[The reorganization of the administrative and management apparatus of public health with the introduction of medical insurance (based on data from Reutovo, Moscow Province)].

Implementation of the Law "On Medical Insurance of Citizens in the Russian Federation" and of the relevant resolution of the Head of the Administration of the Moscow Province No. 31/1 of February 21, 1994 implies the reorganization of local schemes of public health management and changes in the administrative structures of public health institutions which became autonomic subjects in the period of transition to medical insurance. The author discusses two trends of the possible changes, one of which, after appropriate studies, was introduced in the system of local public health management in the town of Reutovo in Moscow Province. Rearrangement of the scheme of public health management in the town of Reutovo helped maintain and preserve the stable status of each public health institution, carry out ascertaining and licensing, and improve the quality of medical care rendered to the population, with the share of expenditures for administrative and managerial personnel reduced.