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MAXIMUM WAITING TIMES GUARANTEE IN RUSSIA: DOES IT IMPROVE ACCESS TO HEALTH CARE?
НИУ ВШЭ
,
2019.
The objective of the paper is to explore the role of maximum waiting times targets in improving access to health care in the context of the country with limited financial resources. The study indicates that most of targets in Russia are unrealistically low, while institutional and operational arrangements for their implementation have not been built. Some regions of the country have started waiting times monitoring, but its coverage of providers is still limited. The estimates of actual waiting times are fragmented and unreliable. The lack of waiting time regulation and monitoring encourages the opportunistic behavior of health providers to meet the targets. Uncertainty of patients regarding actual waits is growing. Thus a waiting times guarantee is not a remedy to avoid excessive waiting times. To make it really work, we recommend: 1) to develop realistic targets of waiting times that are based on a careful evaluation of the actual indicators for each type of care, as well as the capacity to meet them; 2) to strengthen waiting time monitoring, including pooling waiting lists/waiting times information in centralized information systems, introducing a unified pattern of waiting data reporting with the clarity on the initial point of waiting times, measuring both completed and on-going waits; 3) to build accountability procedures with the involvement of all actors of health care system.
Sheiman I., Shishkin S., Markelova H., Health Policy and Planning 2014 P. 106-114
While many countries have increased the opportunities for patient choice of provider, there is debate to what extent this has had positive effects on efficiency and quality of healthcare provision. First, some conditions should be met to exercise such choice, of which the most important is the provision of reliable data on providers’ performance to ...
Added: January 31, 2013
Sheiman I., Shevski V. undefined., / Высшая школа экономики. Series PA "Public Administration". 2013. No. WP BRP 10/PA/2013.
Fragmentation in organization and discontinuities in the provision of medical care are problems in all healthcare systems, whether it is the mixed public-private system in the USA, national health services in the UK, or insurance-based ones in Western Europe and Russia. In all of these countries, a major challenge is to improve integration in order ...
Added: January 24, 2014
Sheiman I., Shevski V., / НИУ ВШЭ. Series WP BRP Series "Public and Social Policy". 2017.
The paper explores primary health care models in Russia and in Central and Eastern European (CEE) countries. Starting with the similar model, they have taken totally different ways of primary health care transformation, including the role of general practitioner, multispecialty polyclinics and private sector. The comparison of this diversity, based on the conceptual framework of ...
Added: March 21, 2017
Vlassov V., The Lancet 2016 Vol. 388 No. 10053 P. 1813-1850
Background
In September, 2015, the UN General Assembly established the Sustainable Development Goals (SDGs). The SDGs specify 17 universal goals, 169 targets, and 230 indicators leading up to 2030. We provide an analysis of 33 health-related SDG indicators based on the Global Burden of Diseases, Injuries, and Risk Factors Study 2015 (GBD 2015).
Methods
We applied statistical methods ...
Added: September 25, 2016
Sheiman I., Shishkin S., Shevsky V., Risk Management and Healthcare Policy 2018 No. 11 P. 209-220
This paper addresses the major developments in primary care in the Russian Federation under the evolving Semashko model. The overview of the original model and its current version indicates some positive characteristics, including the financial accessibility of care, focus on prevention, patient lists, and gatekeeping by primary-care providers. However, in practice these characteristics do not ...
Added: November 2, 2018
Mordvinova M., Endaltseva A., Journal of Communication in Healthcare: Strategies, Media, and Engagement in Global Health (Великобритания), Francis&Taylor 2015 Vol. 8 No. 4 P. 325-334
Smoking regulation constitutes a challenging issue for both developed and developing countries that aim to improve their state of public health and constituent wellbeing. Anti-smoking information and communication campaigns accompanying regulation acts can either enhance or sabotage national policy initiatives. This is especially salient in countries like Russia, where smoking is one of the top ...
Added: September 3, 2015
Sheiman I., Shevski V. undefined., Health Policy 2014 No. 1 P. 1-10
Fragmentation in organization and discontinuities in the provision of medical care are prob-lems in all health systems, whether it is the mixed public-private one in the USA, nationalhealth services in the UK, or insurance based one in Western Europe and Russia. In all ofthese countries a major challenge is to strengthen integration in order to ...
Added: January 28, 2014
Sheiman I., Richardson E., Health systems and reform 2021 Vol. 7 No. 1 Article e1975529
This article explores the potential for maximum waiting times targets to improve access to healthcare in a country with limited financial resources. The study combines policy analysis, offthe-record communications, face-to-face interviews, public opinion surveys and open access patient complaints to create a rich picture of how waiting time targets are monitored and implemented in theory ...
Added: October 5, 2021
Yenneti K., Day R., Golubchikov O., Geoforum 2016 Vol. 76 P. 90-99
This paper considers aspects of spatial justice in the processes of land acquisition for large-scale solar energy projects in the developmentalist context of India. It explores the case of one of the world’s largest solar park projects in Charanka, Gujarat. While the official rhetoric suggests an inclusive project for globally benign renewable energy production, the ...
Added: October 14, 2016
Кульба В. В., Шульц В. Л., Шелков А. Б. et al., Тренды и управление 2013 № 2 С. 134-155
Статья посвящена методам и механизмам планирования и управления в условиях чрезвычайных ситуаций ...
