Abstract
Medico-economic standards (MES) are a relatively recent innovation in the Russian public health-care system. MES specify the kinds and quantities of diagnostic and treatment services a patient with a particular health condition should receive. They are meant to simultaneously control costs and quality of care, and medical professionals in public institutions have a legal obligation to follow these standards. This chapter explores how MES work in practice and how health-care practitioners attempt to reconcile demands of MES, realities of their practice, and demands of patients. The chapter stresses that in mediating these, health-care practitioners place themselves in a precarious position of balancing between being legally sanctioned and providing inadequate medicalĀ help.
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Acknowledgement
I would like to express my deep gratitude for the paediatricians who agreed to participate in my study and share their stories and experiences of working with medico-economic standards. I would also like to thank the editors of this book, Klasien Horstman, Olga Zvonareva, and Evgeniya Popova for their relevant comments, helpful advices, and moral support. Another person whom I would like to thank is Olga Federova for her expertise and very helpful comments on my work. In addition, I would like to acknowledge Lloyd Akrong for his help in proofreading the English of parts of this chapter.
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Kamenshchikova, A. (2018). Medico-Economic Standards in Russia: Balancing Legal Requirements and Patients Needs. In: Zvonareva, O., Popova, E., Horstman, K. (eds) Health, Technologies, and Politics in Post-Soviet Settings. Palgrave Macmillan, Cham. https://doi.org/10.1007/978-3-319-64149-2_5
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DOI: https://doi.org/10.1007/978-3-319-64149-2_5
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