Russia: Progress in Healthcare Quality in Russia
During the first 10 years of post-Soviet development, the healthcare sys tem was severely underfunded, and it wasn’ t until 2006 that total funding from all sources approached even the relatively low levels of 1991. No actual healthcare reform was implemented, however, other than the introduction of compulsory medical insurance (CMI). Even Soviet medical provisions for the presidential administration, with their exclusive healthcare facilities and resorts, were retained. However, there were important developments relat ing to aspects of healthcare regulation, the system of incentives, and medical guidelines. The object of this chapter is to present the major developments in the current system of quality management in the Russian healthcare system, and to consider the lessons learned.