scholarly journals Health care financing in the Russian Federation

2007 ◽  
pp. 245-261
Author(s):  
Zdravko Solak
Keyword(s):  
Health Care ◽  
Health Care System ◽  
Social Transformation ◽  
Health Care Services ◽  
Health Care Financing ◽  
Transformation Process ◽  
System Reform ◽  
Russian Scientific ◽  
Mandatory Health Insurance ◽  
Care System

The problem of financing health care, which is otherwise typical for many countries in the world, has been combined with other problems that accompany the social transformation process in former socialist countries. Within the fifteen years, the Russian health care system has been constantly suffering from difficulties such as insufficient financing, emphasized territorial differences in availability of health care services, aggravated supply with medicines etc. Deterioration of the health status of the population reflects in the on shortening of life. Experiences in the implementation of the health care system reform is of an exceptional significance having in mind that methods of financing have been innovated in that country by the introduction of mandatory health insurance in 1993. Currently, one can find diversity of ideas and proposals in the Russian scientific periodicals that refer to resolving of existing, serious difficulties in the health care system as well as to the future of the Russian health care system.

scholarly journals The Transformation of the Health Care Structure – Opportunity of Growth

Equilibrium ◽  
2013 ◽  
Vol 8 (3) ◽  
pp. 27-47
Author(s):  
Barbel Held
Keyword(s):  
Health Care ◽  
Healthcare System ◽  
Health Care System ◽  
Health Care Services ◽  
Transformation Process ◽  
Governance System ◽  
Clear Trend ◽  
Care Services ◽  
Health Care Structure ◽  
Care System

The healthcare industry is a growth driver. However, the health system is facing a crisis, affected by the financial development in Europe. An almost completely regulated market is just as little use, as a largely deregulated market such as in the U.S.A. Both lead to gaps in the sustainable and comprehensive patient care. Based on the German Healthcare System, an analysis is performed. Currently, the German health care system is in a transformation process. Traditional forms of health care services provision and the existing governance system are coming to their limits. The current health care system no longer meets the requirements for ensuring accessible and affordable health care services. As new players on the German hospital market, commercial hospital groups have emerged. To get more informed on the effects at the regional level, a scenario analysis was performed. A trend scenario which shows a clear trend toward a substantial increase of regional imbalances was developed. On one hand, there are highly profitable regions with excellent medical service provision by commercial hospital groups, and on the other hand, there are peripheral regions with a second-rate medicine, which are left to the public sector. The paper derives first ideas about a new structure of the healthcare system for ensuring accessible and affordable health care services for the citizens. The paper shows first ideas about the transformation of healthcare as an opportunity for growth.

HEALTH SYSTEM REFORM IN CHINA: AN ASSESSMENT OF RECENT TRENDS

2008 ◽  
Vol 53 (01) ◽  
pp. 5-26 ◽  
Author(s):  
ǺKE BLOMQVIST ◽  
JIWEI QIAN
Keyword(s):  
Health Care ◽  
Health Care System ◽  
Rural Areas ◽  
Health Care Services ◽  
Mixed Model ◽  
Central Government ◽  
The State ◽  
System Reform ◽  
Future Health ◽  
Care System

In this paper, we first briefly review the changes that the Chinese health care system has undergone since the early 1980s. We then describe the major current health policy initiatives in urban and rural areas and discuss likely scenarios for their evolution over time. Using comparisons with international experience regarding different institutional arrangements in the health care sector, we also discuss whether the approaches taken in China are likely to strengthen the health care system in terms of efficiency and equity. Our conclusion is that in order to predict how effectively China's future health care system will perform in the future, one must have more information about what role the state (central government) will play, as regulator, partial funder and direct provider in the system. We believe that the best strategy at present is to allow the development of a mixed model with significant roles for both the state and the private sector, in both the supply of health care services and the provision of health insurance.

