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Winners and losers: the expansion of health insurance coverage in Russia in the 1990s

Winners and losers: the expansion of health insurance coverage in Russia in the 1990s
Winners and losers: the expansion of health insurance coverage in Russia in the 1990s
Objectives. This study sought to describe the evolution of the Russian compulsory health insurance system and to identify factors associated with noncoverage.
Methods. Data from successive waves of the Russian Longitudinal Monitoring Survey (1992–2000) were analyzed.
Results. Insurance coverage grew rapidly throughout the 1990s, although 11.8% of the country’s citizens were still uninsured by 2000. Coverage initiation rates were greater at first among citizens who were better off, but this gap closed over the study period. Among individuals of working age, coverage rates diminished with age and were lower for the unemployed, for the self-employed, and for those residing outside Moscow or St. Petersburg.
Conclusions. The growth of insurance coverage in Russia slowed toward the end of the 1990s, and gaps remain. Achievement of universal coverage will require new, targeted policies.
2124-2130
Balabanova, Dina C.
c948c17f-c30e-44ab-8718-42f72cef5860
Falkingham, Jane
8df36615-1547-4a6d-ad55-aa9496e85519
McKee, Martin
00241cff-34ff-4459-9263-c806a14deb6b
Balabanova, Dina C.
c948c17f-c30e-44ab-8718-42f72cef5860
Falkingham, Jane
8df36615-1547-4a6d-ad55-aa9496e85519
McKee, Martin
00241cff-34ff-4459-9263-c806a14deb6b

Balabanova, Dina C., Falkingham, Jane and McKee, Martin (2003) Winners and losers: the expansion of health insurance coverage in Russia in the 1990s. American Journal of Public Health, 1293 (12), 2124-2130.

Record type: Article

Abstract

Objectives. This study sought to describe the evolution of the Russian compulsory health insurance system and to identify factors associated with noncoverage.
Methods. Data from successive waves of the Russian Longitudinal Monitoring Survey (1992–2000) were analyzed.
Results. Insurance coverage grew rapidly throughout the 1990s, although 11.8% of the country’s citizens were still uninsured by 2000. Coverage initiation rates were greater at first among citizens who were better off, but this gap closed over the study period. Among individuals of working age, coverage rates diminished with age and were lower for the unemployed, for the self-employed, and for those residing outside Moscow or St. Petersburg.
Conclusions. The growth of insurance coverage in Russia slowed toward the end of the 1990s, and gaps remain. Achievement of universal coverage will require new, targeted policies.

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Published date: 2003

Identifiers

Local EPrints ID: 35007
URI: https://eprints.soton.ac.uk/id/eprint/35007
PURE UUID: 810ed822-84bf-4671-8031-f34d9d69ddd4
ORCID for Jane Falkingham: ORCID iD orcid.org/0000-0002-7135-5875

Catalogue record

Date deposited: 17 May 2006
Last modified: 16 Oct 2018 00:34

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