[EQ] Public Spending in Russia for Health Care: Issues and Options

Public Spending in Russia for Health Care: Issues and Options

 

Europe and Central Asia Region- Human Development Department

Russian Federation Country Management Unit- The World Bank, 2008

 

Available online as PDF file [33p.] at:
http://siteresources.worldbank.org/INTECAREGTOPHEANUT/Resources/PublicSpendingInRussiaforHealthCare.pdf

 

“….This report examines three critically important areas to inform discussions on the appropriate level of health care spending in the Russian Federation:

 

·         The efficiency of spending on health care services. What is the relationship between inputs and outputs in the Russian Federation? Does the Russian Federation achieve value in health care spending compared to members of the European Union (EU) and/or the G-8 group of countries? What factors can reduce efficiency in the Russian Federation and how can they be minimized?

·         Distributional impacts of spending on health care services. How are resources distributed across the regions and how are resources allocated by income. What can be done to minimize the disparities across the regions and by income?

·         The key factors that will influence the growth in health care spending over the next 20 years. How can the Russian Federation sustain economic growth in an environment when the working age population is shrinking and the population over age 65 is increasing?

This analysis draws on routinely collected regional and federal data and as discussed below is limited in scope by the relative absence of routinely or specifically collected data on the outcomes and outputs of the health care systems in Russia….”

 

Table of Contents

Introduction .

I. The Efficiency of Spending on Health Care Services

1.1 Poor health outcomes in the Russian Federation

1.2 Main causes of premature death, ill health and disability in the

1.3 Life expectancy differences within the Russian Federation

1.4 The social and economic cost of NCDI in the Russian Federation

1.5 Low Levels of Health Care Expenditure in the Russian Federation

1.6 Health care expenditures in the Russian Federation: recent trends

1.7 Health Spending and Outcomes

II. The Distributional Impact of Spending on Health Care Services

2.1 Health Care Spending by Regions of the Russian Federation

2.2 Distribution of health care spending by income deciles by region

2.3 Outcomes by Region

2.4 Distribution of Spending By Type of Health Service

2.5 Household Payments for Medical Drugs.

2.6 Uses of Medical Services by Income Group

III. Factors that will influence the growth in health spending over the next 20 years and considerations for guiding the allocation of additional resources

3.1 What are the main drivers of health and long-term care expenditures globally?

3.2. Increasing Level of Funding for Health in the Russian Federation: Key Challenges

3.3. Where should additional public resources come from?

3.4. How to allocate additional financial resources for health care?

3.5 The process for developing standards

IV. The Imperative of Policy, Structural and Institutional Reforms to Achieve Better Health

4.1 Key Areas for Action

4.2 Is health system reform possible in the Russian Federation?

V. The way forward

 

 

This report was prepared in June/July 2008 by Patricio Marquez, Lead Health Specialist, Europe and Central Asia Region (ECA), The World Bank, with contributions of Edward Frid, Russian Consultant, The World Bank, Rifat Atun, Imperial College of London, Kalipso Chalkidou, UK’s National Institute for Health and Clinical Excellence (NICE), and Sevil Kamalovna Salakhutdinova, Health Officer, Moscow Office, The World Bank. The report also incorporates advice and suggestions that were provided by Gerard Anderson, Johns Hopkins University Bloomberg School of Public Health; and Sergey Shishkin, Igor Sheiman and Nadezhda Lebedeva, leading Russian Health Economists. The report is part of the Long Term Fiscal Study that is being conducted by the World Bank for the Russian Ministry of Finance under the leadership of Zeljko Bogetic, Lead Economist and Country Sector Coordinator, Russia Country Management Unit, The World Bank.

 

 

 

*      *      *     *

This message from the Pan American Health Organization, PAHO/WHO, is part of an effort to disseminate
information Related to: Equity; Health inequality; Socioeconomic inequality in health; Socioeconomic
health differentials; Gender; Violence; Poverty; Health Economics; Health Legislation; Ethnicity; Ethics;
Information Technology - Virtual libraries; Research & Science issues.  [DD/ KMC Area]

“Materials provided in this electronic list are provided "as is". Unless expressly stated otherwise, the findings
and interpretations included in the Materials are those of the authors and not necessarily of The Pan American
Health Organization PAHO/WHO or its country members”.
------------------------------------------------------------------------------------

PAHO/WHO Website: http://www.paho.org

EQUITY List - Archives - Join/remove: http://listserv.paho.org/Archives/equidad.html

 

 

    IMPORTANT: This transmission is for use by the intended recipient and it may contain privileged, proprietary or confidential information. If you are not the intended recipient or a person responsible for delivering this transmission to the intended recipient, you may not disclose, copy or distribute this transmission or take any action in reliance on it. If you received this transmission in error, please notify us immediately by email to infosec@paho.org, and please dispose of and delete this transmission. Thank you.