Научно-практический журнал Медицинские технологии. Оценка и выбор
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The Influence of Private Co-funding of Medical Care on the Effectiveness of Health Care Systems in Different Countries

Issue № 26 | 2016 (4)

Abstract

The current legislation of the Russian Federation allows patients to pay for hospitality services associated with medical care. Also, it is possible to pay for medical services that are not included into the Program of State Guarantees of Free Medical Care for Russian Citizens (Program of State Guarantees). Almost all types of medical care are included into the Program of State Guarantees. However, according to the data of the Organization for Economic Co-operation and Development (OECD), the share of private expenditures on health care in Russia in 2014 was about 37.4% of all expenditures on health care, which was higher than the average level of private expenditures in OECD member states (27.3%). This statistics suggest the necessity of legalization of private payments for the medical care, and introduction of mechanisms of participation of citizens in legal private funding of medical services (full payment for some services), i.e. co-financing mechanisms. The article analyses the international experience in order to draw conclusions on the results of the introduction of the system of co-funding of medical care by population.

Keywords

co-funding of medical care by population, co-financing, co-payments, co-insurance, franchise, cost distribution methods, international experience, model of health care, health care system, funding and organization of medical care, sources of health care funding, positive and negative effects of the introduction of co-funding methods, regulator of the amount of medical care.

For citations

Tatarinov A. P., Lukyantseva D. V., Melnikova L. S. The Influence of Private Co-funding of Medical Care on the Effectiveness of Health Care Systems in Different Countries. Medical Technologies. Assessment and Choice. 2016; 4(26): 20–25.

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