研究人员和政策制定者之间正在就如何使透明度成为医疗保健系统的强大工具进行辩论。这项研究探讨了有关普通人群的医疗服务信息的可用性和可及性如何影响俄罗斯的医疗保健结果。根据系统审查和荟萃分析(PRISMA)指南的首选报告项目进行系统审查和报告。还审查了世界上最有效的医疗保健系统中使用的卫生设施的透明度指标。尽管提高俄罗斯医疗系统的透明度被认为是提高效率的工具,在提高实际透明度方面做得很少。俄罗斯医疗保健系统的现有制度细节对可接受的透明度水平施加了严重限制。在回顾的俄罗斯实证研究中,透明度通常被简单地视为医疗机构网站上提供的信息或与强制性医疗统计报告的可访问指标数量有关的问题。这项研究的新颖之处在于(a)审查有关该主题的最新研究,以及(b)在分析中包括俄语研究。我们详细阐述了改善俄罗斯医疗系统透明度驱动成果的一般和具体政策含义。
There is an ongoing debate among researchers and policy-makers on how to make transparency a powerful tool of healthcare systems. This study addresses how the availability and accessibility of information about medical services to the general population affects healthcare outcomes in Russia. A systematic
review was conducted and reported according to the Preferred Reporting Items for Systematic Reviewing and Meta-Analysis (PRISMA) guidelines. Transparency indicators of health facilities used in the world\'s most efficient healthcare systems are also reviewed. Although the increase of transparency in the Russian healthcare system is considered as a tool for improving its efficiency, very little has been done to improve the actual level of transparency. The existing institutional specifics of the Russian healthcare system impose serious restrictions on acceptable levels of transparency. In the reviewed empirical Russian studies, transparency is often viewed simplistically as either information available on the websites of medical organizations or issues related to the amount of accessible indicators of compulsory medical statistical reporting. The novelty of this study consists in (a) reviewing the most recent studies on the topic and (b) including studies in Russian in the analysis. We elaborate on general and specific policy implications for improving transparency-driven outcomes in the Russian healthcare system.