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An Assessment of Health Policy Reform in Russia
Authors:Diane M Duffy
Institution:Diane M. Duffy;is an assistant professor of political science at Iowa State University. She has conducted comparative health policy research in Sweden, Poland, and the United States. Her earlier comparison of communist and postcommunist health care systems in Poland appeared in Health Policy Reform, National Variations and Globalization, edited by Christa Altenstetter and James W. Bjorkman (1997).
Abstract:Current fast-track reforms in Russia's health sector involving decentralization and privatization are largely ineffective because they are mistargeted. They do not address the etiology of the major sources of health care problems (i.e., lifestyle, and living, working, and environmental conditions), and they even weaken coordinated efforts to address collective health needs. State government policy measures, democratization, self-organization of society, and economic liberalization, as they are evolving currently, do not ensure sufficient citizen protection and interest articulation in the health sector.
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