALTH CARE BY CITIZENS OF THE RUSSIAN FEDERATION AND ITS DETERMINANTS Print
Tuesday, 10 July 2018

DOI: 10.21045/2071-5021-2018-61-3-4

Kislitsyna O.A.
Federal State Institution of Science Institute of Economics of Russian Academy of Sciences, Moscow

Contacts: Kislitsyna O.A., email: This e-mail address is being protected from spam bots, you need JavaScript enabled to view it
Information about authors:
Kislitsyna O.A., http://orcid.org/0000-0002-4144-237X
Acknowledgments. The study had no sponsorship.
Conflict of interests. The authors declare no conflict of interest.

Abstract

Studies demonstrate that there are significant socioeconomic inequalities in access to health services in many countries. However, practically nothing is known about attitude of people towards such inequality.

The purpose of the study: to evaluate perception of social and economic inequality in healthcare by the Russian citizens; and to identify factors determining perception of injustice of inequality in healthcare and willingness of people to contribute to healthcare improvement for all.

The information base of the study was the International Social Survey program (ISSP), the 2011 round. Statistical analysis was conducted using the logistic regression model of the SPSS package.

The study shows that a significant share of the Russian citizens (67.7%) think it is not fair that people with higher income can afford better health care than people with lower income. However, people are reluctant to commit themselves to improve healthcare for all in the country; the share of those willing to contribute ads up to 14.6%.

People with low socioeconomic status, poor health, those who consider coverage with compulsory health insurance insufficient, people with children under 18 years of age, and people with radical political views are more likely to perceive injustice of inequity in access to health services. Willingness to pay higher taxes to improve healthcare for all is associated with other factors: old people, people with poor health, people with low education, low socioeconomic status, and the unemployed are less likely to contribute to healthcare improvement.

The results obtained help to conclude that further withdrawal of the State from the healthcare and expansion of payments for medical services can result in the growing public discontent.

Key words: inequality in access to health services; public opinion; perception of injustice.

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