Unmet needs for health care in Russia: findings from the 2022 Public health monitoring survey
Abstract
Unmet needs for health care (or unmet health care needs) refer to situations when people realize their need for health care services but ultimately do not receive them. Unmet needs are common in modern health care systems and vary in their prevalence in different groups of populations. This study examines the problem of unmet health care needs in Russia, taking into account differences in their prevalence among different population groups with Andersen's behavioral model of health care utilization and considering various barriers that prevent people from receiving health care. Russian National Health Telephone Survey data show that one in two Russians (52.4%) faced unmet needs for health care in 2022. Unmet needs were more common among women, young people, respondents with illnesses and other health problems, as well as people with higher education. Unlike other countries, Russia displays no differences in prevalence of unmet needs in different socio-economic groups. Respondents associated their unmet needs mostly with the acceptability barrier (37%), i.e., with their health-related attitudes and personal situations that prevented them from seeking help. Barriers of availability and acceptability were mentioned less frequently: 23.4% and 19.4% of respondents attributed their unmet needs to such problems. Transforming people’s attitudes towards their own health, in addition to facilitating accessibility of health care provision, can potentially help reduce the prevalence of unmet health care needs in Russia.
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