Financial and managerial complexity in achieving universal health care coverage in Russia


Fakhrutdinov T.M., Knyazeva E.G.

Abstract. The level of public health directly affects the socio-economic development of the country. The subject of the study is the achievement level of universal coverage of the population with medical care. This article discusses indicators for assessing the level of access to medicine in Russia, the reasons that negatively affect these indicators. Health system challenges are structured according to the indicator they directly affect. The interrelations of causes of their occurrence are analyzed, recommendations for improving the indicators are developed. Keywords: financing, medical organizations, problems of the healthcare system, compulsory health insurance (CHI), Federal Compulsory Medical Insurance Fund (FCMIF), World Health Organization (WHO) Highlights: ♦ the authors grouped the key problems of financing and managing the healthcare system according to the reasons for their occurrence; leading drivers which exacerbate emerging problems are presented; ♦ as a result of the study, the problems affecting metrics responsible for assessing the achievement level of universal health care coverage of the country`s population are presented.

Timur M. Fakhrutdinov, Elena G. Knyazeva - Ural Federal University named after the first President of Russia B.N. Yeltsin, Yekaterinburg, Russia


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