About this Journal Publication ethics Editorial Board Editorial Council Editorial Office For the Authors Contacts

News feeds

Journal in Databases

eLIBRARY.RU - ═└ËÎ═└▀ Ţ╦┼╩Ďđ╬══└▀ ┴╚┴╦╚╬Ď┼╩└

Google Scholar

Google Scholar

For authors' attention

Publication is free of charge

In aims to provide interconnection of publications in international scientific journals using Digital Object Identification - DOI, our editorial office incorporated the journal "Social aspects of population health" into international reference system CrossRef.

Since 2016 DOI will be assigned to all scientific articles published in our journal free of charge.

Also DOI will be assigned to all articles published in 2014 and 2015 free of charge as well
Tuesday, 06 March 2018

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

1Uspenskaya I.V., 1Manukhina E.V., 2Yurina S.V.
Territorial Compulsory Health Insurance Fund of the Ryazan region, Ryazan
źCity dental clinic ╣ 3╗, Ryazan

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.,
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.


  1. Akishkin V.G., Kvyatkovskiy I. E., Putina S. A. Regional'noe zdravookhranenie v usloviyakh institutsional'nykh preobrazovaniy: ekonomiko-finansovyy aspekt [Regional health care in conditions of institutional reforms: economic and financial aspects]. Volgograd: Volgogradskoe nauchnoe izdatel'stvo, 2014. 276 p. (In Russian).
  2. Artem'eva, G.B. Mediko-ekonomicheskaya otsenka reformirovaniya regional'noy sistemy obyazatel'nogo meditsinskogo strakhovaniya (na primere Ryazanskoy oblasti) [Health and economic assessment of the reforms of the regional mandatory health insurance system (by the example of Ryazan region)]. Dr. Med. Sci (dissertation). Ryazan'; 2014. 343 p. (In Russian).
  3. Arkhipov, A.P. O sovershenstvovanii sistemy obyazatel'nogo meditsinskogo strakhovaniya [On improvement of the mandatory health insurance system]. Finansy 2009; (9): 41-46. (In Russian).
  4. Gabueva L.A., Zakharchenko N.D., Martynov V.N. Razrabotka finansovoy modeli deyatel'nosti lechebno-profilakticheskogo uchrezhdeniya pri perekhode k odnokanal'nomu finansirovaniyu [Developing the finance model of activity of health care facility in transition to a single-channel financing]. Ekonomika zdravookhraneniya 2009; (10): 5-15. (In Russian).
  5. Gerasimova T. L. Strategiya razvitiya zdravookhraneniya v kontseptsii dolgosrochnogo sotsial'no-ekonomicheskogo razvitiya Rossiyskoy Federatsii na period do 2020 goda [Development strategy of healthcare in the concept of long-term socio-economic development of the Russian Federation for the period till 2020]. Glavvrach 2013; (11): 3-6. (In Russian).
  6. Gura G. M. Obyazatel'noe meditsinskoe strakhovanie: vozmozhnosti i perspektivy [Mandatory health insurance: possibilities and prospects]. Territoriya nauki 2014; (6): 88-94. (In Russian).
  7. Ob obyazatel'nom meditsinskom strakhovanii v Rossiyskoy Federatsii [On mandatory health insurance in the Russian Federation]. Federal'nyy zakon ot 29.11.2010 ╣ 326-FZ (red. ot 09.01.2017). Sobranie zakonodatel'stva RF 2010.12.06, ╣ 49, Art. 6422. (In Russian).
  8. Pirogov M.V., Chernonoshkina I.V., Kuznetsov M.V. Sovershenstvovanie sistemy oplaty meditsinskoy pomoshchi v usloviyakh odnokanal'nogo finansirovaniya [Improving the system of payment for medical care under conditions of single-channel financing]. Glavvrach 2011, (9): 17-22. (In Russian).
  9. Ob utverzhdenii plana meropriyatiy (źdorozhnoy karty╗) źIzmeneniya v otraslyakh sotsial'noy sfery, napravlennye na povyshenie effektivnosti zdravookhraneniya v Ryazanskoy oblasti╗ [On approving the action plan (road map) "Changes in social sphere aimed at improving the efficiency of health care in Ryazan region"]. Rasporyazhenie Pravitel'stva Ryazanskoy oblasti ot 28.02.2013 ╣ 99-r (red. ot 10.01.2017). [Online] [cited 2017 Jul 04]. Available from: http://www. docs.cntd.ruŤdocument/441796767 . (In Russian).
  10. Ob utverzhdenii Poryadka organizatsii i provedeniya kontrolya ob"emov, srokov, kachestva i usloviy predostavleniya meditsinskoy pomoshchi po obyazatel'nomu meditsinskomu strakhovaniyu [On approving the Procedure of organization and control of volumes, terms, quality, and conditions for providing medical care on mandatory health insurance]. Prikaz FFOMS ot 01 dekabrya 2010 goda ╣ 230 (red. ot 22.02.2017). [Online] [cited 2017 Jul 04]. Available from: http://www.docs.cntd.ru/document/902249710 (In Russian).
  11. Semenov V.Yu., Samorodskaya I.V. Otsenka zatrat: standarty meditsinskoy pomoshchi i kliniko-statisticheskie gruppy [Cost assessment: the standards of medical care and clinical and statistical groups]. Problemy sotsial'noy gigieny, zdravookhraneniya i istorii meditsiny 2014, (6): 35-40. (In Russian).
  12. Uspenskaya I.V., Manukhina E.V., Borisova N.V., Muzychuk S.I. Tendentsii okazaniya i oplaty vysokotekhnologichnoy meditsinskoy pomoshchi v Ryazanskoy oblasti. [Trends in the delivery and payment for high-tech medical care in Ryazan region]. In: Koshel' V.I., editor. Sovremennye traektorii razvitiya sotsial'noy sfery: obrazovanie, opyt, problemy, nauka, tendentsii, perspektivy [Current ways of social sphere development: education, experience, challenges, science, trends, and prospects ]. Materialy Mezhdunarodnoy nauchno-prakticheskoy konferentsii. 2016, 15 December, Stavropol'. Stavropol': Stavropol'skiy gosudarstvennyy meditsinskiy universitet; 2016. 214 p. (In Russian).
  13. Fatykhov, A.M. Puti sovershenstvovaniya organizatsii i upravleniya skoroy meditsinskoy pomoshch'yu v usloviyakh modernizatsii zdravookhraneniya (na primere goroda Kazani) [Ways to improve the organization and management of the first aid service in conditions of health care modernization (by the example of Kazan)]. Cand. Med. Sci (dissertation). Moscow; 2014. 177 p. (In Russian).

Views: 7922

Be first to comment this article

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.

Code:* Code

Last Updated ( Monday, 19 March 2018 )
< Prev   Next >
home contact search contact search