Micro-Level Analysis of Distributional Changes in Health Care Financing in Finland

1998 ◽  
Vol 3 (1) ◽  
pp. 23-30 ◽  
Author(s):  
Jan Klavus ◽  
Unto Häkkinen
Keyword(s):  
Health Care ◽  
Health Care System ◽  
Structural Changes ◽  
Health Care Expenditure ◽  
Health Care Financing ◽  
Simulated Data ◽  
Health Care Reforms ◽  
Income Data ◽  
Severe Recession ◽  
Care System

Objectives: In the early 1990s the Finnish economy suffered a severe recession at the same time as health care reforms were taking place. This study examines the effects of these changes on the distribution of contributions to health care financing in relation to household income. Explanations for changes in various indicators of health care expenditure and use during that time are offered. Method: The analysis is based partly on actual income data and partly on simulated data from the base year (1990). It employs methods that allow the estimation of confidence intervals for inequality indices (the Gini coefficient and Kakwani's progressivity index). Results: In spite of the substantial decrease in real incomes during the recession, the distribution of income remained almost unaltered. The share of total health care funding derived from poorer households increased somewhat, due purely to structural changes. The financial plight of the public sector led to the share of total funding from progressive income taxes to decrease, while regressive indirect taxes and direct payments by households contributed more. Conclusions: It seems that, aside from an increased financing burden on poorer households, Finland's health care system has withstood the tremendous changes of the early 1990s fairly well. This is largely attributable to the features of the tax-financed health care system, which apportions the effects of financial and functional disturbances equitably.

Health System in Poland

2017 ◽  
Vol 53 (2) ◽  
pp. 107-112
Author(s):  
Daniel Ślęzak ◽  
Przemysław Żuratyński ◽  
Klaudiusz Nadolny ◽  
Marlena Robakowska ◽  
Alicja Kalis
Keyword(s):  
Health Care ◽  
Health Care System ◽  
National Health ◽  
Health Care Services ◽  
Health Care Systems ◽  
State Budget ◽  
Right To Health Care ◽  
Health Fund ◽  
National Health Fund ◽  
Care System

Health care systems face challenges related to the technological advances in medicine, demographic changes and limited opportunities for growth funding for health, necessitating greater involvement in the search for more efficient systems. The authors present the functioning of the Polish health care system based on social, historical outline of the healthcare system in Poland and the functioning of the National Health Fund (NFZ). Poland has undergone many reforms of the health care system, the Bismarck model, the model Siemaszko, and finally to a model of universal health insurance. So everyone has the same right to health care services financed by the NFZ or directly from the state budget (eg. The system of state emergency medical services). The National Health Fund allows anyone insured to free healthcare and reimbursement of medicines. Introduced information about information programs.

Washington Review: Health Care System Reform

1993 ◽  
Vol 8 (2) ◽  
pp. 49-50
Author(s):  
Barney Sellers ◽  
Edward Bernstein
Keyword(s):  
Health Care ◽  
Health Care System ◽  
System Reform ◽  
Care System

scholarly journals Rural Michigan Farmers’ Health Concerns and Experiences: A Focus Group Study

2021 ◽  
Vol 12 ◽  
pp. 215013272110535
Author(s):  
Nathan Wright ◽  
Marylee Scherdt ◽  
Michelle L. Aebersold ◽  
Marjorie C. McCullagh ◽  
Barbara R. Medvec ◽  
...  
Keyword(s):  
Health Care ◽  
Focus Groups ◽  
Health Care System ◽  
Health Care Services ◽  
Well Being ◽  
The United States ◽  
Full Time ◽  
Rural Residents ◽  
Care Services ◽  
Care System

Objectives: Rural residents comprise approximately 15% of the United States population. They face challenges in accessing and using a health care system that is not structured to meet their unique needs. It is important to understand rural residents’ perceptions of health and experiences interacting with the health care system to identify gaps in care. Methods: Our team conducted focus groups with members of the Michigan Farm Bureau during their 2019 Annual Meeting. Topics explored included resources to manage health, barriers to virtual health care services, and desired changes to localized healthcare delivery. Surveys were used to capture demographic and internet access information. Conclusion: Analysis included data from 2 focus groups (n = 14). Participants represented a wide age range and a variety of Michigan counties. The majority were full-time farm owners with most—93% (n = 13)—reporting they had access to the internet in their homes and 86% (n = 12) reporting that their cellphones had internet capabilities. Participants identified challenges and opportunities in 4 categories: formal health care; health and well-being supports; health insurance experiences; and virtual health care. Conclusion: The findings from this study provide a useful framework for developing interventions to address the specific needs of rural farming residents. Despite the expressed challenges in access and use of health care services and resources, participants remained hopeful that innovative approaches, such as virtual health platforms, can address existing gaps in care. The study findings should inform the design and evaluation of interventions to address rural health disparities.

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