Содержание
- 2. Contents Part I Are you satisfied with the health care system in Russia? Part II
- 3. PART I One of the major deficiencies within the existing structure of the Russian health care
- 4. Russia, however, is not the only country facing problems. Western health care systems are also in
- 5. While health care coverage in Russia is scarce to the extreme, ineffective resource utilization only adds
- 6. Are you satisfied with the health care system in Russia? Vyacheslav Ryzhov, sommelier Pavel Mityagin, military
- 7. VYACHESLAV RYZHOV, SOMMELIER No, I don't really like it. If you want to get proper medical
- 8. PAVEL MITYAGIN, MILITARY MAN The old health care system was dismantled, and a new one hasn't
- 9. IRINA LIKHANSKAI, CUSTOMS OFFICIAL I'm not satisfied with the quality of medical services in Russia. Sometimes
- 11. Скачать презентацию
Слайд 2Contents
Part I
Are you satisfied with the health care system in Russia?
Part II
Contents
Part I
Are you satisfied with the health care system in Russia?
Part II
Слайд 3 PART I
One of the major deficiencies within the existing structure of
PART I
One of the major deficiencies within the existing structure of
Слайд 4Russia, however, is not the only country facing problems. Western health care
Russia, however, is not the only country facing problems. Western health care
65 % of health care expenses are associated with inpatient care vs. 45% on average for the OECD countries. Given the low funding for the Russian health sector, it means that polyclinics are paid on, a very weak, residual basis.
Of the total number of Russian physicians, only 20 to 25% provide primary care, while in modern health care systems this share is 40-50%, and 60% in Canada (In Russia, primary care is provided by area-serving internists and pediatricians, workplace-serving internists, and Ob/Gyn physicians on the staffs of policlinics).
Hospitalization rate is 21 per 100 enrollees vs. 12-17/100 typical for the OECD countries.
Average length of hospital stay (ALOS) is 17 days vs. 8-13 typical for the OECD countries.
More than 30% of primary visits result in patient referrals to specialists vs. usual Western 4-10%.
As patients cannot afford drugs because of their high sale prices, their health status deteriorates resulting in growing demand for high-cost hospital care.
Excessive hospital capacities build up financial pressure on health care systems (today, fixed costs share in health care facilities’ budget is up to 50%).
Слайд 5While health care coverage in Russia is scarce to the extreme, ineffective
While health care coverage in Russia is scarce to the extreme, ineffective
1) While the health care system is being underfinanced, its funding is cost based, i.e. there are few incentives to contain costs;
2) The system’s inefficiency is rooted in failure to maintain proper balance between levels of care and use within each level of care; in other words, Russian health care processes as in for too many other countries, are far from seamless.
Today two issues of Russian health system development are being discussed nationwide by health care leadership: Can we get more money? and Who is to be in position to control money (health authorities or health insurance funds)? The problem of remodeling health care structures is hardly considered at all. At the same time, nothing indicates that the health sector budget would increase significantly. So, the main challenge of the day is to redesign health care system itself -- to find new ways for cost-containment that would not affect quality and accessibility of care.
Слайд 6Are you satisfied with the health care system in Russia?
Vyacheslav Ryzhov, sommelier
Pavel
Are you satisfied with the health care system in Russia?
Vyacheslav Ryzhov, sommelier
Pavel
Irina Likhanskai, customs official
Слайд 7VYACHESLAV RYZHOV, SOMMELIER
No, I don't really like it. If you want to
VYACHESLAV RYZHOV, SOMMELIER
No, I don't really like it. If you want to
Слайд 8PAVEL MITYAGIN, MILITARY MAN
The old health care system was dismantled, and a
PAVEL MITYAGIN, MILITARY MAN
The old health care system was dismantled, and a
Слайд 9IRINA LIKHANSKAI, CUSTOMS OFFICIAL
I'm not satisfied with the quality of medical services
IRINA LIKHANSKAI, CUSTOMS OFFICIAL
I'm not satisfied with the quality of medical services