Preview

MIR (Modernization. Innovation. Research)

Advanced search

INVESTMENTS AS A FACTOR OF STABILITY OF THE RUSSIAN HEALTHCARE SYSTEM

https://doi.org/10.18184/2079-4665.2016.7.2.132.138

Abstract

In this article the author examines the structure of public expenditure on health in Russia and analyzes the adequacy of the investments in the health system. Goal / Objectives. The aim of this article is to analyze the expenses of the project “Development strategy of the Russian healthcare system for the long-term period 2015–2030”. The main objectives of this article are the definition of the technical condition of the buildings and improvement of health facilities, evaluation of the value of fixed assets in the healthcare and medical equipment depreciation, evaluation of tariff s in the compulsory health insurance system. Methodology. the method of comparative analysis of 10 past years indicators is used in this article Results. From 2005 to 2014 healthcare expenditures have increased 3 times, which is comparable to GDP growth. In the same period, investments in health have increased by 2 times. The main increase in expenditures occurred in the wages. These trends may indicate a lack of attention in relation to fixed assets. In relation to the renovation and the depreciation factor, rate of growth and the level of investment cast doubt on the adequacy and sustainability of the healthcare’s material basis for the provision of necessary medical assistance. It is required to calculate the standard, which includes continuous updating of fixed assets based on the each region of RF, depending on the regional characteristics and the structure of fixed assets. Conclusions / Significance. The study concluded that at the moment the size of the annual investment in health by the federal and regional budgets do not meet the needs of even simple reproduction, not to mention the modernization and development. Planning budget investment requirements can be carried out based on a special standard ratio, which takes into account the volume, composition and structure of fixed assets. Financial stability of the Russian healthcare depends not only on compulsory health insurance system, as a source of operating costs, but also on the cost of investments, providing capital expenditures.

About the Author

Lyudmila Valentinovna Tokun
State University of Management (Ryazansky prospect, 99, Moscow 109542, Russia)
Russian Federation


References

1. Стратегия развития здравоохранения Российской Федерации на долгосрочный период 2015–2030 гг. (проект) доступен на сайте Министерства здравоохранения РФ: https://www.rosminzdrav.ru/ministry/61/22/stranitsa-979/strategiyarazvitiya-zdravoohraneniya-rossiyskoyfederatsii-na-dolgosrochnyy-period

2. Здравоохранение в России. 2015 / Статистический сборник. Официальное издание. М.: Росстат, 2015.

3. Бланк И.А. Основы финансового менеджмента. В 2 т. 3-е изд. К.: Эльга, Ника-Центр, 2007. Т. 1. 624 с.

4. Варавикова Е.А. Антикризисные стратегии в национальных системах здравоохранения // Менеджер здравоохранения. 2010. № 11. C. 49–57

5. Габуева Л.А., Фучежи А.П. Оценка финансовой устойчивости госпрограмм развития здравоохранения России // Здравоохранение. 2016. № 5. URL: http://e.zdravohrana.ru/article.aspx?aid=459291

6. Ле Гранд Д. Другая невидимая рука: предоставление общественных слуг на основе выбора и конкуренции [Текст]: пер. с англ. И. Кушнаревой. М.: изд. Института Гайдара, 2011. 240 с.

7. Зубенко С.А. Механизмы финансирования здравоохранения на базе сравнительной характеристики действующих мировых систем // Адвокат. 2003. № 12. С. 5–11.

8. Качкин Д.В., Скрябин М.Д. Способны ли ГЧП обеспечить привлечение инвестиций в здравоохранение // Электронный журнал "Здравоохранение". 2016. № 3. URL: http://e.zdravohrana.ru/article.aspx?aid=446241

9. Кочкина Н.Н., Красильникова М.Д., Шишкин С.В. Доступность и качество медицинской помощи в оценках населения М.: Изд. дом Высшей школы экономики, 2015. (Серия WP8 "Государственное и муниципальное управление"). 56 с.

10. Масгрейв Ричард А., Масгрейв Пегги Б. Государственные финансы: теория и практика: пер. с англ. М.: Бизнес Атлас, 2009. 716 с.


Review

For citations:


Tokun L.V. INVESTMENTS AS A FACTOR OF STABILITY OF THE RUSSIAN HEALTHCARE SYSTEM. MIR (Modernization. Innovation. Research). 2016;7(2(26)):132-138. (In Russ.) https://doi.org/10.18184/2079-4665.2016.7.2.132.138

Views: 1039


Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 License.


ISSN 2079-4665 (Print)
ISSN 2411-796X (Online)