Differentiation of the Russian Population within Healthcare Service Accessibility: Importance of Individual and Territorial Factors
Tatiana Cherkashina1,2
1Institute of Economics and Industrial Engineering, Russian Academy of Sciences, Siberian Branch, Novosibirsk
2Novosibirsk State Universitet, Novosibirsk
Keywords: national well-being, social inequality, inequality in social service access, healthcare service, social service accessibility, assessment of institutional reformation consequences
Abstract
An extended definition of the term «national well-being» suggests comparing extents to which various social groups have access to social services. Basing on the Complex study on living conditions of the Russian population, this paper gives assessment on healthcare service accessibility. The need to obtain the service is the most important factor for addressing to a medical institution; other characteristics of an individual status are secondary ones. At the same time, territorial differences in the way people request medical assistance are defined rather by the status of a settlement then by regional differentiation. We show how reasons to reject healthcare vary for territorial groups and categories of patients, where the main ones are due to the way the health system functions. In our calculations we use data of Russian Longitudinal Monitoring Survey — HSE: it has identified the dynamics of addressing to medical institutions for the latest decade and changes in population of patients for various segments of the health system.
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