Russian Federation: conflicting health policy logics

Olga Zvonareva and Ekaterina Borozdina

Chapter 25 in Research Handbook on Health Care Policy, 2024, pp 461-515 from Edward Elgar Publishing

Abstract: Russian health policy terrain is full of contradictions. After the end of the Soviet Union, far-reaching reforms were initiated, but these transformations have been driven by divergent policy logics that have resulted in often incompatible institutional designs. At the core of these conflicting logics in Russia lie uneasy relationships between the state, the market, health care professionals, and patients. The post-Soviet Russian state has continued positioning itself as a guarantor, provider, and controller of health care. But simultaneously, market mechanisms have been rapidly implemented to fill financial and regulatory gaps. In these circumstances, health care professionals are barely involved in policymaking, while patients are referenced as recipients of health care services in policies but excluded from participating in their formulation. In this chapter we delineate major tensions and uncertainties produced by this background and trace how these tensions and uncertainties are dealt with in practice by actors on the ground.

Keywords: Business and Management; Development Studies; Economics and Finance; Politics and Public Policy Sociology and Social Policy (search for similar items in EconPapers)
Date: 2024
References: Add references at CitEc
Citations:

Downloads: (external link)
https://www.elgaronline.com/doi/10.4337/9781800887565.00029 (application/pdf)
Our link check indicates that this URL is bad, the error code is: 503 Service Temporarily Unavailable

Related works:
This item may be available elsewhere in EconPapers: Search for items with the same title.

Export reference: BibTeX RIS (EndNote, ProCite, RefMan) HTML/Text

Persistent link: https://EconPapers.repec.org/RePEc:elg:eechap:20769_25

Ordering information: This item can be ordered from
http://www.e-elgar.com

Access Statistics for this chapter

More chapters in Chapters from Edward Elgar Publishing
Bibliographic data for series maintained by Darrel McCalla ().