Restructuring Regional Health Systems In Russia

After the dissolution of the Soviet Union in the early 1990s, Russia inherited a publicly-funded health system that promised universal access to comprehensive services. The system was fragmented and financially unsustainable, characterized by over-reliance on curative and inpatient care, with incentives that encouraged providers to hospitalize patients for lengthy periods. Underfunding of the health system over the last two decades further contributed to the deterioration of infrastructure and equipment, poor quality of services, and escalation of out-of-pocket