Abstract
Healthcare systems are currently being reformed in many countries, Russia included. The main task is to ensure availability and quality of medical services while optimizing healthcare spending. In Russia, since 2015 healthcare are to be funded at the expense of Compulsory medical insurance fund, which entails a considerably higher load on regional budgets. The analysis of statistical data has allowed studying the dynamics of funding shortage for territorial programs of state guarantees of free medical aid to citizens in the RF subjects and the implementation efficiency level of these programs. As a result of this, it has been found out if the problem of growing TPSG funding shortage is determined by the provision of healthcare organizations in a certain region with material, technical and staff resources as well as by the level of diseases incidence among population. The study has shown that a number of Russian regions are in a critical situation and they can hardly increase availability and quality of medical services essentially without finding additional funding sources, healthcare institutions restructuring and upgrade. To a large extent, the problems are conditioned by the low quality of management of resources available and poor organizational support of the efficient development, which requires essential adjustment of organizational and managerial approaches to the development of RF healthcare sphere. DOI: 10.5901/mjss.2015.v6n6s5p153
Highlights
The XX century sees the formation of nation-wide healthcare systems in the world
Comparison of Organization for economic cooperation and development member countries shows that the efficiency of healthcare systems work varies in the countries, with reserves for expenses saving due to increase of efficiency existing in every certain case (OECD, 2010)
The goal of the research is to find out whether the problem of growing deficit in TSGP funding is due to provision of a certain region's healthcare organizations with material, technical and staff resources as well as to the population diseases incidence rate based on comparing the dynamics of territorial state guarantees programs funding shortage and these programs implementation efficiency level against indices characterizing the specific condition of a certain region's healthcare system
Summary
Comparison of Organization for economic cooperation and development member countries shows that the efficiency of healthcare systems work varies in the countries, with reserves for expenses saving due to increase of efficiency existing in every certain case (OECD, 2010). The authors emphasize that the three most important constituents characterized by some experts as the "iron triangle of healthcare" – expenses, availability, quality – exist in all reform projects in various combinations, despite the differences in healthcare organization and financing models (Kissick, 1994). The main problem solved by the developed countries is to ensure for the majority of population an access to quality medical services with simultaneous expenses growth restraint. It is the solution to this problem that Russia has to find, too
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