Model for assessing the needs of the constituent entities of the Russian Federation in financing health care system, taking into account the demographic, epidemiological and geographical condition of the territories

Abstract

To improve the quality of health care delivery and ensure its accessibility, a number of countries use health care financing models based on determining the population's need for health care. This approach to health care financing has an advantage over general financing, in which resources are evenly distributed across different regions, regardless of the actual need for health care. The need for health care differs between different regions of country, so need-based funding helps ensure that patients have access to health care at the right amount, at the right time and in the right place. Based on analysis of Russian specifics, it is possible to form a list of indicators for use in Russia at the moment, as well as to identify a direction for a prospective assessment if there is access to information: a standardized mortality rate of the population of pre-retirement age, gender and age structure of the population, morbidity by main classes diseases that are the main cause of death, the structure of health care consumption. In this regard, in the constituent entities of the Russian Federation, it is advisable to introduce approaches to the distribution of resources based on the need for medical care, as well as to improve the system for collecting and recording data in the health care system.

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