The national health care system financing in the context of medical care developing trends and socio-economic realities

N. Klunko, T. Regent, Larisa Vladimirovna Egorova
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Abstract

The effectiveness of the functioning of the health care system consists in achieving high indicators of the quality of life of the population, which is achieved through the use of various regulatory and self-regulation tools in the health care system, which are always based on the need for financial support, which is the cornerstone of solving problems related to the need to increase the effectiveness of the health protection system. The financing of the healthcare system is considered from the point of view of its compliance with modern socio-economic realities. The optimal model of financing the domestic healthcare system is being investigated in terms of the relationship between the life expectancy of the population, the amount of financing for the health protection system, the number of medical institutions and the availability of medical personnel. The priority directions of the development of the national health financing system are substantiated. It is concluded that the national model for financing the health protection system should be a model based on the allocation of funds from the federal budget, which are directed to ensuring the financing of programs for the development of the national health system, as well as based on the creation of institutional, legislative and mental conditions for attracting public funds to the insurance industry medicine. It is confirmed that there is a close relationship between the effective indicator of life expectancy and public spending on health, which corresponds to WHO statistics. Other factors do not have such a strong impact on the national health system. It is recommended to further develop the healthcare financing system based on foreign experience, on the development of insurance and paid medicine.
医疗发展趋势和社会经济现实背景下的国家医疗体系融资
医疗保健系统运作的有效性在于实现人口生活质量的高指标,而这是通过在医疗保健系统中使用各种监管和自律工具来实现的,这些工具始终以资金支持需求为基础,这是解决与提高医疗保健系统有效性需求有关的问题的基石。从符合现代社会经济现实的角度来考虑医疗保健系统的融资问题。根据人口预期寿命、健康保护系统的资金数额、医疗机构的数量和医务人员的可用性之间的关系,对国内医疗保健系统的最佳筹资模式进行了研究。国家医疗融资体系的优先发展方向得到了证实。得出的结论是,国家医疗保障体系的筹资模式应以联邦预算拨款为基础,确保国家医疗体系发展方案的资金来源,并为吸引公共资金投入医疗保险行业创造制度、立法和精神条件。事实证明,预期寿命这一有效指标与卫生方面的公共开支之间存在密切关系,这与世界卫生组织的统计数据相符。其他因素对国家卫生系统的影响没有这么大。建议借鉴国外经验,在发展保险和有偿医疗的基础上,进一步发展医疗筹资体系。
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