«Public Administration Issues» Journal,

Post. address:
National Research University
Higher School of Economics
20 Myasnitskaya Str., Moscow 101000, Russian Federation
Location address:
of. 307, 4/2, Slavyanskaya sq., Moscow 109074, Russian Federation

Tel./fax: 7 (495) 772-95-90, ext. 12631

E-mail: vgmu@hse.ru 

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Research and educational journal
Published quarterly since 2007
ISSN 1999-5431
E-ISSN 2409-5095

Yuliya Krasheninnikova1,2, Elena Zueva1, Elena Shuraleva1,2
  • 1 National Research University Higher School of Economics, 38 Studencheskaya Str., Perm, 614070, Russian Federation
  • 2 National Research University Higher School of Economics, 20 Myasnitskaya Str., Moscow, 101000, Russian Federation

Perspectives of private health service development in rural regions (basing on the results of Perm experiment)

2012. No. 4. P. 120–135 [issue contents]

The article presents an analysis of the intermediate results of the pilot project on the private health care development at the level of first-aid medical posts. The project is being realized in the region of Perm. The initial goal of the experiment was to solve the problem of creating a competitive environment in the health care sphere in Russia and the ultimate one was to improve the quality of medical service and the health of population.

Case study of 12 private medical practices in January-March 2012 identified the following problems: low rates in the system of CMI; loss of benefits; difficulties in accounting and reporting; the heavy workload and the shortage of staff; the high cost of the equipment; a negative attitude of the local population; penalty sanctions as a result of the audit bodies’ inspections.

Conclusion: the initial hypothesis, that the participants of the project have leadership skills, the propensity to risk and strategic vision, has not been confirmed, since  many of them had to take part in the project. It has been found that those medical organizations that are located on the territories with big population, with working people prevailing, and, consequently, with a lot of children, have the best perspectives for development. Close contacts with the hospital management and local authorities increase chances for them to survive and develop.

In conclusion the article gives recommendations for strengthening the financial stability of private medical practices, for motivating doctors-entrepreneurs and for solving the staff problem.  

Citation: Krasheninnikova Yu. А., Zueva Е. L., Shuralyova Е. V. (2012) Opyt i perspektivy stimulirovaniya gosudarstvom razvitiya chastnykh vrachebnykh praktik v sel'skoy mestnosti (nekotorye itogi permskogo eksperimenta) [Perspectives of private health service development in rural regions (basing on the results of Perm experiment)] Public Administration Issues, 4, pp. 120-135 (in Russian)
ISSN 1999-5431
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