Trends in health systems in the former Soviet countries

Rechel, Bernd; Richardson, Erica; McKee, Martin

doi:10.1093/eurpub/cku162.088

Cited by 59 publications

(58 citation statements)

References 53 publications

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“…Underfunding is associated with increases in both official out‐of‐pocket expenditures and informal under‐the‐table payments . Underfunding has also resulted in a lack of modern technology and equipment within public health care settings . Furthermore, underfunding has led to a great depreciation in the quality of public health care services, as well as reductions in satisfaction with health care .…”

Section: Introductionmentioning

confidence: 99%

Who wants to pay more taxes to improve public health care?

Habibov

Auchynnikava

Luo

et al. 2018

Health Planning & Management

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We study the factors that influence willingness to pay to improve public health care in 29 post-communist countries, Eastern and Southern Europe, and Eurasia using 2 up-to-date cross-sectional surveys conducted in 2010 and 2016 (N = 34 768). Three hypotheses received full degree of support through empirical analysis: increase in satisfaction with health care, university education, and higher level of wealth positively associated with willingness to pay in all regions. In comparison, having a higher level social trust and adhering to left-leaning ideological position strengthens support for public health care in Southern Europe and Eurasia only, while having a higher level of institutional trust strengthens support for public health care in Eastern Europe and Eurasia only.

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Section: Introductionmentioning

confidence: 99%

Who wants to pay more taxes to improve public health care?

Habibov

Auchynnikava

Luo

et al. 2018

Health Planning & Management

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“…The post-Communist region is characterized by a highly institutionalized system of psychiatric care, the predominant medical model of disability, and fragmented mental health policy [3][4][5][6]. It is distinguished by a high level of stigma, intolerance, and discrimination towards certain vulnerable groups of society, including persons with psychosocial disabilities.…”

Section: Introductionmentioning

confidence: 99%

Discursive exploitation or actual impact: Mental health anti-stigma campaigns in the post-communist area

Šumskienė¹,

Nemanyte²

2020

Arch Psych Psych

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The post-Communist societies distinguish themselves by a high level of mental health stigma. Movements of mental health service users are weak and very often more oriented towards the provision of services and support for their members. They often lack capacity and resources to become actual shapers of the mental health policy, initiators and active participants of public discourse.The paper presents the underlying situation of mental health care in the region, identifies and discusses peculiarities of local mental health anti-stigma campaigns and presents findings of the qualitative experts' research. The research covers eight post-Communist countries (

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“…While the improvement of doctor-patient communication skills would likely address dissatisfaction among patients, the results of other studies, alongside the gradual increase of patients' complaints against medical care providers in Kazakhstan, show that a lack of communication skills is not the only cause of patient dissatisfaction and therefore cannot be the only solution (3,14). During the Soviet period, Kazakhstan was affected by many political and economical factors that eventually resulted in neglect of the social sector, including medicine.…”

Section: Introductionmentioning

confidence: 99%

“…During the Soviet period, Kazakhstan was affected by many political and economical factors that eventually resulted in neglect of the social sector, including medicine. However, since independence there has been signi cant progress in medical services and technologies but with an apparent inclination towards doctor-centred care (3). The Ministry of Health has reported that a majority of the complaints received have been based on problems with the organization of medical care and poor quality of medical services, including medicinal provision and the quali cations of and communication provided by medical personnel (14).…”

Section: Introductionmentioning

confidence: 99%

Dissatisfaction between medical providers and patients in the Republic of Kazakhstan.

Zhumadilova

Kozhakhmetova

Kuanyshbayeva

et al. 2020

Preprint

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Background: Dissatisfaction among patients towards health care providers remains a serious concern in the Republic of Kazakhstan that requires further attention(1-3). Patient-centred care, trust between patients and medical providers, the involvement of patients in their own treatment process, and effective communication are major areas in need of strengthening in order to improve outcomes of medical care (4-7). The objective of this study was to broaden the investigation of patient dissatisfaction to various departments from different medical facilities in the city of Nur-Sultan and examine additional factors that may be influencing provider-patient communication and contributing to patient dissatisfaction. Methods: This cross-sectional study of 500 patients (response rate, 85.4%) and 500 health care providers (response rate, 86.4%) from one private and one state hospital and two state policlinics (outpatient departments) in the city of Nur-Sultan, Kazakhstan, used questionnaires containing the Patient-Practitioner Orientation Scale (PPOS) and scales assessing life and job satisfaction, job effort-job reward balance, and patient evaluation of communication. Results: Our study showed that the majority of health care providers and patients were doctor-centred as opposed to patient-centred in their expectations of the doctor visit. The patient-centred orientation of health care providers was negatively correlated with age (P=0.000218) and life satisfaction (P=0.000001). In patients, contrarily, patient-centredness was enhanced by higher life satisfaction (P=0.040), although negatively correlated with age (P=2.659E-21). Conclusions: The results of this study demonstrate that younger health care providers and those with lower life satisfaction expect a more patient-centred approach to the doctor visit. Older respondents and those with higher life satisfaction, in contrast, reported doctor-centred attitudes. The majority of younger patients have a stronger belief in good health associated with patient-centred care whereas the older population preferred a more doctor-centred approach to care. In all patients, the preference for patient-centred care was associated with higher satisfaction in life.

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Trends in health systems in the former Soviet countries

Cited by 59 publications

References 53 publications

Who wants to pay more taxes to improve public health care?

Who wants to pay more taxes to improve public health care?

Discursive exploitation or actual impact: Mental health anti-stigma campaigns in the post-communist area

Dissatisfaction between medical providers and patients in the Republic of Kazakhstan.

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