The Semashko model is a single-payer healthcare system where healthcare is free for everyone, and is funded funded from the national budget. It has been extensively modified since its introduction and a number of ex-soviet countries have now abandoned much of it. It was highly centralised and prescriptive in its design and had a very strong focus on specialist medicine so that family medicine and primary care was underdeveloped.
The Bolsheviks began to establish universal healthcare as soon as they came to power in late 1917. The system is named after Nikolai Semashko, a Soviet People's Commissar for Healthcare.[1] The model is largely continued in Russia, most other post-Soviet states[2] (exceptions are: Turkmenistan, Kyrgyzstan and the Baltic states) and some other formerly Soviet-aligned states (such as North Korea[3] and Cuba[4]) is regarded as one of the most influential ones.[5]
- ^ Cite error: The named reference
rbwas invoked but never defined (see the help page). - ^ Igor Sheiman; Sergey Shishkin; Vladimir Shevsky (2018). "The evolving Semashko model of primary health care: the case of the Russian Federation". Risk Manag Healthc Policy. 11 (11): 209–220. doi:10.2147/RMHP.S168399. PMC 6220729. PMID 30464661.
- ^ Kichae, Min; Hyejin, Ko (2018). "Changes in the North Korean welfare System: A Comparison of the Kim Il Sung, Kim Jong Il and Kim Jong Un Eras". North Korean Review. 14 (2): 46–63. ISSN 1551-2789.
- ^ Huish, Robert (2021-10-14). "Cuban Health Care: The Ongoing Revolution, by Don Fitz & The Right to Live in Health: Medical Politics in Postindependence Havana, by Daniel A. Rodríguez". New West Indian Guide / Nieuwe West-Indische Gids. 95 (3–4): 328–331. doi:10.1163/22134360-09503027. ISSN 2213-4360.
- ^ Andreas Heinrich (28 February 2022). "The Emergence of the Socialist Healthcare Model After the First World War". International Impacts on Social Policy. Global Dynamics of Social Policy. pp. 35–46. doi:10.1007/978-3-030-86645-7_4. ISBN 978-3-030-86644-0.