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1 . 2022

Organization and financing of cancer care in the Russian Federation in 2018–2024

Abstract

In the Russian Federation cancer mortality is the second cause of all deaths (14% in 2020). Despite decrease in standardized mortality rate (SMR) from malignant neoplasms among population in the Russian Federation (aged 0 to 64 years) its level remains to stay at the level of “new” countries of the European Union and is 1.5 times higher than in old countries of the European Union. The aim of the study was to evaluate measures to reduce mortality from malignant neoplasms that have been taken and are also planned for implementation in the Russian Federation in 2018–2024.

The article analyzes: resources of cancer service in the Russian Federation from 2012 to 2020; current regulations on the organization of cancer care; main features of the Federal Project “Fighting Cancer” implementation, as well as dynamics of provision and financing of medical care for malignant neoplasms in system of Obligatory Medical Insurance (OMI).

In the Russian Federation, starting from 2019 to 2021, significant steps have been taken to increase the availability of cancer care to patients: in the programme of state guarantees the standards for cancer care provision are separately highlighted and established control over their implementation; from 2019 to 2021 the standards for the volume of care in inpatient settings increased by 16%, in day hospital conditions – by 14%; total financial support in inpatient and day hospital conditions increased by 89 billion rubles; 280 outpatient cancer care centers were put into operation; medical organizations are equipped with 207 units of “heavy equipment”. At the same time, in the programme of state guarantees, normative periods for diagnostic examination waiting and for planned hospitalization waiting were reduced from 14 to 7 working days. Implementation of these measures, combined with a favorable state (compared to other profiles of health services delivery) of cancer service resource provision, made it possible to reduce mortality from malignant neoplasms by 0.7% from 2019 to 2020.

The authors conclude that implementation of targeted, comprehensive and controlled measures to increase the volume of medical assistance and their financial support under the programme of state guarantees, sufficient staff reserves and development of material and technical base of medical organizations are highly effective in reducing mortality from oncological diseases. The approach used in the Federal Project ”Fighting Cancer” needs to be multiplied in “oncology” profile and extended to other groups of diseases.

Keywords:Federal Project ”Fighting Cancer”; availability of oncologists; financing of medical care for malignant neoplasms in system of Obligatory Medical Insurance; standards for cancer care provision volumes and financial costs; criteria for availability of cancer care to patients

Funding. The study had no sponsor support.

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

Contribution. Scientific management of the research – Ulumbekova G.E.; collection and generalization of statistical materials, interpretation of the results obtained – Alvianskaya N.V., Petrachkov I.V.

For citation: Ulumbekova G.E., Alvianskaya N.V., Petrachkov I.V. Organization and financing of cancer care in the Russian Federation in 2018–2024. ORGZDRAV: novosti, mneniya, obuchenie. Vestnik VSHOUZ [HEALTHCARE MANAGEMENT: News, Views, Education. Bulletin of VSHOUZ]. 2022; 8 (1): 33–74. DOI: https://doi.org/10.33029/2411-8621-2022-8-1-33-74 (in Russian)

References

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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)
РОСМЕДОБР 2021
Вскрытие
Medicine today

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