The Federal State Autonomous Educational Institution of Higher Education "The I. M. Sechenov First Moscow State Medical University" (Sechenov University) of Minzdrav of Russia, 109004, Moscow, Russia.
The Federal State Autonomous Educational Institution of Higher Education "The I. M. Sechenov First Moscow State Medical University" (Sechenov University) of Minzdrav of Russia, 109004, Moscow, Russia,
Probl Sotsialnoi Gig Zdravookhranenniiai Istor Med. 2022 Jul;30(4):554-558. doi: 10.32687/0869-866X-2022-30-4-554-558.
One of the goals of development of health care system is to increase availability and quality of medical care of population. To achieve this goal is possible by continuous improvement of health care system, search of new solutions to assigned tasks, development of medical care of population. Over the past 20 years, health care system of the Russian Federation underwent a number of significant changes. In the Strategy of Development of Health Care of the Russian Federation for the Long-Term Period 2015-2030 it is noted that to achieve highest possible level of development of health care with coordinated application of all national resources it is necessary to form health care system that integrates all medical services and organizations, regardless of their form of ownership and affiliation. This system is to function within single regulatory and legal framework (uniform requirements for quality and availability of medical care, qualifications of medical personnel, etc.), as well as uniform state, expert and public control. In this regard the study of prospects of using in health care of various organizational and legal forms of noncommercial organizations that contribute to formation of competitive environment in the industry, is of particular relevance, which should also affect quality of medical care provided. The article considers prospects for development of those organizational and legal forms of noncommercial organizations that are already functioning in health care system: state budgetary health care institutions, state autonomous health care institutions, autonomous noncommercial organizations, private institutions. According to the Federal Foundation of Mandatory Medical Insurance Register of medical organizations, on June 2021 about half of medical organizations in the Russian Federation are registered as budgetary organizations. Accordingly, predominant organizational and legal form is budgetary institution, which makes up to 55% of all medical organizations of various organizational and legal forms involved into mandatory medical insurance system. The percentage of state autonomous institutions comes to 8%, private healthcare institutions - 2%. The percentage of autonomous noncommercial organizations comes to 0.4%. The perspectives of development of each of these organizational and legal forms in health care system are analyzed in the article.
医疗保健系统发展的目标之一是提高人口医疗保健的可及性和质量。实现这一目标的途径是不断改进医疗保健系统，寻找新的解决方案来完成任务，发展人口医疗保健。在过去的 20 年里，俄罗斯联邦的医疗保健系统经历了许多重大变革。在《俄罗斯联邦卫生保健发展战略长期纲要（2015-2030 年）》中指出，为了实现医疗保健的最高发展水平，协调利用所有国家资源，有必要形成一个整合所有医疗服务和组织的医疗保健系统，无论其所有制和隶属关系如何。该系统将在单一的监管和法律框架内运作（统一医疗保健的质量和可及性要求、医务人员的资质等），以及统一的国家、专家和公共控制。因此，研究在医疗保健中使用各种非营利组织的组织和法律形式的前景具有特殊意义，这也应该影响所提供的医疗保健质量。本文考虑了已经在医疗保健系统中运作的那些非营利组织的组织和法律形式的发展前景：国家预算医疗保健机构、国家自治医疗保健机构、自治非营利组织、私立机构。根据联邦强制性医疗保险登记处的医疗组织登记册，截至 2021 年 6 月，俄罗斯联邦约有一半的医疗组织注册为预算组织。因此，主要的组织和法律形式是预算机构，占参与强制性医疗保险制度的各种组织和法律形式的所有医疗组织的 55%。国家自治机构的比例达到 8%，私立医疗机构占 2%。自治非营利组织的比例达到 0.4%。本文分析了这些组织和法律形式在医疗保健系统中的发展前景。
