Russia’s health care system: difficult path of reform
This chapter is an output of a research project implemented as part of the Basic Research
Program at the National Research University Higher School of Economics (HSE).
2 . With the exception of medical facilities belonging to privatized enterprises.
3 . Fundholding of a primary care unit is a scheme of public health care funding that provides a virtual budget to a primary care unit (general practitioner, outpatient clinic, etc.) for purchasing selected clinical and diagnosis services, such as minor surgery, physiotherapy, and common endoscopic procedures (Langenbrunner et al. 2005). Th is scheme creates incentives for increasing effi ciency of primary care and for containing excessive supply of diagnostic and inpatient services. Fundholding is used in the United Kingdom and Estonia, as well as in some Russian regions (Kaliningrad, Samara, and Perm).