Problems Inherent to Healthcare in Rural Areas
How to Cite
Kozyreva P.M., Smirnov A.I. Problems Inherent to Healthcare in Rural Areas. Humanities of the South of Russia. 2018. Vol. 7. No. 4. P. 33-49. DOI: https://doi.org/10.23683/2227-8656.2018.4.3 (in Russ.).
Abstract
This article is dedicated to studying the problems faced by rural inhabitants in need of healthcare. Its results allow for broadening one’s perspective when it comes to the differences and accessibility of free and paid healthcare for the rural population. Analysis is based on data from the Russian Longitudinal Monitoring Survey – Higher School of Economics (RLMS-HSE). The results of the study show that rural healthcare is defined by ineffective preventive measures, considerable inaccessibility, and low quality medical treatment. Rural inhabitants constantly have to deal with a lack of medical facilities, doctors and other medical personnel, medical materials and equipment, as well as medications.The situation is especially complicated in small settlements and villages located in remote and hard to reach areas. Elder villagers, who tend to need health care the most, are especially vulnerable.Villagers are more frequently forced to resort to paid healthcare, while continuing to spend a considerable amount of money on medications not only for preventing disease or treatment at home, but also for being treated in medical facilities.Nowadays the most in demand paid healthcare services are those provided by dentists. There has been a marked increase in legal payments, while the proportion of shadow payments for healthcare services has been decreasing.The issue of providing medications to the rural population is as acute as ever, and this includes such a problem as beneficial medication provision.Inequality in resource distribution without taking into account the realities of our country prevents creating the necessary conditions for improving access to the most effective of healthcare, as well as the increase of medical treatment quality in rural areas.
Keywords:
health, rural healthcare, healthcare accessibility, medical services, rural areas
References
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Belova, N. I. (2017). Healthcare in rural areas: condition, tendencies and challenges. Sociologicheskie issledovaniya, 3, 97-105. (in Russian).
Besstremyannaya, G. E., Shishikin, S. V. (2005). Access to health care. Doxody i socialnye uslugi: neravenstvo, uyazvimost, bednost / G.E. Besstremyannaya, A.Ya. Burdyak, A.S. Zaborovskaya [et. al.]; ruk. avt. koll. T.N. Ovcharova. Moscow: HSE, pp. 141-167. (in Russian).
Bondarenko, L.V. (2016). Development of rural areas in Russia: assessments, opinions, expectations. Sociologicheskie issledovaniya, 3, 76-82. (in Russian).
Burdyak, A., Selezneva, E.V., Shishkin S.V. (2008). Differences in Access to Healthcare for the Population of Russia. Sotsial’naya politika: ekspertiza, rekomendatsii, obzory, 8, 135-158. (in Russian).
Doctor in Russia: patient trust, income, social position (2017). Press-vypusk VCIOM. No. 3474. September 22. Available at: https://wciom.ru/index.php?id=236&uid=
Guseva, N.K., Doyutova, M.V, Sokolov, V.A., Sokolova, I.A. (2015). Modern problems of organization of assistance to rural population. Medicinskij almanax, 3 (38), 11-15. (in Russian).
Twenty-Five Years of Russian Transformations Experience of Sociological Analysis / M.K. Gorshkov [et al.]; Edited by M.K. Gorshkov, V. V. Petukhov (2018). Moscow: Ves Mir. (in Russian).
Residents of 10 thousand villages and villages of Russia are deprived of access to emergency medical care. Available at: https:// www.rbc.ru/society/01/08/2017/5980762c9a 79472e3f6a8e61.
Healthcare in Russia. 2017: Stat. Sat. / Rosstat. Moscow, 2017. (in Russian).
Kalininskaya, A.A., Malikova, L.M. (2015). Current problems and ways to reform rural healsthcare. Socialnye aspekty zdorovya naseleniya, 4 (44). (in Russian).
What was spent? (2016). Rossijskaya gazeta, 6974 (106), May 18. (in Russian).
Russian public health: doctors' motivation and public accessibility / otv. red. S. V. Shishkin (2008). Moscow: Nezavisimyj institut socialnoj politiki. (in Russian).
Saveleva, Zh., Mukharyamova, L., Kuznetsova, I. (2018). Social Justice in Healthcare in the Experiences and Judgments of Russians. Mir Rossii, 27, 3, 154-179. (in Russian).
Sense of rural life (Experience of sociological analysis) / R.I. Anisimov [i dr.]; Edited by Zh. T. Toshhenko (2016). Moscow: Centr socialnogo prognozirovaniya i marketinga. (in Russian).
Tixonova, N. E. (2008). The state of health of the middle class in Russia. Mir Rossii, 17, 4, 90-110. (in Russian).
Toshhenko, Zh. T. (2017). What is a modern Russian village? Sociologicheskie issledovaniya, 12, 89-98. (in Russian).
Toshhenko, Zh.T., Velikij, P.P. (2018). The Key Meanings of the Lifeworld of Rural Residents in Russia. Mir Rossii, 27, 1, 7-33. (in Russian).
Shishkin, S.V., Potapchik, E.G., Selezneva, E.V. (2013). Private Health Care Sector in Russia: Present State and Development Prospects. Voprosy ekonomiki, 4, 94-112. (in Russian).
Citation Formats
Other cite formats:
APA
Kozyreva, P. M., & Smirnov, A. I. (2018). Problems Inherent to Healthcare in Rural Areas. Humanities of the South of Russia, 7(4), 33-49. https://doi.org/10.23683/2227-8656.2018.4.3
Section
MODERN RUSSIAN SOCIETY
