Вестник представлен в научной электронной библиотеке (НЭБ)головном исполнителе проекта по созданию Российского индекса научного цитирования (РИНЦ)

The article pertains the main problems faced by manufacturers and consumers of paid medical services. The increase in the volume of paid medical care prevails in the fields of dentistry, diagnostics and cosmetology. Of course, the expansion of voluntary medical insurance in almost all areas of medicine, further digitalization and gradual development of commercial outpatient care will be promising areas in the domestic health care. After all, currently every fourth outpatient medical organization is private owned. In this regard, taking into account the foreign and domestic experience of modernization of the medical services market, the paper comprehensively analyzes the trends in the development of commercial medicine within the legal, organizational and socio-economic regulation of the health care industry. Marketing tools to optimize the system of paid services are presented. The key role of mechanisms of public-private interaction in health care management is proved. Integrative approaches to the problems of introduction and development of paid medical services, considered in this study, will allow to systematize and to adjust the extra-budgetary activities of medical organizations while simultaneously increasing the availability and quality of medical care in Russia.

Today, there is an ambiguous dynamics of state financing of health care. Up to 2017, the Government of the Russian Federation gradually reduced the amount of allocations for health care. For example, in 2017 expenses decreased by 33% compared with 2016. Constantly observed adjustment of budget lists and their differentiated interpretation. Nevertheless, Vladimir Putin, in his message to the Federal Assembly in 2018, announced an increase in health care spending to 4.1% of GDP. Therefore, every year there is a growing need to explore the market for paid medical services. The article discusses the dynamics of paid medical services and the impact on them of various socio-economic factors, focusing on the development of the institute of public-private partnership as one of the tools for solving problems of health financing. The authors propose a series of comprehensive measures at the federal and regional levels that allow them to optimize the interaction of participants in the medical services market.

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