MODERN ORGANIZATIONAL AND ECONOMIC PROBLEMS OF RUSSIAN HEALTHCARE

Abstract

The implemented mixed, basically insurance model of financing healthcare in the Russian Federation with budget support in its application faces many problems for its subjects and participants. With the current level of funding, the availability of free medical care for the population will decrease, and industry experts emphasize the need for further refinement of its organizational foundations. The shortage of funds causes a number of related problems for the medical industry, worsens the quality and satisfaction of medical services. The purpose of the study is to identify and consider a set of problems in the application of the insurance model of healthcare financing that arise in its various subjects, with the development of improving measures. As a result, the objective reasons for the population's dissatisfaction with the existing healthcare model are shown: queues, low availability of a number of specialists and types of medical care, unstable level of quality of medical services. For policyholders, the problems are related to the need to transfer part of their income when they are objectively limited in a crisis, low competitiveness of products, and financial instability. For society as a whole, the problems of the existing insurance model of healthcare are to ensure proper control over the development of healthcare, regulate the combination of government regulation and social foundations of medical care with market principles, and improve the structural model of the industry. As a result, it is shown that the insurance model of healthcare, which provides for the active participation of the state, including financial, will be more effective the more opportunities both the population, employers, and the state have to finance the medical sector.