The Russian healthcare system: current state and possible ways of improvement

The article analyzes the current state, stages and problems of reforming the Russian healthcare system. At the same time, a comparative analysis of the models of Russian healthcare that existed in the conditions of a planned economy and those being formed in modern conditions is carried out, their strengths and weaknesses are noted. The authors also rely on the analysis  of foreign experience in the transformation of healthcare systems.  
The paper notes that in conditions of economic instability (the COVID-19 pandemic, Western sanctions, and increased threats to the country’s security), the advantages of the insurance model are not obvious, problems in the health sector are not solved, and often worsen. Noting a number of successes in the development of Russian healthcare, including an increase in life expectancy,  a reduction in mortality in certain population groups, the creation of new domestic drugs,  the development of telemedicine, etc., scientists, politicians, patients are unanimous in their opinion about the need for fundamental, qualitative changes in the entire Russian healthcare system. According to the authors of the article, it is essential to ensure the consistency of changes in  the healthcare system with the course of economic and social transformations, improve industry financing and increase wages for healthcare workers, overcome the uneven provision of healthcare institutions and qualified personnel to the regions, reduce dependence on imported drugs, technologies, medical equipment, etc., reform the healthcare management system taking into account  external conditions and the need to ensure the security of the country and its citizens. 

1. Bochkareva V. K. Reforming healthcare and ensuring equal access to free medical services. ECO. 2011;(10):13–35. (In Russ.).

2. Venediktov D. D. Systemic crisis of healthcare. Economic strategies. 2011;(7-8):102–111. (In Russ.).

3. Bevelikova N. M. Legal support for healthcare reforms: the experience of China, Russia, the USA. Legislation and economics. 2010;(12):47–55. (In Russ.).

4. Rudenko M. N., Rozhkov D. V. Actual problems of state regulation of the sphere of medical services. Economic security. 2022;(5.4):1633–1648. (In Russ.). https://doi.org/10.18334/ecsec.5.4.116149

5. Latypova V. F., Kuznetsova A. R. Analysis of the state of the healthcare system in the Republic of Bashkortostan. Competitiveness in the global world: economics, science, technology. 2017;4-1(37):82–87. (In Russ.).

6. Korobkova O. K. State regulation of healthcare services in the context of digitalization of the economy: a conceptual approach. Bulletin of the Khabarovsk State University of Economics and Law. 2019;1(99):24–28. (In Russ.).

7. Prilukov M. D., Lyapin I. F. State regulation of the organization and activity of the healthcare system in modern (restrictive) conditions. Vestnik of Lobachevsky University of Nizhni Novgorod. 2022;(6):124–129. (In Russ.). DOI: 10.52452/19931778_2022_6_124

8. Tretyakov A. A., Sertakova O. V., Dudin M. N. State regulation of healthcare and quality of medical services as a component of the social function of the state. Public administration. Electronic bulletin. 2019;(72):188-209. (In Russ.).

9. Mokhov A. A. Principles of legal regulation of the state model of national health care. Current problems of Russian law. 2021;(16):85–96. (In Russ.). https://doi.org/10.17803/1994-1471.2021.124.3.085-096

10. Kokhanovskaya I. I., Yurchuk V. S. Constitutional foundations of public health management in the Russian Federation. Journal of Legal Sciences. 2019;2(20):43–49. (In Russ.)

11. Legal regulation of the healthcare sector: issues of theory and practice. Collective monograph. Edited by V.I. Kainova, E.V. Semukhina. Kirov: Publishing house of the ICITO; 2020. 114 p. (In Russ.).