N.F. Plavunov¹, Yu.P. Boyko², I.G. Gal^2
1Moscow Healthcare Department, Moscow
²Russian Medical Academy of Postgraduate Training, Moscow

Abstract. Background. In recent years the Russian healthcare has been undergoing system changes mainly driven by the three most important factors. First, it is active implementation of the Federal Law N131-FZ as of 06.10.03 “On general principles of local self-government organization in the Russian Federation” in terms of shifting authorities between different levels in health care delivery, particularly, transfer of specialty care to the regional level from the municipal one.

Second, it is implementation of the National priority project “Health” that developed resource base for realizing the main principle of the structural reorganization – enhanced role of primary healthcare.

The third leading factor of the state policy that facilitated increased structural performance of the healthcare system is the improved quality and expanded access to pharmaceuticals to the population. The list of essential drugs to cover additional needs of the certain groups of the population was developed and approved.

The aim of the study was to analyze the existing model of healthcare system and determine ways for its further prospective development.

Objectives of the study included:

1. To define healthcare system in the context of modern socio-economic situation.

2. To identify main directions for improving performance of all structural blocks of the healthcare system with due regard to modern socio-economic situation.

Results and practical application: systematic improvement of performance of healthcare institutions and the entire healthcare system is only possible if based on analysis of the existing system and problems identification. Later on, all those findings will become of crucial importance while developing strategic decisions.

Keywords: healthcare; medical institutions; reforming; health care.

References

1. Grigor'ev K.I., Pilyugin V.V. Organization of health care in Russia. Analytical review. Moscow: Meditsina i zdravookhranenie; 2005. 35 p. (in Russia).
2. Lebedev A.A., Goncharova M.V., Serebryanskiy O.Yu., Lebedev N.A. Innovations in health facility management. Moscow: Littera; 2010. 172 p. (in Russia).
3. Semenov V.Yu. Economics of health care. Moscow: Meditsinskoe informatsionnoe agenstvo; 2006. 472 p. (in Russia).
4. Togunov I.A. Competition in health care and medicine: Korporativnyy menedzhment 2012; (5): 11-14. (in Russia).
5. Trifonova N.Yu. The need to develop a network of schools for teaching self-control in patients with chronic non-communicable diseases. In: "Challenges of urban health care". N.I. Vishnyakov, Yu.P. Lints, editors. St-Petersburg. 2007. 104-108. (in Russia).
6. Shabrov A.V., Chavpetsova V.F. Development of human resources of increasing health facilities in the RF (by an example of KB-42 Zelenogorsk). In: "Quality of medical care: challenges and prospects for improvement". Proceedings of International Scientific and Practical Conference. St-Petersburg; 2010. 168 p. (in Russia).
7. Kucherenko V.Z., Tatarnikov M.A., Shamshurina N.G. The main direction of Russian public health reforming at the present stage. Ekonomika zdravookhraneniya 2005; (5):11-19. (in Russia).
8. Lentishchev I.V. Reforms of the system of regional health departments in the subjects of the Russian Federation. Ekonomicheskiy vestnik MVD Rossii 2006; (4):19-22. (in Russia).
9. Lisitsin Yu.P. Public health and health care: textbook for students of higher medical institutes. Moscow: GEOTAR–Media; 2007. 432 p. (in Russia).

Write Comment

Please keep the topic of messages relevant to the subject of the article. Personal verbal attacks will be deleted. Please don't use comments to plug your web site. Such material will be removed. Just ensure to *Refresh* your browser for a new security code to be displayed prior to clicking on the 'Send' button. Keep in mind that the above process only applies if you simply entered the wrong security code.
Name:
E-mail
Comment:
Code:*