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Ways to Improve Medical Insurance in Russia
Abstract
The article considers economic aspects of the organization of mandatory medical insurance in Russia, specifics of the institutional arrangement, financial models of organization, distinctive characteristics of the distribution of resources, and problems of institutional incompleteness. Suggestions are made for improving economic mechanisms.
... Since the early 1990s there have been various reforms to the Russian health care system with significant changes in the framework conditions [4,5]. Similar to the German health care system [6,7], the performance of the Russian system has been monitored over the last decades [8,9], pointing to deficiencies and providing recommendations for further changes to increase efficiency [10,11]. Thus, a thorough comparative economic appraisal of renowned university hospitals in Germany and Russia should allow some interesting conclusions. ...
Smart cities employ creativity of the population for innovations supporting social and economic development. In this context, this paper explores the role of framework conditions on special supply effects of university hospitals, which can invite further research institutions for intense collaboration, thereby stimulating innovations. The case study, comparing a hospital in Russia with one in Germany, is based on the concept of the employment multiplier. The results show that exogenously given, but, more importantly, also modifiable framework conditions lead to large differences regarding the employment multiplier. Thus, it should be the concern of smart cities to make smart use of their institutions, such as university hospitals, by adjusting the conditions, under which they are operating.
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