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4 . 2021

Analysis of budget costs of the Russian Federation budgetary system in "Healthcare" section for 2022 and for the planning period of 2023–2024


October 12, 2021 the President of the Russian Federation V.V. Putin appealed to the deputies of the State Duma of the Federal Assembly of the Russian Federation with a request to solve the problems with poverty, demography and healthcare, which are reflected in the Presidential Decree No. 474 "On the national development goals of the Russian Federation for the period up to 2030" (21 July 2020). The article analyzes the compliance of the state budget allocated for healthcare with solution of these problems. In 2022, compared to 2021, according to the forecast of the Ministry of Finance of the Russian Federation, public spending on the health sector (the budget of the Federal Compulsory Medical Insurance Fund, the federal budget and the consolidated budgets of the regions), at current prices, will increase by only 3% (127 billion rubles), and in constant prices (adjusted for inflation, 2018 = 100%) they will decline by 1%. Over the same period, the share of government funding for healthcare in the gross domestic product (GDP) will also decline from 4.1% to 3.9%. This trend is expected to continue up to 2024. Such indicators of state financing of healthcare will not allow solving the most pressing problems of the healthcare system of the Russian Federation: the growing health professional shortage, unsatisfactory public drug supply on an outpatient basis, insufficient amounts of free medical aid and its financial support. As a result, against the background of an increase in the number of patients in need for free-of-charge medical treatment, its availability will continue to decline, and accordingly, the population mortality rate of the Russian Federation will increase, which today has already assumed catastrophic proportions (during the first 9 months of 2021, an additional 373 thousand people died, which is +18% over the same period last year). To improve the current situation in the healthcare sector, it is necessary to allocate at least 500 billion rubles a year in 2022 and subsequent years, so that in 2025 state funding of healthcare could reach 5% of GDP. The author concludes that budget costs of the Russian Federation budgetary system on saving the people of our country should be a priority compared to infrastructure projects for which up to 2.5 trillion rubles are allocated from the National Welfare Fund.

Keywords:forecasts of state financing of healthcare in the Russian Federation, population mortality of the Russian Federation, availability of medical care to the population of the Russian Federation, the problems of healthcare in the Russian Federation

Funding. The study had no sponsor support.

Conflict of interest. The author declares no conflict of interest.

For citation: Ulumbekova G.E. Analysis of budget costs of the Russian Federation budgetary system in “Healthcare” section for 2022 and for the planning period of 2023-2024. ORGZDRAV: novosti, mneniya, obuchenie. Vestnik VSHOUZ [HEALTHCARE MANAGEMENT: News, Views, Education. Bulletin of VSHOUZ]. 2021; 7 (4): 7-15. DOI: (in Russian)


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

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