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Health Sector
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| The health sector is in the midst of a number of essential reforms and proposals (before the Duma, for example) are considering such topics as health finance, health insurance, autonomy of facilities providing the delivery of services, malpractice insurance, quality of care, and licensing and accreditation. The Bank has prepared a series of policy papers and presentations related to these issues. |
| Health Care Insurance: The International Experience (slides) | Date: 2003
Published by: World Bank
Document Type: Presentation |
Presentation |  |
| Voluntary (Private) Opt-Out Insurance: Is it Good for Russia? | Date: March 2003
Published by: World Bank
Document Type: Publication |
Granting a "right" to opt out of the mandatory health insurance system is a notion thatneeds to be assessed carefully. The proposed voluntary insurance opt out is consideredas a substitute to mandatory insurance.The new proposal put forth by the Government is potentially dangerous for severalreasons. The Bank has reviewed the experience in other countries of the world, suchas Germany, Netherlands, Egypt, Israel, Peru and Chile. | |
| Health insurance systems in The Netherlands | Date: March 22, 2003
Published by: World Bank
Document Type: Publication |
In The Netherlands, health system reform is on its way since more than 15 years. Different coalition governments have made their ways of reform during this period, shifting approaches from time to time on how best to reform.This paper will pay attention to the reasons of reform, the major changes being made and the failures and successes of the system changes as well as of the instruments used.
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| Structure and experience of German opt-out system of statutory health insurance (GKV) | Date: March 2003
Published by: World Bank
Document Type: Publication |
In Germany, the freedom to opt out from statutory sickness funds was limited from the beginning to persons, who were able to care by themselves from public viewpoint.Until today, this ability of "selfcare" or "subsidiarity" is measured by payroll. The level of payroll defines not only the border to opt out to private insurance, but also the amount of contribution.
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| Opting Out of Mandatory Health Insurance In Latin American Countries: Implications for Policy and Decision Making in Russian Federation | Date: March 2003
Published by: World Bank
Document Type: Publication |
This paper explores the Latin American structure and experience on "opting out" frommandatory health insurance, focusing on the following aspects and impacts that could be usefulfor policy decision-making in the context of Russian Federation insurance reform proposals,including: Access and quality; Utilization; Impact on public insurance programs, especially costs; Regulatory apparatus necessary; Any policy initiatives to change the regulation in the past or present; and, Issues related to social insurance and pension insurance funds.
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| Medical Malpractice Systems around the Globe: Examples from the US- tort liability system and the Sweden- no fault system | Date: 2003
Published by: World Bank
Document Type: Publication |
In this paper two main medical malpractice systems are discussed - tort liability system in the US and no-fault system adopted in OECD countries- most notably in Sweden.These systems were discussed from administrative issues, deterrence, financing, compensation, costs occur to parties involved in malpractice cases, quality of care and finally their impact on health care costs.
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| The Current Medical Malpractice Environment in Russia | Date: March 2003
Published by: World Bank
Document Type: Publication |
Currently there exists a malpractice structure for victims of medical injuries to seek compensation for their losses from the responsible party - notably from a health institution- who is responsible for the injuries. But there is no framework or a legislative body that regulates the medical malpractice environment.
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| Health Sector Reform in Russia: Policy Note | Date: 2005
Published by: World Bank
Document Type: Policy Note |
This Policy Note examines selected policy issues and options of relevance to the health sector in Russia. It considers the recent past, the present, and options for the future of the Russian health system, including health outcomes, service delivery, human resources, and financing. Both design and implementation issues are covered. The Note is neither a comprehensive report on the history of the Russian health sector nor a definitive sector strategy, both of which are beyond the scope of this exercise.
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| Aid Effectiveness and Fiscal Space Issues | Date: November, 2005
Published by: World Bank
Document Type: Policy note |
The global community is focused on international health policy on humanitarian, foreign policy, and national security grounds in a way it has never been before. This has resulted from the confluence of a number of political and economic factors.
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| Briefing Note for Russian Authorities On Avian Influenza, the Threat of Human Pandemic Influenza, And the World Bank's Response | Date: November 24, 2005
Published by: World Bank
Document Type: Briefing Note |
A coordinated global response should involve three types of strategic activities: (i) preventing the spread of the disease in animals, thus lowering the animal origin virus load in the environment, (ii) preventing and/or mitigating the effects of an outbreak in humans, and (iii) in the event of a pandemic, helping affected populations cope with its effects.
