Russian healthcare in the context of achieving universal access to health services by 2030
How to Cite
Katkova I.P. Russian healthcare in the context of achieving universal access to health services by 2030. Population. 2020. Vol. 23. No. 1. P. 135-147. DOI: https://doi.org/10.19181/population.2020.23.1.11 (in Russ.).
Abstract
The article presents the results of an analysis of data from global monitoring systems and international studies for the period 2000-2017, reflecting the trends in our country's movement towards universal health coverage (UHC) and a reduction in catastrophic medical expenses paid by patients from their own funds within the framework of the tasks for achieving the Sustainable Development Goals by 2030. It is emphasized that for our country it is of great interest to adapt the successful experience of developed and actively developing countries in using targeted integrated strategies for development of UHC programs aimed at giving priority to health in the system of public financing measures. This is confirmed by the data that for the period 2000-2017 against the background of an increase in the share of replacing the missing state funds with cash funds of citizens in the total health budget of our country from 30% to 40%, there was a parallel increase in the number of households, in the structure of the budgets of which the share of health expenditures exceeded 10% of their total financial resources. According to the analysis of monitoring data, the increase in the number of Russian families with this form of catastrophic costs of medical care reached in 2018 the number of 7,532,579 cases with a prevalence rate of 5.23%. These indicators are higher than the data levels for 1997 by more than 2.2 and 2.1 times, respectively. At the same time, the risk of financial catastrophe for families due to the need to seek surgical care in 2018 was noted in 21.3% of cases (WB, 2019). The study emphasizes the importance of scientific assessment of the consequences and prospects for the increased participation of private commercial institutions in implementation of the government program of the State guarantees of free medical assistance to citizens. The significance of such a study is due to the trends of increasing volume of the market for provision of disparate medical services and the need, therefore, to develop optimal intersectoral strategic approaches to development of both the public healthcare system and commercial medicine in the interests of ensuring health and well-being of the population.
Keywords:
monitoring, health financing, cost structure, universal accessibility, protection from financial risks, catastrophic costs
References
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Katkova I. P., Katkov V. I. Dostupnost' meditsinskoy pomoshchi: tseli i realii [Accessibility of health care: objectives and reality]. Narodonaselenie [Population]. 2016. No. 1. P. 92-102. (in Russ.)
Analiz rynka meditsinskikh uslug v Rossii v 2014-2018 gg., prognoz na 2019-2023 gody [Analysis of the medical services market in Russia in 2014-2018, forecast for 2019-2023]. Kompaniya BusinesStat [BusinesStat Company]. Available at: https://marketing.rbc.ru/research/27532/. (Accessed: 22 January 2020) (in Russ.)
Vzglyad na perspektivy razvitiya rynka chastnykh meditsinskikh uslug v RF v 2017-2019 godakh [A look at the development prospects of the private medical services market in the Russian Federation in 2017-2019]. Available at: https://investinrussia.com/data/files/sectors/ru-ru-research-on-development-of.pdf. (Accessed: 22 December 2019). (in Russ.)
Sukhov D. R. Ot obshchego k chastnomu [From general to specific]. 2017. Available at: https:// medvestnik.ru /content/interviews/Ot-obshego-k-chastnomu.html. (Accessed: 2 January 2020) (in Russ.)
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Trudnyy vybor. Investitsii v zdravookhraneniye dlya tseley razvitiya. Natsional'nyy opyt realizatsii posleduyushchikh mer po rekomendatsiyam Komissii po makroekonomike i zdorov'yu [Tough Choices: Investing in Health for Development: Experiences from National Follow-up to the Commission on Macroeconomics and Health]. VOZ [WHO]. 2006. 117 p. (in Russ.)
Article
Received: 26.12.2019
Accepted: 30.03.2020
Citation Formats
Other cite formats:
APA
Katkova, I. P. (2020). Russian healthcare in the context of achieving universal access to health services by 2030. Population, 23(1), 135-147. https://doi.org/10.19181/population.2020.23.1.11
Section
ESTIMATION OF POVERTY AND WAYS TO ITS REDUCTION
