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Участие населения в оплате медицинских и образовательных услуг

русская версия

Опубликовано на портале: 27-11-2006
Participation of the Population in Payment for Medical and Educational Services (by Dilyara Ibragimova, Marina Krasilnikova, and Lilia Ovcharova). The article is focused on analysis of consuming behaviour of the population in the domain of educational and medical services, based principally on findings of sociological surveys of the general public. The authors have left beyond consideration value-related estimates of expenditure on education and health. Collection of primary information for analysis of involvement of households in payment for services in the domain of education and health, and the frequency of instances of turning them down for the reason of lack of money for payment, determine the specific features of this study.
Findings of the survey conducted testify not just to a high frequency of paid forms of medical treatment and education but also that this tendency is to a considerable extent involuntary. In the first place this conclusion refers to medical treatment. The prices that have settled in the market of medical and educational services are rather high in relation to the population's average per capita incomes, therefore a majority of chargeable medical and educational services are available only for wealthy strata of the population. If paid services on education or health are required, even families with a middle level of wealth experience serious economic difficulties. The differentiation by expenditure on education and health is practically twofold greater than that by the entire complex of expenses. In combination, these two factors urge to assess in a different way the standard of living as well as the scale of poverty. Government policy of allowances for expensive medical services and Pharmaceuticals does not solve these problems since in 5060 per cent of cases the respective categories of citizens cannot actualise available privileges because of the nominal financing of social programmes. Against the background of the declining standard of living of Russia's population, this situation essentially aggravates the already great differentiation in the level of wealth among residents of the country, which is an additional factor intensifying social inequity.
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