Abstract
Significance. Commercial medicine is a rather young branch of the Russian national economy. In our days its development forms a wide interdisciplinary discussion environment for scientists and practitioners. The basic areas for research include dynamics in commercial medicine development under the Russian economic and social conditions, factors and type of demand for paid medical services, correlation between budget and commercial medicine, as well as a social aspect of healthcare commercialization, manifested through quality of life, access to medical care, etc. A comprehensive and objective analysis of the development trends and demand for commercial medical services is especially relevant in view of meeting the national strategic objectives for healthcare development and social well-being assurance. Purpose of the study is to identify development trends and substantiate main demand factors for commercial medical services in Russia in 2005-2021. Material and methods: data from the Russian Federal State Statistics Service, data from some medical institutions, materials from specialized media publications. The study used methods of logical and statistical analysis. Results. The authors have studied dynamics and structure of medical organizations by ownership; analyzed social statistics related to paid medical services, demographic statistics of commercial enterprises in healthcare; examined basic performance characteristics of the largest private medical institutions in Russia; identified and analyzed the most important demand factors for commercial medicine. Conclusion. Russia is currently witnessing an active development of commercial medicine as an individual area of activity, which is characterized by sustainable positive dynamics in a number of indicators, by significant structural changes, capital accumulation, strengthening of market positions, and increased influence on the social sphere. The above-mentioned suggests a growing demand for paid medical services, the main factor of which, according to the authors’ opinion, is increased legal and institutional opportunities for paid service delivery by both private and public medical institutions, their active focus on non-gratuitous nature of care delivery.
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