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Kardanova E., Loyalka P., Chirikov I. et al., Assessment & Evaluation in Higher Education 2016 Vol. 41 No. 5 P. 770-786
Relatively little is known about differences in the quality of engineering education within and across countries because of the lack of valid instruments that allow for the assessment and comparison of engineering students’ skill gains. The purpose of our study is to develop and validate instruments that can be used to compare student skill gains ...
Added: April 7, 2016
М. : РАН. ИНИОН. Отдел науч. сотрудничества и междунар. связей, 2014
Рассматриваются стратегии социально-экономического развития России и Украины, механизмы модернизации, инновационного и технологического развития, состояние и перспективы экономического, научно-технического, гуманитарного и межрегионального сотрудничества России и Украины в общеевропейском контексте. Для специалистов в области государственного управления, инновационного и технологического развития, международного экономического и научно-технического сотрудничества. ...
Added: April 24, 2014
Tsyplyaeva N., Власть 2014 № 3 С. 56-61
В статье анализируются проблемы пенсионного обеспечения в РФ и в качестве фактора, способного обеспечить устойчивость пенсионной системы, предлагается развитие добровольного пенсионного страхования. ...
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Piskunova N., Efimova A., Стратегическая стабильность 2010 № 2
Ядерная проблема на Корейском полуострове неразрывно связана с особенностями внутриполитического положения и внешнеполитического курса северокорейского режима. В кризисной ситуации способность политического режима выполнять свои легитимные функции приобретает принципиальное значение. В стремлении восстановить утраченные гарантии безопасности ядерный фактор используется малыми странами, находящимися в маргинальном положении в мировом сообществе, в качестве рычага политико-дипломатической манипуляции в конфликтных отношениях ...
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Liliana P., Baltic Rim Economics 2012 № 4 С. 53-53
The chapter deals with the new directions of science, technology and innovation (STI) policy in Russia, initiatives and tendencies of the STI development that surfaced over the past years. ...
Added: June 17, 2013
Ivanova N., Петько Б. Б., Психология обучения 2018 № 10 С. 13-20
Имидж государственного служащего формируется в процессе обучения студентов, а сам процесс обучения, в свою очередь, зависит от направления подготовки. Цель статьи состояла в разработке рекомендаций по формированию позитивного имиджа работодателя органами государственной службы для привлечения и удержания молодых специалистов. На основе авторского анкетного опроса определено субъективное отношение респондентов к работе в органах государственной службы в ...
Added: December 14, 2018
Reuter O. J., Post-Soviet Affairs 2013 Vol. 29 No. 2 P. 101-135
A political scientist examines how regional elites shape the electoral fortunes of Russia’s hegemonic party, United Russia (UR). Using original data on regional legislative elections from 2003 to 2011, we show that UR performs better in those regions where regional governors control strong political machines. Russia’s leadership undercut its own electoral strategy by replacing
popular elected ...
Added: June 7, 2013
Ikryannikov V., Барыкин А. Н., Научные исследования и разработки. Российский журнал управления проектами 2018 Т. 7 № 3 С. 13-21
В статье приведены результаты исследования фонда стандартов и нормативных документов, которые применялись при составлении описаний объектов государственных закупок на федеральном уровне. Исследование проводилось на основе контент-анализа 2089 закупок, осуществленных в течение 2017 г. 15 федеральными органами исполнительной власти. В составе рассмотренной закупочной документации было идентифицировано 22 052 ссылки на 2657 документов по стандартизации и иных ...
Added: November 27, 2019
Tikhonova N. E., Каравай А. В., Социологические исследования 2018 № 5 С. 84-98
The article analyzes dynamics of some indicators of the human capital of Russians in the context of changes in the relations between employees and employers. It is shown that the general vector of these changes is the shift of balance of power between them in favor of employers, which has led to non-compliance with the ...
Added: August 29, 2018
Starodubtsev A., Неприкосновенный запас. Дебаты о политике и культуре 2012 № 4 С. 82-90
Результаты парламентских выборов 2011 года привели к разработке правящей элитой программы политических реформ, одним из пунктов которой стал возврат к прямым всенародным выборам губернаторов. Основная дискуссия экспертов в этой связи развернулась вокруг двух фильтров, препятствующих полноценной реализации права быть. Как следствие, всё обсуждение сконцентрировалось на политических последствиях изменения механизма назначения/избрания руководителей регионов. При этом за ...
Added: October 24, 2012
Петраков М. А., Казанский экономический вестник 2016 Т. 1 № 2 С. 19-22
The relevance of the subject of this work is determined by the fact that the reduction in crime rate not only affects favorably the situation inside a region, but also shapes its reputation, which is taken into consideration by investors when they choose the region for financial investment. ...
Added: October 20, 2020
Stadnikov V., Архитектон: известия вузов 2019 № 2
Historically valuable areas can be both an obstacle for and a stimulus of socio-economic growth depending on ability to use and estimate their potential. The existing practice of area development and management is focused on new construction and reconstruction. Transformation effects are assumed to mean cost benefits from the construction of new floor space in ...
Added: November 15, 2019
Oxford Abstracts, 2021
Recovering from Covid: Responsible Management and Reshaping the Economy
In 2021, the 35th Conference and 2nd BAM Conference in the Cloud, will critically engage with the socio-economic recovery from the global Covid-19 pandemic.
Consumers, producers, frontline workers, managers, businesses, public and third sector organisations all have their own roles and responsibilities in transforming our marketised society for the post-pandemic world.
We will critically explore the challenges we all face, aiming to ...
Added: June 12, 2021