Scale of Distribution and Amount of Remuneration for Medical Services
How to Cite
Kozyreva P.M., Smirnov A.I. 2018. Scale of Distribution and Amount of Remuneration for Medical Services — Sociologicheskaja nauka i social’naja praktika. Vol. 6. No. 3. P. 26-42. DOI: https://doi.org/10.19181/snsp.2018.6.3.6001
Abstract
The article presents the results of a study that help to understand how widespread the consumption of fee-for-service medicine is, and what the amounts of the official and unofficial payment for medical care, medicines and medical supplies in today’s Russia are. The analysis relies on the data of Russia Longitudinal Monitoring Survey – Higher School of Economics (RLMS–HSE). The study showed that Russians are increasingly being forced to turn to paid medical services in private and public medical institutions, and spend considerable funds for purchasing medicines and medical supplies, not only for the prevention of diseases and treatment at home, but also for treatment in polyclinics and hospitals. At the same time, the level of legal payments is growing and the segment of shadow payment for medical services is shrinking. The findings complement the analysis of inequalities in access to health care, provision of medicines and medical supplies between individual socio-demographic groups. Significant differences in the frequency and amount of payment for medical services are revealed, which are caused by the inequality among Russians regarding the level of income security. It is emphasized that the most significantly limited opportunities of access to paid medicine services are among people in difficult situations (poor, disabled, unemployed, caring for sick family members with a large number of dependents, etc.), who constantly experience acute deprivation in meeting basic needs due to lack of funds. The low standard of living of vulnerable social groups and the underdeveloped social guarantees system, which do not provide equal access to quality paid medical care, are becoming important reasons for the deterioration in health indicators of the population.
Keywords:
access to medical care, health, medical care, paid medical services, social and economic inequality
References
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Modernizatciya Rossii: social’no-gumanitarnye izmereniya. [Modernization of Russia: socio-humanitarian dimensions]. Ed. by N. YA. Petrakova. M.; SPb.: Nestor-Istoriya, 2011. 448 p. (In Russ.).
Nazarova I.B. Zdorov’e zanyatogo naseleniya. [Health of the employed population]. M.: MAKS Press, 2007. 526 p. (In Russ.).
Obshchestvennoe mnenie – 2017. [The public opinion is 2017]. M.: Levada-Centr, 2018. 244 p. (In Russ.).
Popova T. Rossijskaya medicina u novoj planki kachestva I dostupnosti. [Russian medicine has a new quality and accessibility bar]. Nezavisimaya gazeta. 2017. 10 October. (In Russ.).
«Pravo na lekarstvo»: eksperty I chinovniki obsudili, kak obespechit eto ecto dlya rossiyan. [“The right to a medicine”: experts and officials discussed how to ensure this right for the Russians]. Mednovosty. URL: http://medportal.ru/mednovosti/news/2018/05/22/448congress/ (Data obrashcheniya: 20.06.2018). (In Russ.).
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Soloveva O. Lekarstvennoe obespechenie ne druzhit s naseleniem. [Medicines are not friendly with the population]. Nezavisimaya gazeta. 2018. 21 Jun. (In Russ.).
Tikhonova N.E. Sostoyanie zdorovya srednego klassa v Rossii. [The state of health of the middle class in Russia]. Mir Rossii. 2008. Vol. 17. № 4. P. 90–110. (In Russ.).
Zdravoohranenie v Rossii. 2017: Stat. sb. [Healthcare in Russia. 2017: Stat. Sat.] / Rosstat. Moscow, 2017. URL: http://www.gks.ru/free_doc/doc_2017/zdrav17.pdf (Data obrashcheniya: 22.06.2018). (In Russ.).
Citation Formats
Other cite formats:
Harvard
Kozyreva, P. M. and Smirnov, A. I. (2018) ’Scale of Distribution and Amount of Remuneration for Medical Services’, Sociologicheskaja nauka i social’naja praktika, 6(3), pp. 26-42. doi: https://doi.org/10.19181/snsp.2018.6.3.6001.
Section
ECONOMIC SOCIOLOGY
Publisher: Federal Center of Theoretical and Applied Sociology of the Russian Academy of Sciences (FCTAS RAS)