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1 . 2021

Dynamics of volumes of potential sources of financing of private medical organizations from 2012 to 2019

Abstract

The article analyzes the dynamics of the volume of public and personal (private) healthcare expenditures in the Russian Federation from 2012 to 2019. The structure of these expenditures includes items that are potentially profitable sources of payment for medical services in private medical organizations (MO): compulsory funds medical insurance (CMI) sent to private medical institutions, and paid medical services (PMS). During the same period, the dynamics of revenue of large private medical organizations was analyzed.

It was revealed that in the Russian Federation from 2012 to 2019, the total amount of state funding for health care increased by 7% (from 2283 to 2439 billion rubles) in constant prices (2012 = 100%). At the same time, compulsory medical insurance funds grew by 49% (from 932 to 1391 billion rubles) in constant prices. Of these, the amount of funds channeled to private municipalities increased 4.4 times (from 12 to 53 billion rubles). In 2019, these funds accounted for 3.8% of the total amount of CMI funds (83 from 2190 billion rubles). Private spending on healthcare during this period increased by 28% (from 1008 to 1295 billion rubles) in constant prices, of which PMS - by 39% (from 334 to 465 billion rubles).

The total volume of potential sources of financing for private medical organizations from 2012 to 2019 increased by 50% (from 346 to 519 billion rubles) in constant prices (2012 = 100%). In 2019, the total volume of these sources amounted to 806 billion rubles, of which 90% is the share of PMS, 10% falls on the compulsory medical insurance. Over the same period, the average annual growth rate of revenue of large private medical organizations (with a revenue of more than 900 million rubles per year) ranged from 4 to 29% in constant prices.

The authors draw the following conclusions. For the period from 2012 to 2019, the higher growth rate of CMI funds allocated to private MOs compared to the growth rate of all CMI expenses indicates that private MOs are gradually increasing their share in this market sector at the expense of state MOs. The higher growth rate of PMS volumes in the market as a whole, than the growth rate of revenue of large private medical organizations, indicates that the public sector is more actively increasing its share in this market. In order to simultaneously increase the availability of medical care (i.e., its volume) and at the same time balance the interests of private and public health care providers, it is necessary to gradually increase public funding for health care and direct additional funds to those health care organizations, regardless of the form of ownership, which will provide medical care required profile and quality. For the phased elimination of PMS from state-owned MOs, additional funding will also be required to compensate them for lost income.

Keywords:private (personal) health care expenditures, public health care expenditures, paid medical services, compulsory health insurance, private medical organizations

Funding. The study had no sponsor support.

Conflict of interests. The authors declare no conflict of interests.

Contribution. Scientific supervision of the research - Ulumbekova G.E.; collection and generalization of statistical materials, interpretation of the results obtained - Petrachkov I.V.

For citation: Petrachkov I.V., Ulumbekova G.E. Dynamics of volumes of potential sources of financing of private medical organizations from 2012 to 2019. ORGZDRAV: novosti, mneniya, obuchenie. Vestnik VSHOUZ [HEALTHCARE MANAGEMENT: News, Views, Education. Bulletin of VSHOUZ]. 2021; 7 (1): 80-91. DOI: https://doi.org/10.33029/2411-8621-2021-7-1-80-91 (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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