Abstract

The article analyzes the main global health systems, their advantages and disadvantages. The evaluation of the introduction of each of them in reality. Recommendations for modernization of the national health system, which should be focused on the creation of effective national systems capable to provide the population with timely preventive measures, accessible and quality medical care, using medical science, rehabilitation and sanatorium-resort help. The task of providing free medical care to population throughout the Russian Federation in the conditions of insufficient financial support. Therefore, it is necessary to abandon single-payer systems to return to budgetary funding, to reinforce the insurance character of the OMC, to ensure the priority of quality indicators of health system efficiency, to ensure the continuity of the work of the modern Russian model of financing of the health sector of the country. The main conclusions of the study are the need to implement an alternative to the liberal-market approach to health reform ecosystem approach, to develop the ecosystem public health, involving its fuel economic modernization based on the achievements of the Semashko system. Applying this approach, it should abandon the mindless copying elements of Western health systems and to identify cooperative segments.

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