Public Spending in Russia for Health Care: Issues and Options Russian version
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- Report  | This report examines three critically important areas to inform discussions on the appropriate level of health care spending in the Russian Federation: The efficiency of spending on health care services. Distributional impacts of spending on health care services. The key factors that will influence the growth in health care spending over the next 20 years.
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Better Outcomes Through Health Reforms in the Russian Federation: The Challenge in 2008 and Beyond  Russian version | This Policy Note was prepared in December 2007–January 2008 by Patricio V. Marquez, Lead Health Specialist, Europe and Central Asia, The World Bank, with contributions from Rifat Atun, Imperial College, London; William Tompson, Organization for Economic Cooperation and Development (OECD), Paris; and Sevil Kamalovna Salakhutdinova, Health Officer, World Bank Moscow Office. The Note incorporates advice and suggestions provided by Sergey Shishkin, Igor Sheiman and Nadezhda Lebedeva, leading Russian Health Economists, and Samir M. Suleymanov, Senior Operations Officer, and Zeljko Bogetic, Lead Economist, Russia Country Management Unit (CMU), The World Bank. Additional comments were provided by Shiyan Chao and John Langenbrunner, Health Economists, World Bank, who were the Peer Reviewers, and Willy de Geyndt and Alberto Gonima, World Bank Consultants. Beth Goodrich contributed to the editing. |
| Operationalizing the Health and Education MDGs in Central Asia | Without concerted action, the Kyrgyz Republic is not likely to attain the health and education MDGs. The objective of this report is to present a generic framework for analysis and policy action for attainment of the MDGs in the Kyrgyz Republic and other Central Asian countries. The framework takes into account that economic growth alone is insufficient for attaining the MDGs, and there is a need to focus on scaling-up the delivery of known technical interventions. In addition, the framework recognizes that while many sectoral reforms could improve welfare, focusing on those at the lower end of the distribution tail is critical for achieving the MDGs. The framework emphasizes four key areas of intervention that apply across Central Asian countries. |
Albania - Health sector note | Over the past decade and a half, Albania has undergone major political, economic, and social changes that have affected almost all aspects of the population's life, including health outcomes and health care services. Despite some progress over the past decade, the population's health status remains below that of most other countries in the region. Moreover, the transition years have resulted in marked lifestyle changes and exposure of the population to new health risks. |
Republic of Kazakhstan: Evaluation of National Tuberculosis and HIV/AIDS Programs. June 2005 | This study addresses the overall performance o f the tuberculosis (TB), human immunodeficiency virus (HIV) and acquired immune deficiency syndrome (AIDS) programs in the Republic o f Kazakhstan. |
Azerbaijan Health Sector Review Note. June 2005Â (site includes the full report, data and multimedia materials) | Health outcomes in Azerbaijan are poor, in part due to a healthcare system that is persistently ineffective in delivering affordable, quality services with equal access for all segments of the population. In fact, Azerbaijan lags behind most post-transition countries in terms of health status, as well as in its approach to reforming the healthcare system. |
Review of Experience of Family Medicine in Europe and Central Asia. May 2005 (in 5 Volumes) | This report summarizes the findings of four case studies that review the experience of family medicine in Europe and Central Asia (ECA) Region. It is part of a study comprising five volumes that review the experience of family medicine in four countries in ECA--Armenia, Bosnia and Herzegovina, Kyrgyz Republic and Moldova. The report reviews the experience, draws lessons, and establishes an evidence base for detailed analysis. The study presents best practices for policy dialogue and future investments by the World Bank and other financial institutions. The detailed case studies compare these countries and draw common themes and issues. Comparisons are made with best-developed or existing models in the OECD and other countries in the Europe and Central Asia Region that have already undertaken family medicine reform. |
Central Asia TB Study. March 2005.  | Tuberculosis is still a significant health and economic problem in Central Asia, despite some recent progress that may be due to improvements of the overall economic situation in these countries, and partial adoption of the DOTS Strategy recommended by WHO. Over 50,000 new cases have been detected in 2003, and over 7,000 people died due to TB in the four countries studied. This study has confirmed that it is highly unlikely that the Central Asian Republics succeed in achieving the global targets for tuberculosis control in the short-term, particularly in what concerns case detection.  |
| Risk adjusted funding of health insurers in The Netherlands. December 20, 2004. |  This paper provides with an overview of the development of risk adjusted funding of health insurers (sickness funds) as part of the (still ongoing) Dutch health reform and answers questions from the Russian Federation Working Group on Health Reform about the relation between health insurers and the Central Fund as well as on the requirements for health insurers in the Dutch Sickness Fund System.  |
| Toolkit for Accreditation Programs by Charles D Shaw, International Society for Quality in Health Care (PDF file: 1,110 KB). |  The project to develop a Toolkit for Accreditation Programs was initiated in 2001 by ISQua, the International Society for Quality in Health Care, following discussions with colleagues at the World Bank also at the World Health Organization, and in response to requests coming to ISQua.  |
| Croatia - Health finance study. April 2004. | The health system in Croatia developed relatively well among the countries in the region: the system has a well-trained health workforce, a well-established system of public health and health delivery programs, and good health outcomes in relation to countries at comparable income levels. However, these results have been achieved at a high cost, and the growing deficits in the social health insurance fund is a major concern. Croatia ' s challenge is to channel its already substantial public spending on health care, towards cost-effective services, targeting public subsidies to protect the most vulnerable groups. The Government is currently engaged in a new round of reforms, aimed at improving the performance of the health system. The report reviews the 2000-2002 health reform initiatives, examines the high cost of care (attributed to its aging population), and focuses on the 2002 health insurance law and the reforms in the revenue base for health insurance. |
| Moldova - Health policy note: the health sector in transition. November 2003. | This Policy Note for Moldova presents analysis and recommendations generated from several years of dialogue between the World Bank and the Government of Moldova on health reforms aimed at improving health system performance. The dialogue was initiated around the need to restructure the health system in light of the fiscal crisis. Several years later, the policy dialogue has shifted to examine access to health services for the poor and how to improve the quality and efficiency of care. In this context, the objectives of this Policy Note are to analyze the challenges facing the Moldovan health sector and to stimulate further policy discussions about potential strategies to address the sector ' s problems, focusing on health system finance, organization, and management. |
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