Updating of Healthcare Infrastructure a High Priority for Russia

Cynthia E. Keen

For the past eight years, Russia has been implementing a nationwide infrastructure update of its healthcare facilities. In addition to building new specialized medical centers and equipping them with state-of-technology medical equipment, it is implementing a new model for healthcare payment and scrambling to train all levels of healthcare professionals.

Prof. Dr. Eugene Vladimirovich Shlyakhto; Director of the Almazov center for...
Prof. Dr. Eugene Vladimirovich Shlyakhto; Director of the Almazov center for heart, blood and
endocrinology, chief cardiologist of the Healthcare Ministry of the north-western federal region in Russia
and member of the Russian Academy for Medical Sciences, St. Petersburg, Russia
Professor Eugene Vladimirovich Shlyakhto, M.D. head of the department of internal medicine, Director of Cardiovascular Institute Pavlov Medical State University in St. Petersburg and Director of Almazov Federal Heart, Blood and Endocrinology Centre, described the achievements and the challenges of this intensive process to attendees at the Hospital Management Symposium held at ECR 2008 on Saturday.
 
Reimbursement issues, medical staff training, and lack of senior managers experienced in contemporary hospital administration techniques are some of the challenges that medical providers in Russia face. The most significant problem is providing hospital administration training rapidly enough to equip the managers who will operate the new healthcare facilities with the sophisticated skills they need. 
 
Prior to 1990, the government paid 100% of all medical expenses to hospitals, clinics, and physicians. In the early 1990’s, mandatory medical insurance was implemented, which supplemented the government support. Private payment was also permitted, as were the established of private physician practices.
 
Since 2000, the federal government has invested significantly in new hospitals and centres of excellence. In 2007, 3 of 14 planned new federal medical centers were opened. Located in Astrakhan, Penza and Tcheboksary, the centres utilize the most advanced diagnostic imaging modalities and medical equipment.
 
What these changes have created is a need for highly trained medical administrators. Dr. Shlyakhato said that post-graduate healthcare administration programs have and continue to be implemented, but that there are not enough qualified managers to meet the new healthcare facility demands. Financial managers are also needed to handle the now complex financial reimbursement model incorporating federal, state and municipal budgets, statuatory medical insurance and patients’ direct payments. 
 
Achievements include a 10% decrease in mortality. A 15% decrease in infant mortality combined with a 15% increase in the national birthrate will stem the trend of a population decline. A national movement encouraging self-health through good health awareness and practice is also underway. Russians are being made aware that while the government budget for healthcare has doubled between 2005 and 2007, and will continue to increase, the primary responsibility for maintaining good health is theirs.

10.03.2008

Read all latest stories

Related articles

Photo

Article •

Swedish university invests in virtual medical technology

In its bid to offer the most modern medicine program in Sweden, Örebro University has invested in three visualization tables from Sectra.

Photo

Article •

Leipzig´s futuristic operating theatre

The next generation of integrated operating systems celebrated a world premiere in clinical use this November in Leipzig Germany. EH Correspondent Holger Zorn was there when Professor Gero Strauss…

Photo

Article •

Training against medical errors

Surgical simulations can save lives, Anja Behringer reports Medical errors occur more frequently than traffic accidents and clearly better systems are needed to improve patient safety. Thus the…

Related products

CliniSys – Anatomical Pathology Laboratory

Information Technology

CliniSys – Anatomical Pathology Laboratory

CliniSys Deutschland GmbH
CliniSys – Clinical Laboratory

LIS / Middleware / POCT

CliniSys – Clinical Laboratory

CliniSys Deutschland GmbH
CliniSys – Genetics Laboratory

LIS / Middleware / POCT

CliniSys – Genetics Laboratory

CliniSys Deutschland GmbH
CliniSys – Order & Results Management

LIS / Middleware / POCT

CliniSys – Order & Results Management

CliniSys Deutschland GmbH
Subscribe to Newsletter