Out-of-Pocket Payments in the Post-Semashko Health Care System
36 Pages Posted: 23 Apr 2014
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: Suggested Citation