Public Spending in Russia for Health Care : Issues and Options

This report examines three critically important areas to inform discussions on the appropriate level of health care spending in the Russian Federation: (i) the efficiency of spending on health care services; (ii) distributional impacts of spending on health care services; and (iii) the key factors that will influence the growth in health care spending over the next 20 years. There are few data showing how spending in health care in the Russian Federation translates into better health outcomes such as improved mortality, improved morbidity, increased economic output and productivity, improvements in the number of life years gained, or more sophisticated composite measures such as Quality Adjusted Life Years (QALYs). There is also limited data on outputs of hospitals and other healthcare providers which allow controlling for case mix, socioeconomic status, supply-side variables, and quality of care. Therefore, it is difficult to assess the efficiency or distributional impacts of health interventions. While the analysis draws on primary data specifically collected for the study, the absence of detailed output and outcome data necessarily limits the scope of the study and its findings.

Bibliographic Details

Main Author:	World Bank
Language:	English en_US
Published:	Washington, DC 2008-08
Subjects:	ABILITY TO PAY, ACCESS TO HEALTH CARE, ACCESS TO HEALTH CARE SERVICES, ACCESS TO SERVICES, ACCESS TO TREATMENT, ADULT MORTALITY, AGE GROUPS, AGED, AGING, AIDS EPIDEMIC, ALCOHOL CONSUMPTION, ALLOCATIVE EFFICIENCY, AMBULANCE, AMBULATORY SERVICES, BURDEN OF DISEASE, CANCER, CAPITA HEALTH EXPENDITURE, CAPITA HEALTH SPENDING, CARDIOVASCULAR DISEASES, CAUSES OF DEATH, CAUSES OF DISABILITY, CIRCULATORY SYSTEM, CITIZEN, CLINICAL INDICATORS, CLINICAL PRACTICE, CLINICS, COMMUNICABLE DISEASES, COST EFFECTIVENESS, COST OF HEALTH CARE, COST-EFFECTIVENESS, DAY CARE, DEATHS, DECLINES IN FERTILITY, DEMAND FOR HEALTH, DEMAND FOR HEALTH SERVICES, DEMOGRAPHIC CONSEQUENCES, DEPRESSION, DIABETES, DIGESTIVE SYSTEM, DISABILITY, DOCTORS, DRUGS, ECONOMIC GROWTH, ECONOMIC OUTCOMES, EFFECTIVENESS OF HEALTH CARE, EMERGENCY MEDICAL SERVICES, EMPLOYMENT, EXISTING RESOURCES, FEMALE LIFE EXPECTANCY, FERTILITY, FERTILITY RATES, FINANCIAL BARRIERS, FINANCIAL INCENTIVES, FINANCIAL RESOURCES, GENDER DIFFERENCES, GROSS NATIONAL INCOME, GROWTH IN HEALTH SPENDING, HEALTH AFFAIRS, HEALTH CARE, HEALTH CARE COSTS, HEALTH CARE EXPENDITURE, HEALTH CARE EXPENDITURES, HEALTH CARE FINANCING, HEALTH CARE PROVISION, HEALTH CARE REFORM, HEALTH CARE RESOURCES, HEALTH CARE SERVICES, HEALTH CARE SPENDING, HEALTH CARE SYSTEM, HEALTH CARE