STRUCTURAL MODERNIZATION OF THE GLOBAL HEALTH CARE SYSTEM

Abstract

Nowadays, both diversified channels of medical care for patients in remote mode, as well as extensive telemedical networks and systems of exchange of specialized medical information between all participants in the process of public reproduction of medical services at the national and supranational levels are actively being formed. As a result, we are all witnessing the development in global coordinates of a multi-level integrated system of a digital ecosystem of health care, which is based on digital technologies, forms qualitatively new channels of value creation for consumers of medical services and ensures deep convergent interaction of all key subjects of the medical care system citizens - from doctors, patients, health care institutions and states to health insurance companies, intergovernmental and non-governmental international organizations, business communities, etc. In view of this, there is every reason to claim that the qualitatively new business models of the digital health care system implemented in a fragmented manner in the conditions of digitalization will already in the next decade accumulate a powerful institutional and technological resource for "undermining" traditional business models of medical care with their departure from the narrowed format of the primary link of medical services to deep penetration into all links of the value chain formed in health care, and therefore - the formation of sustainable cash flows for producers of medical services. The purpose of the article is to reveal conceptual approaches to the systematic implementation in global coordinates of the key priority of digital health – the formation of values for patients in an ethical, safe, reliable, fair and sustainable way, while fully complying with such principles of providing medical services as: its transparency, safety and accessibility to broad segments of the population, scalability of medical care and its regularity, digital compatibility of structural components of the digital ecosystem, and strict confidentiality of medical information.