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Understanding Russia’s Regional Health Markets

  • July 2013
  • -
  • Espicom Business Intelligence
  • -
  • 245 pages

forensic analysis with statistics on national and regional health infrastructure and provision. An essential source of highly detailed business data.

Any assessment of Russia must consider the recent improvements, ambitious plans and the challenges that are influencing the development of the health market and answer key questions such as:


How is the population and wealth regionally distributed?
Which provinces produce the highest levels of GDP?
To what degree does Moscow skew analysis of Russia’s financial and health infrastructure?
What is the primary and secondary health infrastructure in each region?
How is healthcare delivered?
What is the changing role played by private health provision?
Which regions are better provided for and which still need investment?

The quality of healthcare and healthcare facilities within the Russian Federation remains immensely variable. At the upper end of the spectrum, Moscow has a number of world class institutions and Western standard medical facilities targeted at expatriates and better off Russian nationals. However, at the lower end of the sector, equipment can be outdated and the condition of buildings can be woeful: in April 2013 a fire at a psychiatric hospital in Moscow region killed 36 patients and two members of staff. A similar earlier incident at a clinic for drug addicts claimed 45 lives in December 2006.


Access to this report includes the brilliant Espicom Interactive with machine translation into Russian!

Table Of Contents

Understanding Russia’s Regional Health Markets

Summary.7
Geography.8
Political and Economic Background..9
Politics .9
Economy..10
Demography ..11
Population11
Demographic indicators15
Birth Rate 15
Death Rate . 15
Infant Deaths . 15
Life Expectancy at Birth 15
Morbidity ..16
Communicable Diseases. 16
Non-communicable Diseases 30
Mortality 45
Healthcare Sector52
Organisation ..52
Concept for the Development of the Healthcare Sector until 2020. 54
National Health Project. 55
Project Funding 56
Salary Increases for Healthcare Personnel 56
Procurement of New Equipment.. 56
Construction of Medical Centres . 57
Increasing the Availability of Advanced Medical Treatment .. 57
Prenatal and Postnatal Care . 57
Reducing the Mortality Rate Linked to Cardiovascular Diseases and Road Accidents 58
Reducing the Mortality Rate Linked to Cancer . 58
Regional Healthcare Modernisation Programme. 58
Health Expenditure .60
Organisation of Expenditure.. 60
Public Sector . 60
Private Sector 60
Locally-Sourced Expenditure Data. 61
Primary Care..67
Hospital Facilities.72
Hospital Activity 90
Medical Personnel ..96
Provincial Data Comparisons107
National Comparison by Federal District .. 108
Central Federal District..109
Geography 109
Demographics 111
Economic background 113
Healthcare expenditure . 116
Healthcare facilities . 118
Healthcare personnel . 121
Belgorod 123
Bryansk . 124
Vladimir . 125
Voronezh.. 126
Ivanovo.. 127
Kaluga 128
Kostroma.. 129
Kursk.. 130
Lipetsk 131
Moscow Region. 132
Orel . 133
Ryazan .. 134
Smolensk . 135
Tambov . 136
Tver. 137
Tula . 138
Yaroslavl .. 139
Moscow City 140
North West Federal District .142
Geography 142
Demographics 144
Economic background 146
Healthcare expenditure . 149
Healthcare facilities . 151
Healthcare personnel . 154
Republic of Karelia .. 156
Republic of Komi .. 157
Archangelsk 158
Vologda. 159
Kaliningrad .. 160
Leningrad (region) 161
Murmansk 162
Novgorod.. 163
Pskov . 164
St Petersburg . 165
Southern Federal District..167
Geography 167
Demographics 169
Economic background 171
Healthcare expenditure . 174
Healthcare facilities . 176
Healthcare personnel . 179
Republic of Adygea . 181
Republic of Kalmykia.. 182
Krasnodar. 183
Astrakhan. 184
Volgograd. 185
Rostov 186
North Caucasus Federal District188
Geography 188
Demographics 190
Economic background 192
Healthcare expenditure . 194
Healthcare facilities . 196
Healthcare personnel . 199
Republic of Dagestan.
Republic of Ingushetia 202
Kabardino-Balkaria.. 203
Karachay-Cherkess Republic. 204
Republic of North Ossetia-Alania . 205
Chechen Republic 206
Stavropol.. 207
Volga Federal District .209
Geography 209
Demographics 211
Economic background 213
Healthcare expenditure . 216
Healthcare facilities . 218
Healthcare personnel . 221
Republic of Bashkortostan .. 223
Republic of Mari El .. 224
Republic of Mordovia.. 225
Republic of Tatarstan . 226
Udmurt Republic .. 227
Chuvash Republic 228
Perm 229
Kirov 230
Nizhny Novgorod.. 231
Orenburg.. 232
Penza. 233
Samara.. 234
Saratov.. 235
Ulyanovsk. 236
Ural Federal District.238
Geography 238
Demographics 240
Economic background 242
Healthcare expenditure . 244
Healthcare facilities . 246
Healthcare personnel . 249
Kurgan 251
Sverdlovsk 252
Tyumen . 253
Chelyabinsk. 254
Siberian Federal District 256
Geography 256
Demographics 258
Economic background 260
Healthcare expenditure . 262
Healthcare facilities . 264
Healthcare personnel . 267
Altai Republic . 269
Republic of Buryatia 270
Republic of Tyva .. 271
Republic of Khakassia 272
Altai Territory.. 273
Trans-Baikal Territory. 274
Krasnoyarsk 275
Irkutsk. 276
Kemerovo. 277
Novosibirsk.. Omsk.. 279
Tomsk 280
Far Eastern Federal District.282
Geography 282
Demographics 284
Economic background 286
Healthcare expenditure . 288
Healthcare facilities . 290
Healthcare personnel . 293
Republic of Sakha 295
Kamchatka .. 296
Primorski Krai. 297
Khabarovsk . 298
Amur 299
Magadan .. 300
Sakhalin 301
Jewish Autonomous Region 302
Chukotka Autonomous Okrug 303
Provincial Ranking Tables..304
Total Population by Region (millions). 304
Population % Urban 306
Gross Regional Product (US$ billions).. 308
Gross Regional Product Per Capita (US$).. 310
Health and Social Services Expenditure, 2009 (US$ billions). 312
Health and Social Services Expenditure per capita, 2009 (US$).. 314
Obligatory Medical Insurance Expenditure, 2010 (US$ millions).. 316
Obligatory Medical Insurance Expenditure Per Capita, 2010 (US$) 318
Birth Rate per 000 Population, 2010 .. 320
Death Rate per 000 Population, 2010 322
Infant Mortality Rate per 000 Live Births, 2010 . 324
Total Number of Hospitals, 2010.. 326
Number of Private Hospitals, 2010.. 328
Number of Hospital Beds, 2010 330
Hospital Beds per 000 Population, 2010 .. 332
Average Number of Beds per Hospital, 2010 . 334
Number of Clinics, 2010 336
Number of Physicians (000s), 2010 338
Physicians (rate per 000 Population), 2010. 340
Number of Dentists (000s), 2010.. 342
Dentists (rate per 000 Population), 2010.. 344
Number of Nurses (000s), 2010 346
Nurses (rate per 000 Population), 2010 348
Number of Radiologists (000s), 2010. 350
Radiologists (rate per 000 Population), 2010 . 352
Sources..354

