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Differentiation of the Russian Population within Healthcare Service Accessibility: Importance of Individual and Territorial Factors

An extended definition of the term ‘national well-being’ suggests comparing extents to which various social groups have access to social services. Basing on an integrated observation of living conditions, this paper gives assessment on healthcare service accessibility. The need to obtain the service is the most important factor for addressing to a medical institution; other characteristics of an individual status are secondary ones. At the same time, territorial differences in the way people request medical assistance are defined rather by the status of a settlement then by regional differentiation. We show how reasons to reject healthcare vary for territorial groups and categories of patients, where the main ones are due to the way the health system functions. In our calculations we use data on economic situation and population health monitoring: it has identified the dynamics of addressing to medical institutions for the latest decade and changes in population of patients for various segments of the health system

Cherkashina T. Yu. touch241@rambler.ru

Keywords: national well-being social inequality inequality in healthcare service access healthcare service social service accessibility assessment of institutional reformation consequences