[The financial mechanisms in health care system and medical services]

Probl Sotsialnoi Gig Zdravookhranenniiai Istor Med. 2021 Sep;29(5):1179-1185. doi: 10.32687/0869-866X-2021-29-5-1179-1185.
[Article in Russian]

Abstract

The article considers financial mechanisms applied in provision of medical services in the Russian health care system. The data concerning the structure of state financing and personal expenses of Russian citizens in health care system is presented. The financial resources in the Russian health care system are formed on the basis of mixed model consisting of personal funds of citizens (private sources of financing) and public funds allocated by budget system to implement the program of state guarantees of free medical care to citizens. Nowadays, the citizens have an opportunity to pay the cost of medical services directly when applying to medical organizations and through medical insurance organization, purchasing voluntary medical insurance policy and visiting medical organizations when insurance case occurred. The key goal of financial policy in concerning health care is the implementation of directions contributing to increase of financial sources in the system of medical services provision, population health support and improving efficiency of financial mechanisms application. The effectiveness of use of financial resources in health care determines the efficiency of impact of financial policy on national economy.

Keywords: citizen; financial policy; health; health care resources; health care system; life expectancy; sources of financing.

MeSH terms

  • Delivery of Health Care*
  • Russia