WP3 Results. Health systems research and reforms

Modern developed countries, including Russia, characterized by impressive progress in how public institutions have come to care for people’s health. It is more stun because healthcare system is a relatively recent invention. Not long ago states did not take much responsibility for caring for people’s health. And yet now we see complex systems involving education, political and legal system, economy, work with information, ethics and cultural attitudes, etc.

The reverse side of the process of complicating healthcare system is that the present day healthcare system is characterized by strong segmentation where elements function in silos. Massive use of hi-tech equipment in some areas is downplayed by poor supporting infrastructure and general low accessibility of healthcare services. This leads to inefficient use of new technologies and ineffective management decision-making process which in turn results in the lack of control over medical problems at large. This has a negative impact on patients who cannot receive the full necessary healthcare. It should be mentioned that lack of integration in health systems is a problem everywhere. Specialties do not collaborate, public is not given active role in prevention and rehabilitation, patients to not receive important supportive services.

This is a challenge that is faced by health systems everywhere, this course would explore the integration problems with a particular focus on Russian health system and, especially in its second part, will focus on opportunities to overcome these problems, using insights from research and practices from all over the world.

Analyzing the root of the problem the students will get knowledge of the healthcare systems, how they come about, and will look for possible solutions focusing on integrated healthcare. They will learn and use special methodology - system thinking