[EQ] Better Outcomes Through Health Reforms in the Russian Federation

Better Outcomes Through Health Reforms in the Russian Federation:
The Challenge in 2008 and Beyond

Policy Note December 2007–January 2008- Patricio V. Marquez, Lead Health Specialist, Europe and Central Asia, The World Bank
Contributions from:
Rifat Atun, Imperial College, London; William Tompson, Organization for Economic Cooperation and Development (OECD), Paris;
Sevil Kamalovna Salakhutdinova, Health Officer, World Bank Moscow Office.

Available online as PDF file [30p.] at:
http://siteresources.worldbank.org/INTECAREGTOPHEANUT/Resources/russia_policy_brief_feb_6_08.pdf

“……The purpose of this Policy Note is to discuss selected health challenges in the Russian Federation, focusing on outcomes, expenditures and options for policy and institutional reforms in the health care system. The areas covered in the Note draw on recent studies and reports, and take into account lessons derived from the implementation of the World Bank-funded Health Reform Implementation Project (HRIP) at the federal level and in the Chuvash Republic and the Voronezh Oblast—the pilot regions of the project, over the 2005-2007 period….”

“…..This Note argues that most health challenges in the Russian Federation could be addressed through broad policy and institutional reforms at the federal, regional, and municipal levels covering many sectors and not only the health system. Improving health outcomes by implementing the proposed reforms in tandem to ensure overall coherence of effort is a very complex, medium- to long-term undertaking that should begin to be addressed forcefully today…”

Content:

Introduction
I. T he Rationale for Action
A. Why Invest in Health
B. Why Reform Health Systems?
II. The Health Challenges in the Russian Federation
Poor Health Outcomes
A Declining and Aging Population
Low Level of Funding for Health
Efficiency of Health Care Spending
III. How to Address Key HEALTH Challenges?
1. Developing Multisectoral Actions to Address the Causes of Russia’s Health Crisis
2. Increasing Level of Funding for Health
3. Advancing Policy and Institutional Reforms to Enhance, Efficiency, Equity and Effectiveness in the Health System
IV. Conclusion

 

 

 

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