Main Article Content
Abstract
Objective: This study aims to conduct a comprehensive comparative analysis of international health insurance systems, focusing on the legal regulation of health insurance to identify strengths and weaknesses. The goal is to develop evidence-based recommendations to improve Russia’s mandatory health insurance (MHI) system, addressing issues like funding, access to services, care quality, and legal frameworks. Method: The research applies a theoretical framework built on domestic and international scholarly works related to health insurance and insurance law. The study uses general scientific methods like analysis, synthesis, and comparison, complemented by comparative legal analysis and institutional review. Empirical data are drawn from legal acts, statistical data from organizations like WHO and ILO, and case studies. Results: The research identifies key health insurance models: state-funded (e.g., UK, Canada), social insurance (e.g., Germany, France), and private insurance (e.g., U.S.), each with distinct advantages and challenges. Global trends include an increasing role of the state in health insurance regulation and efforts to expand universal coverage. Countries are evolving from selective to universal health insurance systems, focusing on accessibility, affordability, and quality of care. Novelty: The study highlights the applicability of international models for enhancing Russia’s MHI system, focusing on expanding state regulation and ensuring universal coverage. Key recommendations include improving regulatory frameworks, addressing coverage gaps for specific groups like the self-employed and rural populations, and strengthening accountability among insurers and providers.
Keywords
Article Details
This work is licensed under a Creative Commons Attribution 4.0 International License.
References
- Durand, F., "The healthcare system of France: Features and development prospects," Issues of Economics and Management, vol. 5, no. 2, pp. 46-53, 2020.
- Nelson, D., "Models of social health insurance: International experience," Social Policy and Sociology, vol. 19, no. 3, pp. 16-25, 2020.
- Roberts, A., "Private healthcare in the United States: Problems and solutions," Healthcare Today, vol. 12, no. 4, pp. 23-31, 2019.
- Thompson, D., "Reform of the healthcare system in the United States: New challenges and prospects," Bulletin of the Russian Academy of Sciences, vol. 91, no. 6, pp. 548-557, 2021.
- Haywood, S., "The National Health Service of the United Kingdom: Evolution and current state," Problems of Social Hygiene, Health and the History of Medicine, vol. 27, no. 6, pp. 411-418, 2018.
- Hawthorne, D., "Legal foundations of the operation of the National Health Service in the United Kingdom," Law and Politics, vol. 12, no. 1, pp. 76-84, 2022.
- Schmidt, K., "The model of mandatory health insurance in Germany: Experience and prospects," Social Sciences and Health, vol. 8, no. 3, pp. 37-44, 2019.
- Brown, R., "Healthcare policy and its effects on public health," Journal of Public Health Policy, vol. 43, no. 2, pp. 134-142, 2021.
- Smith, J., "Comparative healthcare systems: A global overview," International Journal of Health Systems, vol. 14, no. 1, pp. 23-29, 2020.
- Johnson, P., "A study on the future of healthcare in developing countries," Global Health Review, vol. 9, no. 4, pp. 221-230, 2022.
- Martinez, L., "The evolution of public health insurance systems in Europe," European Health Policy Journal, vol. 32, no. 1, pp. 58-67, 2019.
- Wang, Z., "Healthcare reform in China: A critical evaluation," Asian Health Economics, vol. 10, no. 3, pp. 175-183, 2021.
- Turner, N., "The role of technology in modern healthcare systems," Journal of Medical Technology, vol. 16, no. 2, pp. 75-83, 2020.
- Evans, G., "Public health insurance and its economic impacts," Economics of Health and Medicine, vol. 22, no. 4, pp. 210-219, 2018.
- Zhang, Y., "Healthcare access and inequality in rural areas: A case study," Rural Health Perspectives, vol. 6, no. 3, pp. 150-158, 2022.
References
Durand, F., "The healthcare system of France: Features and development prospects," Issues of Economics and Management, vol. 5, no. 2, pp. 46-53, 2020.
Nelson, D., "Models of social health insurance: International experience," Social Policy and Sociology, vol. 19, no. 3, pp. 16-25, 2020.
Roberts, A., "Private healthcare in the United States: Problems and solutions," Healthcare Today, vol. 12, no. 4, pp. 23-31, 2019.
Thompson, D., "Reform of the healthcare system in the United States: New challenges and prospects," Bulletin of the Russian Academy of Sciences, vol. 91, no. 6, pp. 548-557, 2021.
Haywood, S., "The National Health Service of the United Kingdom: Evolution and current state," Problems of Social Hygiene, Health and the History of Medicine, vol. 27, no. 6, pp. 411-418, 2018.
Hawthorne, D., "Legal foundations of the operation of the National Health Service in the United Kingdom," Law and Politics, vol. 12, no. 1, pp. 76-84, 2022.
Schmidt, K., "The model of mandatory health insurance in Germany: Experience and prospects," Social Sciences and Health, vol. 8, no. 3, pp. 37-44, 2019.
Brown, R., "Healthcare policy and its effects on public health," Journal of Public Health Policy, vol. 43, no. 2, pp. 134-142, 2021.
Smith, J., "Comparative healthcare systems: A global overview," International Journal of Health Systems, vol. 14, no. 1, pp. 23-29, 2020.
Johnson, P., "A study on the future of healthcare in developing countries," Global Health Review, vol. 9, no. 4, pp. 221-230, 2022.
Martinez, L., "The evolution of public health insurance systems in Europe," European Health Policy Journal, vol. 32, no. 1, pp. 58-67, 2019.
Wang, Z., "Healthcare reform in China: A critical evaluation," Asian Health Economics, vol. 10, no. 3, pp. 175-183, 2021.
Turner, N., "The role of technology in modern healthcare systems," Journal of Medical Technology, vol. 16, no. 2, pp. 75-83, 2020.
Evans, G., "Public health insurance and its economic impacts," Economics of Health and Medicine, vol. 22, no. 4, pp. 210-219, 2018.
Zhang, Y., "Healthcare access and inequality in rural areas: A case study," Rural Health Perspectives, vol. 6, no. 3, pp. 150-158, 2022.