List of Tables

Russian GDP and Real Growth, 2002-2012..10
Population Estimates, 1990-201011
Population by Gender and 5 Year Age Group, 2007-201012
Urban and Rural Population by Gender, 2007-2010.14
Principal demographic Indicators, 1995-2010 15
Incidence of Selected Infectious and Parasitic Diseases, 1995-2010 (000s) ..16
Incidence of Infectious Diseases in Urban and Rural Areas, 2000-2010 (000s) 17
Incidence of Selected Infectious Diseases by Region, 2010 (Per 100,000 Population) ..18
Incidence of Socially Significant Diseases by Region, 2010 22
Incidence of Active Tuberculosis by Age and Sex, 2000-2010 28
Incidence of Active Tuberculosis in Urban and Rural Areas, 1995-2010 ..28
Incidence of STIs, Fungal and Skin Diseases and Scabies, 1995-2010..29
Incidence of STIs in Urban and Rural Areas, 1995-2010 ..29
Incidence of Morbidity by Diagnosis, 2005-2010 (000s)..30
Incidence of Injury, Poisoning and Other External Causes, 2000-2010.31
Incidence of Morbidity by Diagnosis and Region, 2010 (Per 1,000 Population)32
Incidence of Malignant Neoplasms by Age and Sex, 2000-2010 40
Incidence of Malignant Neoplasms by Sex and Site, 1995-2010 (000s).41
Incidence of Cancer in Urban and Rural Areas, 1995-2010 42
Incidence of Malignant Neoplasms by Region, 2010.43
Deaths by Cause, 2006-2010 .45
Deaths by Cause, 2010..46
Leading Causes of Death by Region, 2010 (Per 100,000 Population).47
Infant Mortality by Cause, 2004-2010 ..51
Infant Mortality by Cause, 201051
Receipt and Expenditure of the Social Insurance Fund, 2009-2010 (Million Rubles)61
Receipt and Expenditure of the Federal Compulsory Medical Insurance Fund, 2009-
2010 (Million Rubles)..62
Receipt and Expenditure of Territorial Funds on Compulsory Medical Insurance, 2009-
2010 (Million Rubles)..63
Voluntary Health Insurance Payments, 2000-2010 (Rubles 000s).65
Outpatient Facilities by Type and Sector, 2000-2010 .67
Outpatient Facilities by Type and Sector in Urban and Rural Areas, 1995-201068
MoH Outpatient Care Facilities, 1990-2010 ..68
Condition of MoH Outpatient Clinics, 1995-2010 (%).69
MoH Hospital Day Surgery Discharges by Group of Diseases, 2006-2010 .70
MoH Outpatient Unit/Polyclinic Day Surgery Discharges by Group of Diseases,
2005-201071
Total Hospitals and Beds, 1990-2010 72
Condition of MoH Hospitals, 1995-2010 .72
Hospitals and Beds by Sector, 1995-2010 .73
Hospitals and Beds by Sector in Urban and Rural Areas, 1995-201074
Public Hospital Beds by Specialty, 1990-2010 (000s)75
Public Hospital Beds by Specialty, 2010 (000s) 75
Hospital Beds by Specialty and Region, 2010.76
Hospital Beds by Specialty and Region, 2010 (Per 10,000 Population)..84
Public Hospital Activity, 1998-2010 ..90
MoH Hospital Activity by Type of Hospital, 2007-2010.91
Discharges in MoH Hospitals by Group of Diseases, 2006-2010 ..92
Discharges in MoH Hospitals by Group of Diseases, 201092
Average Stay in MoH Hospitals by Age and Group of Diseases, 2007-2010 (Days) ..93
Surgical Procedures in MoH Hospitals, 2005-2010.94
Surgical Procedures in Public Hospitals, 2010 .95
Public Sector Medical Personnel, 1990-2010 (000s) ..96
Public Sector Doctors by Leading Specialty, 2003-2010 (000s) .97
Physicians by Specialty and Region, 201098

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