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3 . 2022

Analysis of expenditures of the Russian Federation’s budgetary system (Federal Compulsory Medical Insurance Fund, federal and regional budgets) under the section "Healthcare Service" for 2023 and for the planned period of 2024 and 2025

Abstract

The article presents an analysis of expenditures of the Russian Federation’s budgetary system for 2023 and for the planned period of 2024 and 2025. In 2023, compared to 2022, according to the prognosis, public expenditures on primary health care will increase by 8% at current prices and by only 2% at constant prices in 2019.

By 2023, the budget expenditures of the Federal Compulsory Medical Insurance Fund will increase by 14% compared to 2022 in current prices, and only by 7% in constant prices. At the same time, subventions to the constituent territories of the Russian Federation for healthcare delivery will increase by only 5% in constant prices.

In 2023, a slight increase in government spending on health care (+2%) will occur against the background of: rise in population mortality rate of the Russian Federation; reduction in life expectancy (LE) to 70.1 years; increasing the number of people in need of free medical care; unresolved most acute problems of Russian health care, main of which is shortage and low wages for medical staff.

Lack of growth in government spending on health care will not allow resolve the healthcare problems, reducing mortality and increasing life expectancy to 78 years by 2030 in accordance with Presidential Decree No. 474 of July 21, 2020 "On the national development goals of the Russian Federation for the period up to 2030".

Keywords:public healthcare funding in the Russian Federation (RF); budget of the Federal Compulsory Medical Insurance Fund; healthcare problems in the RF; prognosis of healthcare state funding in the RF; population mortality of the RF; accessibility of medical care to the population of the RF

For citation: Analysis of expenditures of the Russian Federation’s budgetary system (Federal Compulsory Medical Insurance Fund, federal and regional budgets) under the section "Healthcare Service" for 2023 and for the planned period of 2024 and 2025. ORGZDRAV: novosti, mneniya, obuchenie. Vestnik VSHOUZ [HEALTHCARE MANAGEMENT: News, Views, Education. Bulletin of VSHOUZ]. 2022; 8 (3): 4–9. DOI: https://doi.org/10.33029/2411-8621-2022-8-3-4-9 (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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