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| Briefing Note for Russian Authorities onInternational Agreements for Improving the Coordination and Effectiveness of Global Fund, World Bank and UN Agencies on HIV/AIDS Activities | Date: November 25, 2005
Published by: World Bank
Document Type: Briefing Note |
Briefing Note for Russian Authorities on International Agreements for Improvingthe Coordination and Effectiveness of Global Fund, World Bank and UN Agencieson HIV/AIDS Activties.
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| Health System Strengthening | Date: November 25, 2005
Published by: World Bank
Document Type: Issues Note |
It is widely recognized in the international community that weak health systems present acritical barrier to the achievement of the health related Millennium Development Goals(MDGs). Most of the recent increases in new development assistance for health havefocused on specific interventions or diseases -- immunizations, HIV/AIDS, tuberculosisand malaria -- creating incentives for the development of separate health service deliverysilos to the detriment of the overall health system and other less well funded programs.
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| Brief For The Russian Authorities On Harmonized Infectious Diseases Surveillance Information Systems In The World: Another Challenge ForThe G-8 Group | Date: November 26, 2005
Published by: World Bank
Document Type: Briefing Note |
With the end of the Cold War, there has been a growing realization that the international community faces a number of transnational challenges that do not emanate directly from the policies of individual states. In turn, these challenges cannot be countered solely by the actions of individual states, as they present a threat to the entire world. One important emerging transnational threat is the spread of infectious diseases across national borders that have the potential to undermine countries' stability, security, economic development and human capital accumulation, and more importantly, the welfare of the population.
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| Dying Too Young: Addressing Premature Mortality and Ill Health Due to Non-Communicable Diseases and Injuries in the Russian Federation | Date: December 8, 2005
Published by: World Bank
Document Type: Publication |
Despite strong economic growth, Russia is facing an alarming population decline, due in large part to untimely deaths from heart disease, traffic accidents, and alcoholism, says a World Bank report released today. A continuation of current trends means a shrinking adult workforce, destabilization of families, growing regional disparities, and national security risks, warn Bank experts. Dying Too Young: Addressing Premature Mortality and Ill Health Due to Non Communicable Diseases and Injuries in the Russian Federation explores the socioeconomic impact of a sharp rise in ailments such as heart disease, cancer, traffic injuries, alcohol poisoning, suicides, and violence. These non-communicable diseases (NCDs) are taking an insidious toll on Russian workers. This report sheds light on the nature of non-communicable diseases and injuries as the leading killers in the Russian Federation, its associated risk factors, and their socioeconomic implications.
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| Systems of Epidemiologic Monitoring in Eastern Europe and Central Asia Countries: Review | Date: 2006
Published by: World Bank
Document: Review |
N/a
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| Better Outcomes Through Health Reforms in the Russian Federation: The Challenge in 2008 and Beyond | Date: 2007
Published by: World Bank
Document Type: Policy Note |
The purpose of this Policy Note is to discuss selected health challenges in the Russian Federation, focusing on outcomes, expenditures and options for policy and institutional reforms in the health care system. The areas covered in the Note draw on recent studies and reports, and take into account lessons derived from the implementation of the World Bank-funded Health Reform Implementation Project (HRIP) at the federal level and in the Chuvash Republic and the Voronezh Oblast—the pilot regions of the project, over the 2005-2007 period. The rationale for investing in health and restructuring health care systems is briefly explored at the beginning of the Note; subsequent sections focus on some of the current health challenges faced in the Russian Federation and identify areas for potential intervention to advance the health care reform agenda.
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| Harm Reduction Programs in the Civilian and Prison Sectors of the Russian Federation: Assessment of Best Practices | Date: 2006
Published by: World Bank
Document Type: Report |
This report is devoted to the study of best practices in prison and civilian harm reduction projects (HRPs) in the Russian Federation. A comprehensive literature review was first conducted in order to determine the available information on preventing HIV associated with injecting drug use. The available literature, including articles in biomedical journals, official documents, and other relevant information sources was reviewed. The literature review was followed by semi-structured interviews and a repertory grids technique that allows for a quantification of the levels of success based on project evaluations by harm reduction experts. The data on prison projects indicated issues of access to services, coverage, length of the projects and availability for all prisoners. The major problem was related to a relatively narrower range of services provided, compared to those offered in civilian projects. The need to link prison HRPs with external non-governmental organizations (NGOs) and other organizations providing a continuity of care for clients of HR projects was also emphasized. The main distinction of prison projects was a lower exposure to external factors due to the closed nature of the institutions. Influence was mainly limited to the prison administration and the Federal Penitentiary Service.
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