Abstract
As a result of liberal reforms of the national healthcare system, the structure of the state sector of medical services production has changed. The number of hospitals has more than halved, and the number of hospital beds has decreased from 2,037.6 thousand in 1990 to 1,182. 7 thousand in 2017, while the motivation of medical personnel has changed. External professional motivations of medical service providers began to prevail over internal ones. To achieve an acceptable level of accessibility and quality of medical services to the population, it will be necessary not only to restore the structural elements of domestic medicine, but also to revise the ideology of professional selection of medical school applicants, adapt medical education to the requirements of "Medicine 5P" and radically change the personnel policy.
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