DOI: 10.21045/2071-5021-2018-59-1-10

Contacts: Manukhina Elena, e-mail: This e-mail address is being protected from spam bots, you need JavaScript enabled to view it
Information about authors:
Uspenskaya I.V., http://orcid.org/0000-0002-3163-5688
Manukhina E.V., http://orcid.org/0000-0001-9784-9454
Yurina S.V., http://orcid.org/0000-0002-5107-3379
Acknowledgments. The study had no sponsorship.
Conflict of interests. The authors declare no conflict of interest.

Significance. In the context of complicated economic conditions activity of territorial compulsory health insurance funds on financial support for territorial programs of compulsory health insurance has been kept current.

Research subject: financial support for territorial programs of compulsory health insurance.

The study purpose. To determine dynamics in financial support for territorial programs of compulsory health insurance within the framework of activities aimed at optimizing health system funding at the regional level.

Methods. Using analytical method, including method of economic analysis, the authors evaluated implementation of the territorial programs of compulsory health insurance based on monitoring data of volumetric and financial performance indicators of the overall system and individual health organizations.

Results. The study identified areas for optimizing financial support for the territorial program of compulsory health insurance through priority funding of the resource-saving primary care provided at the outpatient basis and in day hospitals, with the reduced share of expensive hospital care from 51.4% in 2014 to 47.7% in 2016 in the cost structure.

The share of costs associated with outpatient primary care increased from 36.5% to 38.1%, while the share of costs associated with outpatient care provided at day hospitals increased from 5.5% to 7.8%, according to indicators of the regional road map. Because of the 1.3 times increase in the volumes of preventive dental care, care seeking reduced 2.0 times. Financial support for high-tech medical care increased by 2.4 times, expanding its access to the population.

Conclusions. Analysis of dynamics in financial support for the territorial program is an integral part of a comprehensive assessment of the healthcare and compulsory health insurance system. Positive dynamics in indicators confirms usefulness of measures to optimize funding at the regional level.

The scope of application: in the system of compulsory health insurance at the regional level.

Keywords. Territorial program of compulsory health insurance; financial support; primary health care for dental diseases; high-tech medical care.

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