TitleHousehold Expenditures on Drugs and Health Care; Report of a Survey
AuthorsBoikov V., Feeley F., Sheiman I., Shishkin S.
Book TitleTechnical Assistance in the Reform of Health Laws and Regulations in Russia
PublisherCenter for International Health, Boston University School of Public Health
LocationBoston, MA
AbstractA December 1997 survey of 3,000 Russian households found that an average of 14% of monthly expenditure goes for drugs and medical services. Out-of-pocket expenditure for health care is regressive, the lowest income group spending 27% while the highest group spent 9%. Drugs account for just over half of private health-care expenditures, or slightly more than 7% of total monthly household expenditure. Dental care consumes 2.4%, outpatient care 1.5% and inpatient care 2.6%. The private health sector is still small, and the bulk of payments for outpatient and hospital care is for service in government facilities; some of these payments are official and some unofficial. Extrapolation of the survey results suggests that out-of-pocket payments constitute 43% to 55% of total health expenditure in Russia. This finding suggests that the nation’s total health expenditure is between 6.43% and 8.13% of GDP, rather than the official estimate of 3.49% attributed to government entities and mandatory health insurance.