SYSTEMS, HEALTH CARE SYSTEMS IN TRANSITION, HEALTH CONDITIONS, HEALTH COST, HEALTH COSTS, HEALTH ECONOMISTS, HEALTH EXPENDITURE, HEALTH EXPENDITURES, HEALTH EXPENDITURES PER CAPITA, HEALTH FACILITIES, HEALTH FINANCING, HEALTH FINANCING SYSTEM, HEALTH IMPACTS, HEALTH INSURANCE, HEALTH INSURANCE CONTRIBUTIONS, HEALTH INSURANCE FUNDS, HEALTH INSURANCE SYSTEM, HEALTH INTERVENTIONS, HEALTH INVESTMENTS, HEALTH OUTCOMES, HEALTH PROJECT, HEALTH PROMOTION, HEALTH REFORM, HEALTH REFORMS, HEALTH SECTOR, HEALTH SERVICE, HEALTH SERVICES, HEALTH SPECIALIST, HEALTH STATUS, HEALTH SYSTEM, HEALTH SYSTEM REFORM, HEALTH SYSTEM STRENGTHENING, HEALTH SYSTEMS, HEALTHCARE PROVIDERS, HEALTHCARE SPENDING, HEALTHY LIFE, HOSPITAL ADMISSIONS, HOSPITAL BEDS, HOSPITAL CARE, HOSPITAL PATIENTS, HOSPITAL SECTOR, HOSPITALIZATION, HOSPITALS, HUMAN DEVELOPMENT, HUMAN RESOURCES, ILL HEALTH, ILLNESS, IMMUNIZATION, IMPACT ON HEALTH, INCOME, INCOME COUNTRIES, INCOME GROUPS, INCOME GROWTH, INCOME POPULATION, INFANT MORTALITY, INJURIES, INPATIENT CARE, INTEGRATION, INTERNATIONAL POPULATION, INTERNATIONAL POPULATION CONFERENCE, LABOR FORCE, LEADING CAUSE OF DEATH, LEVEL OF HEALTH SPENDING, LEVELS OF MORTALITY, LIFE EXPECTANCY, LIFE EXPECTANCY AT BIRTH, LOCAL GOVERNMENTS, LONG-TERM CARE, LOW INCOME, MACROECONOMIC EFFICIENCY, MEDICAL BENEFITS, MEDICAL CARE, MEDICAL CENTERS, MEDICAL CONDITIONS, MEDICAL RECORDS, MEDICAL SERVICES, MEDICAL STAFF, MEDICAL TECHNOLOGIES, MEDICAL TREATMENT, MEDICINES, MENTAL, MENTAL HEALTH, MORBIDITY, MORTALITY, MORTALITY RATE, NATIONAL HEALTH, NATIONAL HEALTH SERVICE, NATIONAL SECURITY, NURSES, NUTRITION, OUTPATIENT CARE, PARASITIC DISEASES, PATIENT, PATIENT CHOICE, PATIENTS, PHYSICAL ACTIVITY, PHYSICIAN, PHYSICIANS, POCKET PAYMENTS, POLICY MAKERS, POOR HEALTH, POPULATION DECLINE, POPULATION GROUPS, POPULATION GROWTH, PREMATURE DEATH, PRIMARY CARE, PRIMARY HEALTH CARE, PRIVATE CONSUMPTION, PRIVATE SECTOR, PRIVATE SPENDING, PROBABILITY, PUBLIC EXPENDITURE, PUBLIC HEALTH, PUBLIC HEALTH EXPENDITURES, PUBLIC HEALTH INTERVENTIONS, PUBLIC HEALTH POLICIES, PUBLIC HEALTH SERVICES, PUBLIC HEALTH SPENDING, PUBLIC PROVISION, PUBLIC SECTOR, PUBLIC SECTOR EFFICIENCY, PUBLIC SPENDING, QUALITY OF CARE, QUALITY OF HEALTH, REPLACEMENT LEVEL, SCREENING, SERVICE PROVIDERS, SICKNESS ABSENCE, SMOKING, SMOKING CESSATION, SOCIAL DEVELOPMENT, SOCIAL POLICY, SOCIAL PROGRAMS, SOCIAL WELFARE, SOCIOECONOMIC STATUS, SURGERY, USE OF HEALTH SERVICES, WORKERS, WORKING-AGE POPULATION,
Online Access:	http://documents.worldbank.org/curated/en/2008/08/9799523/public-spending-russia-health-care-issues-options https://hdl.handle.net/10986/8096
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