Out-of-Pocket Payments in the Post-Semashko Health Care System

36 Pages Posted: 23 Apr 2014

See all articles by Sergey Shishkin

Sergey Shishkin

National Research University Higher School of Economics (Moscow)

Elena Potapchik

National Research University Higher School of Economics (Moscow)

Elena Selezneva

National Research University Higher School of Economics (Moscow)

Date Written: April 21, 2014

Abstract

This paper presents the analysis results of existing practices of out-of-pocket payments in the Russian post-Semashko health care system. It was carried out based on the data reflected in the ‘Russia Longitudinal Monitoring Survey’ from 1991-2012 and data of the ‘Georating’ survey carried out in all regions of the Russian Federation in 2010.

The trends of legal and informal out-of-pocket payments for inpatient and outpatient care are revealed, and the social and economic factors which make patients pay a fee for medical services for fee are identified. The changes in out-of-pocket health expenditures in 2005-2010 are analyzed, and the assessment of total (public and private) health expenditures on different types of health care is made.

Keywords: Semashko health care system, health care, out-of-pocket payments, private payment, informal payment

JEL Classification: I10, I11

Suggested Citation

Shishkin, Sergey and Potapchik, Elena and Selezneva, Elena, Out-of-Pocket Payments in the Post-Semashko Health Care System (April 21, 2014). Higher School of Economics Research Paper No. WP BRP 14/PA/2014, Available at SSRN: https://ssrn.com/abstract=2427217 or http://dx.doi.org/10.2139/ssrn.2427217

Sergey Shishkin (Contact Author)

National Research University Higher School of Economics (Moscow) ( email )

Myasnitskaya street, 20
Moscow, Moscow 119017
Russia

Elena Potapchik

National Research University Higher School of Economics (Moscow) ( email )

Myasnitskaya street, 20
Moscow, Moscow 119017
Russia

Elena Selezneva

National Research University Higher School of Economics (Moscow) ( email )

Myasnitskaya street, 20
Moscow, Moscow 119017
Russia

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