title: Development of medical insurance in the Russian Federation. At the crossroads. What’s next?
metadata.name: dc.contributor.author
metadata.value: Akulin, Igor M.
metadata.lang: -
metadata.name: dc.contributor.author
metadata.value: Zhiguleva, Lubov Yu.
metadata.lang: -
metadata.name: dc.date.accessioned
metadata.value: 2019-11-26T13:33:31Z
metadata.lang: -
metadata.name: dc.date.available
metadata.value: 2019-11-26T13:33:31Z
metadata.lang: -
metadata.name: dc.date.issued
metadata.value: 2019-06
metadata.lang: -
metadata.name: dc.identifier.citation
metadata.value: Akulin I. M., Zhiguleva L. Yu. Development of medical insurance in the Russian Federation. At the crossroads. What’s next? Vestnik of Saint Petersburg University. Medicine, 2019, vol. 14, issue 2, pp. 147–157.
metadata.lang: en_GB
metadata.name: dc.identifier.other
metadata.value: https://doi.org/10.21638/spbu11.2019.207
metadata.lang: -
metadata.name: dc.identifier.uri
metadata.value: http://hdl.handle.net/11701/16653
metadata.lang: -
metadata.name: dc.description.abstract
metadata.value: The RF health care reform is gaining momentum. A thorough consideration should be given
  to the discussion on the need to exclude health insurance companies from the compulsory
  health insurance system (CHI). Formation of the National Health Care System of Russia is the
  main problem of the national health care at this stage of reforms. As it is known in the territory
  of the Russian Federation today there are three main systems: state, private and municipal.
  Each of which has its advantages and disadvantages. The state (Federal) and municipal health
  systems are United by the common term “public health”. It is a system of scientific and practical
  measures, as well as providing their structures of medical and non-medical nature, the activities
  of which are aimed at the implementation of the concept of protection and promotion
  of public health, prevention of diseases and injuries, increasing the duration of active life and
  working capacity by combining the efforts of society. Additional payment for medical services
  in the CHI by the general public is not advisable. It is necessary to change the concept of additional
  service, its legal status and to regulate the basic provisions. Changes in the regulatory
  framework of the CHI system is deemed to be the basis for reforming the system of compulsory
  and voluntary health insurance in Russia. The article describes the main problems of the
  CHI system in Russia. This applies not only to the legal regulation of the system, but also to
  the financing of the system, its feasibility and economic efficiency. Also in the article the variants
  of the decision of reforming of insurance in the medical sphere are specified. The main
  regulatory and legal criteria for the provision of compulsory and additional health insurance
  of the population are presented. We have developed a new algorithm for solving problems in
  the CHI system.
metadata.lang: en_GB
metadata.name: dc.language.iso
metadata.value: en
metadata.lang: en_GB
metadata.name: dc.publisher
metadata.value: St Petersburg State University
metadata.lang: en_GB
metadata.name: dc.relation.ispartofseries
metadata.value: Vestnik of St Petersburg University. Medicine;Volume 14; Issue 2
metadata.lang: -
metadata.name: dc.subject
metadata.value: national health care system
metadata.lang: en_GB
metadata.name: dc.subject
metadata.value: health insurance organizations
metadata.lang: en_GB
metadata.name: dc.subject
metadata.value: health care reform in Russia
metadata.lang: en_GB
metadata.name: dc.subject
metadata.value: paid medical services and CHI
metadata.lang: en_GB
metadata.name: dc.title
metadata.value: Development of medical insurance in the Russian Federation. At the crossroads. What’s next?
metadata.lang: en_GB
metadata.name: dc.type
metadata.value: Article
metadata.lang: en_GB
resources.filename: 147-157.pdf
resources.url: https://dspace.spbu.ru/bitstream/11701/16653/1/147-157.pdf
resources.format: Adobe PDF
resources.size: 599,62 kB