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1 . 2020

The program of urgent measures in the healthcare sector of the Russian Federation to overcome the systemic crisis

Abstract

Introduction. On January 15, 2020, the President of the Russian Federation V.V. Putin addressed the Federal Assembly of the RF with the State of the Nation message. In that message, he set the task to ensure availability of medical care, first of all in the primary link of the health care and to satisfy the demands of the population in the social sphere2.

Aim - based on the analysis of key problems of the health care system, to substantiate a program of urgent measures for the health care system of the Russian Federation for the years 2020-2024.

Materials and methods. The research was based on the principles of analysis of complex multipurpose and multi-tiered systems to which the health care system belongs, as well as taking into account the WHO recommendations, techniques of integrated assessment of the activity of health care systems in various countries (United Kingdom, the Netherlands, USA, France, etc.), scientific works on research into health care systems. In the course of the research, the following methods were used: analysis of literature, strategic analysis, comparative analysis, building dependences of indicators, and the synthesis method.

Results. Today, in the health care of the Russian Federation, a critical situation has shaped, which is characterized by unsatisfactory indicators of public health, low availability of medical care, discontent from both the population and health workers. To stabilize the situation in the industry, it is necessary to eliminate the deficit of health care personnel (through increase in their remuneration), to upgrade their skills and to implement a system for general provision with medicines, that is, to ensure availability of free drugs not only for specific categories of citizens but also for all the citizens to whom the doctor wrote a prescription. To that end, additional state-funded financing in the amount of 710 billion rubles in the prices of 2019 is necessary every year.

2 State of the Nation message by the President of the Russian Federation to the Federal Assembly dated 15.01.2020.

Keywords:state-funded financing of health care, a program for the development of health care, deficit of health care personnel, provision of the population with medicines

For citation: ULumbekova G.E. The program of urgent measures in the healthcare sector of the Russian Federation to overcome the systemic crisis. Vestnik VSHOUZ [HEALTHCARE MANAGEMENT: News, Views, Education. Bulletin of VSHOUZ]. 2020; 6 (1): 4-16. DOI: 10.24411/2411-8621-2020-11001 (in Russian)

References

1. State of the Nation message of President of the Russian Federation to the Federal Assembly dated 15.01.2020 «State of the Nation message by the President to the Federal Assembly». (in Russian)

2. State program of the Russian Federation «Develop-ment of health care», approved by a decree of the Russian Federation Government as of 15.04.2014 No. 294. (in Russian)

3. State report on the realization of public policy in the sphere of health protection for the years 2014-2016. Russian Ministry of Health. (in Russian)

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CHIEF EDITOR
CHIEF EDITOR
Guzel E. Ulumbekova
MD, MBA from Harvard University (Boston, USA), Head of the Graduate School of Healthcare Organization and Management (VSHOUZ)

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