On the Problems of Financial Provision of Free Provision of Medical Care in Russia

Abstract

Domestic health care, which is currently at the next stage of modernization, has a number of problems caused by insufficient financial support and inadequacy of the medical care provided to the criteria of quality and availability. The current situation, with the greatest degree of probability, is associated with the imperfection of the model of financial support for the industry and the transition to single-channel financing at the expense of extra-budgetary funds of the compulsory health insurance fund. As a result, there is no strict regulation of the amount of funds received and the minimum required to provide the health care industry, since the amount of contributions to be paid is in direct proportion to the size of the population's wages. The study analyzed the financing of territorial programs of state guarantees per one insured resident on average in Russia and in the context of federal districts, identifying trends and their causes. It was found that the current situation in the field of financial support for the territorial program of state guarantees in Russia is ambiguous: actual costs per one insured exceed the established standards, which indicates that the mechanisms of economic justification and planning do not correspond to current needs. In the context of the country's federal districts, there is a significant differentiation in the financial support of the territorial program of state guarantees, which has a direct relationship with the general level of economic development of the territory.