Patient Choice in the Post-Semashko Health Care System

29 Pages Posted: 25 Dec 2013

See all articles by Sergey Shishkin

Sergey Shishkin

National Research University Higher School of Economics

Aleksandra Burdyak

Russian Presidential Academy of National Economy and Public Administration (RANEPA) - Institute of Social Analysis and Forecasting

Elena Potapchik

National Research University Higher School of Economics

Date Written: December 24, 2013

Abstract

The opportunity for patient choice in the health care system in CIS countries was created by the partial destruction of the referral system and the development of paid medical services. The data of two population surveys conducted in Russia in 2009 and 2011 show that patient choice of medical facility and physician is taking place in the post-Semashko health care system, and it is not restricted to the area of paid medical services. However for the majority of population the choice of medical facility and physician is not a necessity.

Part of reason for patient choice is caused by the failure of the patient referral system to ensure the necessary treatment. For some Russian citizens, the choice of health care provider is a means to obtain better quality care, and in this respect the enhancement of patient choice is leading to the improved efficiency of the emerging health care system.

Keywords: health care, Semashko system, patient choice, Russia

JEL Classification: I10, I11

Suggested Citation

Shishkin, Sergey and Burdyak, Aleksandra and Potapchik, Elena, Patient Choice in the Post-Semashko Health Care System (December 24, 2013). Higher School of Economics Research Paper No. WP BRP 09/PA/2013, Available at SSRN: https://ssrn.com/abstract=2371619 or http://dx.doi.org/10.2139/ssrn.2371619

Sergey Shishkin (Contact Author)

National Research University Higher School of Economics ( email )

Myasnitskaya street, 20
Moscow, Moscow 119017
Russia

Aleksandra Burdyak

Russian Presidential Academy of National Economy and Public Administration (RANEPA) - Institute of Social Analysis and Forecasting ( email )

Prechistenskaya naberezhnaya 11
Moscow, Moscow 119034
Russia
+7 495 695 11 62 (Phone)

Elena Potapchik

National Research University Higher School of Economics ( email )

Myasnitskaya street, 20
Moscow, Moscow 119017
Russia

Here is the Coronavirus
related research on SSRN

Paper statistics

Downloads
52
Abstract Views
982
rank
414,774
PlumX Metrics