ЭВОЛЮЦИЯ ЗДРАВООХРАНЕНИЯ США: ЭФФЕКТИВНОСТЬ, БЕЗОПАСНОСТЬ, КАЧЕСТВО И ДОСТУПНОСТЬ МЕДИЦИНСКИХ УСЛУГ

Abstract

The relevance of the study of the evolution of the socially significant sphere of the United States of America, located at the point of bifurcation of socio-economic development, one way or another concerns the entire global community. The main aim of the study is to identify trends in the evolution of American health care in terms of ensuring the effectiveness, safety, quality and accessibility of medical services. Its achievement is based on the traditional methodological basis of statistical and economic analysis of the average annual growth of the main indicators of the development of American health care during the formation of its modern organizational-functional structure in 1951-2020. The results obtained reflect the general direction of the evolution of the USA health care as a haphazard complex mechanism functioning in direct resonance with socio-economic cyclicality. Identified trends in the evolution of healthcare in the context of the extraordinary commercialization of medicine and insurance dependence of patients on market conditions. Analysis of long-term development indicators of the USA health care dynamics reveals rather low results of permanent reforms of national health care due to the adjustment of their parameters and indicators to the existing concept of free market relations in the relevant market of medical goods and services. The limitation of the market mechanism in the use of potential resources of American health care, which is generally provided with both financial and innovative and technological potential, is revealed.