an analysis of trends and determinants of health insurance and healthcare utilisation in the russian population between 2000 and 2004 the inverse care law in action分析趋势和决定因素的健康保险和医疗利用俄罗斯人口在2000年到2004年之间的u201c逆保健法u201d行动.pdfVIP

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an analysis of trends and determinants of health insurance and healthcare utilisation in the russian population between 2000 and 2004 the inverse care law in action分析趋势和决定因素的健康保险和医疗利用俄罗斯人口在2000年到2004年之间的u201c逆保健法u201d行动.pdf

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an analysis of trends and determinants of health insurance and healthcare utilisation in the russian population between 2000 and 2004 the inverse care law in action分析趋势和决定因素的健康保险和医疗利用俄罗斯人口在2000年到2004年之间的u201c逆保健法u201d行动

BMC Health Services Research BioMed Central Research article Open Access An analysis of trends and determinants of health insurance and healthcare utilisation in the Russian population between 2000 and 2004: the inverse care law in action Francesca Perlman*, Dina Balabanova and Martin McKee Address: London School of Hygiene and Tropical Medicine, Keppel Street, London, WC1E 7HT, UK Email: Francesca Perlman* - francesca.perlman@lshtm.ac.uk; Dina Balabanova - dina.balabanova@lshtm.ac.uk; Martin McKee - martin.mckee@lshtm.ac.uk * Corresponding author Published: 27 April 2009 Received: 13 October 2008 Accepted: 27 April 2009 BMC Health Services Research 2009, 9:68 doi:10.1186/1472-6963-9-68 This article is available from: /1472-6963/9/68 © 2009 Perlman et al; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Abstract Background: The break-up of the USSR brought considerable disruption to health services in Russia. The uptake of compulsory health insurance rose rapidly after its introduction in 1993. However, by 2000 coverage was still incomplete, especially amongst the disadvantaged. By this time, however, the state health service had become more stable, and the private sector was growing. This paper describes subsequent trends and determinants