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Reforming Family Healthcare: Estimating Potential Effects of a Shift to a General Practioner (Family Therapist) System | 19-09-2006
The on-going project analyzes the potential consequences of the primary healthcare reform in Russia
The project is implemented with the financial support of the Moscow Public Scientific Foundation (MPSF) grant program.

Start Date: September 2006
Completion Date: November 2007

Project Summary:

The necessity to reform primary healthcare in Russia is acknowledged by the society and authorities. The reform assumes a gradual switch to general practitioner and further introduction of family physicians. The main idea behind this reform is to efficiently reallocate the burden of applications for primary healthcare and to increase the quality of provided healthcare services. A radical reform like this which is to change the very principles of primary healthcare provision, however, needs to be carefully studied and very well prepared.

The suggested project is to analyze potential effects of reforming primary healthcare in Russia, and of the switch to general practitioners/family physicians in particular. The project will consider reasonability of creating a network of general practitioners on the Russian territory based on the analysis of effectiveness of the current primary healthcare.

A theoretical model is the primary instrument of the analysis. The main agents in the model are patients (consumers of a healthcare system) and doctors, who can be either physicians/pediatricians (working in a polyclinic), or general practitioners/family physicians. An empirical part of the project is to test predictions of the theoretical model based on the NOBUS data and RLMS data. Both databases have special questions on medical treatment applied for and received by households. The analysis exploiting both a theoretical model and an empirical research based on the model is expected to produce valuable policy implications. This is to lay a basis for policy advice on reforming the primary healthcare in Russia and to soften possible negative effects in particular.
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