Integrated health care in Russia: to be or not to be?

The purpose of this paper is to look at what has happened in Russia during the last ten years in the health care sector from the point of view of integrated care. This country, when it still was the leading subject of the Soviet Union, hosted in 1978 the Alma Ata Conference on Primary Health Care, w...

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Main Authors: Mikko A. Vienonen, Ilkka J. Vohlonen
Format: Article
Language:English
Published: Ubiquity Press 2001-03-01
Series:International Journal of Integrated Care
Subjects:
Online Access:http://www.ijic.org/index.php/ijic/article/view/18
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author Mikko A. Vienonen
Ilkka J. Vohlonen
author_facet Mikko A. Vienonen
Ilkka J. Vohlonen
author_sort Mikko A. Vienonen
collection DOAJ
description The purpose of this paper is to look at what has happened in Russia during the last ten years in the health care sector from the point of view of integrated care. This country, when it still was the leading subject of the Soviet Union, hosted in 1978 the Alma Ata Conference on Primary Health Care, which in many countries gave a strong boost on the development of multidisciplinary, community based care in a gate-keeper position. In Soviet Russia, PHC became marginalised and identical to poor level of care in remote areas of the country where people had very little choice and did not want to use it. Has the situation changed, and is Russia in practice addressing the problems created by the lack of integration, vertical treatment structures and over specialisation?<br> In addition to the data sources that are referred to in the text, this paper is based on “gray literature” available in project reports and governmental documents, and on the personal experiences of the authors, who have worked for long periods of time in the Russian Federation as international experts dealing with health sector reforms and health policy formulation.
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spelling doaj.art-97e5c3b844b042c0b9b384c8aa1cf5b82022-12-22T02:40:20ZengUbiquity PressInternational Journal of Integrated Care1568-41562001-03-011118Integrated health care in Russia: to be or not to be?Mikko A. VienonenIlkka J. VohlonenThe purpose of this paper is to look at what has happened in Russia during the last ten years in the health care sector from the point of view of integrated care. This country, when it still was the leading subject of the Soviet Union, hosted in 1978 the Alma Ata Conference on Primary Health Care, which in many countries gave a strong boost on the development of multidisciplinary, community based care in a gate-keeper position. In Soviet Russia, PHC became marginalised and identical to poor level of care in remote areas of the country where people had very little choice and did not want to use it. Has the situation changed, and is Russia in practice addressing the problems created by the lack of integration, vertical treatment structures and over specialisation?<br> In addition to the data sources that are referred to in the text, this paper is based on “gray literature” available in project reports and governmental documents, and on the personal experiences of the authors, who have worked for long periods of time in the Russian Federation as international experts dealing with health sector reforms and health policy formulation.http://www.ijic.org/index.php/ijic/article/view/18healthcarehealth servicesintegrated carehealthcare managementhealthcare networks
spellingShingle Mikko A. Vienonen
Ilkka J. Vohlonen
Integrated health care in Russia: to be or not to be?
International Journal of Integrated Care
healthcare
health services
integrated care
healthcare management
healthcare networks
title Integrated health care in Russia: to be or not to be?
title_full Integrated health care in Russia: to be or not to be?
title_fullStr Integrated health care in Russia: to be or not to be?
title_full_unstemmed Integrated health care in Russia: to be or not to be?
title_short Integrated health care in Russia: to be or not to be?
title_sort integrated health care in russia to be or not to be
topic healthcare
health services
integrated care
healthcare management
healthcare networks
url http://www.ijic.org/index.php/ijic/article/view/18
work_keys_str_mv AT mikkoavienonen integratedhealthcareinrussiatobeornottobe
AT ilkkajvohlonen integratedhealthcareinrussiatobeornottobe