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474 Economic crisis, health systems and health in Europe: country experience
capital should be substantially increased, no longer allowed to hold reserves,
administrative costs standardized and set centrally (1–2% of funds received
on per capita basis from the territorial compulsory health insurance funds).
Provider infrastructure and capital investment
• Allocation of federal and regional budget funds to the development of the
infrastructure of the medical facility network, including building and
equipping regional vascular centres, traumatology centres, health centres and
perinatal centres, and equipping facilities for blood services (2010–2012).
• Allocation of RUB 460 billion (US$15 billion) of public funds towards capital
investment (building and renovation, purchasing of medical equipment,
RUB 300 billion), information systems development (RUB 24 billion) and
implementation of medical standards (RUB 136 billion) (2011–2012).
Priority setting or protocols to change access to treatments, coordination
of care and patterns of use
• A new law specifies procedures and pathways for care that is free at the point
of use (2012). Primary and preventive care were prioritized.
Waiting times
• Introduction of a new legal requirement for regions to define regional waiting
times (2011).
Health promotion and prevention
• Excise taxes on alcohol and tobacco increased and set to increase further (since 2007).