Financial support of territorial programs of state guarantees of free provision of medical care to citizens in 2020–2021

• Nelli V. Alvianskaya

Abstract

In 2019, the main thrust of public health policy was to promote the achievement of national development goals. In this direction, management and financial resources were concentrated at all levels of public authority, a system for monitoring the implementation of relevant measures, including the national projects "Healthcare" and "Demography", was built.

In 2020, in connection with the global pandemic of the new coronavirus infection, the conditions for the implementation of this policy have fundamentally changed. The main tasks for healthcare were to smooth out the peaks in the incidence of new coronavirus infection in order to minimize the risks of overloading its capacities and to maintain, despite all the shock changes in the external environment, the main parameters of the functioning of healthcare, both in terms of the volume of medical care provided to the population and its financial support. This determined the initial conditions for the formation and implementation in 2020 and 2021 of territorial programs of state guarantees of free medical care.

This article analyzes the main indicators of the financial support of territorial programs of state guarantees of the constituent entities of the Russian Federation in 2020 and 2021. The main attention is paid to the continuity of the main indicators of health financing for these programs in 2020 and in 2021 in relation to 2019, preceding the year of the onset of the global pandemic.

This article, in its essence, is a continuation of analytical studies of the features of the financial support of territorial programs of state guarantees for free provision of medical care to citizens, starting with the territorial programs approved for 2018 and the planning period of 2019 and 2020.

Keywords:global pandemic, territorial programs of state guarantees for free provision of medical care to citizens of the Russian Federation, peculiarities of healthcare financing in the context of the spread of coronavirus infection and the implementation of measures to mitigate its consequences

References

1. Decree of the Government of the Russian Federation of December 10, 2018 No. 1403 «On the program of state guarantees for free provision of medical care to citizens for 2019 and the planning period of 2020 and 2021».

2. Decree of the Government of the Russian Federation of December 7, 2019 No. 1610 «On the program of stateguarantees for free provision of medical care to citizens for 2020 and the planning period of 2021 and 2022».

3. Decree of the Government of the Russian Federation of December 28, 2020 No. 2299 «On the program of state guarantees for free provision of medical care to citizens for 2021 and the planning period of 2022 and 2023».

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