Health care Reform in Russia: Current Policy and Management
Natalia S. Grigorieva
Ph.D., professor, School of Public Administration, Lomonosov Moscow State University. E-mail:Grigorieva@spa.msu.ru
Analysis of health care systems and health care policy is an important component of the permanent search for the answer to an important administrative question: how the health system should be organized and function? This issue is relevant for Russia as well. However, to create something new, one needs a qualitative analysis of the former experience of Russian public health, because without the lessons learnt in the past, one cannot see possible lines of development the field. This article explores the historical experience of the Russian health care system emphasizing the milestones of public policies that have considerably influenced certain stages in the health care development and periods of extensive and intensive development, etc. The current period is no exception. It is clear now that it is necessary to find fundamentally new health care models and approaches. No "cosmetic" technologies can resolve the existing problems. There is a need for a conceptual breakthrough. Once this has been done - and as a result the world received a model of public health. Now, in the new socio-economic conditions it is necessary to do it again. Are we ready for this? Or, in other words, we need to consider: what was, what is and what will happen.
Keywords
Russian health care system, health care reform, health care policy.