Problems of Involving the Private Sector in the System of Long-term Care for Elderly Citizens and People with Disabilities in Russia in Comparison with Foreign Countries

Maria G. Girich – Researcher of Russia-OECD Center under the Russian Presidential Academy of National Economy and Public Administration (Moscow, Russia). Е-mail: This email address is being protected from spambots. You need JavaScript enabled to view it.

Tatyana A. Ilyushnikova – Deputy Minister of the Ministry of Economic Development of the Russian Federation (Moscow, Russia). Е-mail: This email address is being protected from spambots. You need JavaScript enabled to view it.

Svyatoslav O. Sorokin – Director of Department for Social Services and Non-Profit Sector Development, Ministry of Economic Development of the Russian Federation (Moscow, Russia). E-mail: This email address is being protected from spambots. You need JavaScript enabled to view it.

Antonina D. Levashenko – Senior Researcher of the Institute of International Economics and Finance, Russian Foreign Trade Academy under the Ministry for Economic Development of the Russian Federation (Moscow Russia). Е-mail: This email address is being protected from spambots. You need JavaScript enabled to view it.

Ivan S. Ermokhin – Researcher of the Institute of International Economics and Finance, Russian Foreign Trade Academy under the Ministry for Economic Development of the Russian Federation (Moscow Russia). Е-mail: This email address is being protected from spambots. You need JavaScript enabled to view it.

Since 2018, long-term care system has been launched in Russia to provide social, medical and rehabilitation (habilitation) services to elderly and disabled people in need of care. Long-term care system supports an opportunity to elderly and disabled people to self-serve, move independently, and provide basic life needs. It is planned that by the end of 2023, the long-term care system will be launched in all regions of Russia.

The article analyzes the main problems of financing the system, including low tariffs for social services, which, on the one hand, should be accessible to citizens, but on the other hand, are unprofitable and do not allow the involvement of private providers in the long-term care system. In addition, the article discusses the problems of attracting private investment in long-term care infrastructure in Russia, as well as examples of foreign experience for solving such problems.

Key words: long-term care system, OECD, social service providers, social services, elderly people, disabled people.

JEL-codes: H53, I38.