Problems of financial support for healthcare institutions in the Kemerovo region – Kuzbass and the main directions of deficit-free financing

Abstract

The healthcare system of the Kemerovo region - Kuzbass is represented by a wide network of medical and preventive institutions of the state, municipal, departmental sectors and medical institutions of private ownership. The article presents the characteristics of the current state of the healthcare system of the Kemerovo region – Kuzbass and the structure of financing institutions under the Territorial Program of state guarantees. The problems of the healthcare system have been identified, among which the main ones are: an increase in the incidence of the population; a decrease in the birth rate; the shortage of qualified medical workers, the weakening of the position of medical science, high dependence on imported medicines, the lack of a unified policy for the healthcare system, limited financial support and an increase in the financial burden on the population; inequality in the availability and quality of medical services, etc. To improve the functioning of the compulsory health insurance system, the authors proposed effective solutions to cover the financing deficit of medical institutions in the Russian Federation and Kuzbass, taking into account regional constraints, as well as the conditions of the economic crisis and budget cuts for healthcare.