The normative scientific approach to the management of health care is the basis of further improvement of the State guaranteed health care benefit package in the Russian Federation

N. Naigovzina and V. Flek

Public administration issues, 2008, issue 1, 28-37

Abstract: The State guaranteed health care benefit package has become the main program of health care in Russia since the latest 90-s. Annually it is approved by the Government of the Russian Federation. Nowadays it covers about 85% of general government expenditure on health care. The brief historical report of development of this program in Russia is given in the article.Since 2001 the Ministry of Public Health and Social Development of the Russian Federation has been monitoring the information on implementation of the State guaranteed health care benefit package according to statistical departmental form №62. Annual report on the results of its implementation is prepared by the Ministry of Public Health and Social Development of the Russian Federation and submitted to the Government of the Russian Federation.The State guaranteed health care benefit package includes norms of volumes and financing of health care according to types and conditions of delivering of medical services. The types of health care systems are defined as following: primary, emergency and specialized (including high-tech kinds) health care. Medical services can be delivered in the following conditions: out-patient care (including day care), in-patient care and emergency care.Planning of the State guaranteed health care benefit package and regional programs should be corresponded to the process of budget planning in the country and territories. It should be based on peculiarities of age and sex structure, morbidity of population as well as regional and climate information. The working out of the scientific-based norms of volumes of different types of health care will promote moving away from the cost-based financing approach in health care to the output-driven budgeting.

Date: 2008
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