Health care costs in Russia

2024: 14.5 billion rubles allocated for the development of health care in the Ulyanovsk region

14.5 billion rubles were allocated for the development of health care in the Ulyanovsk region in 2024, including 13 billion rubles of the regional budget. The region will receive another 1.5 billion rubles from the federal budget. This was reported in the press service of the Ministry of Health of the Ulyanovsk region on February 6, 2024. Read more here.

2023

80 billion rubles allocated for the modernization of medical institutions in the regions for 2024

In December 2023, Prime Minister Mikhail Mishustin signed a decree expanding the parameters of the primary health care modernization program in rural areas, urban-type settlements and small towns of the country. According to the document, from 2024, within the framework of this program, the regions will be able to purchase mobile medical complexes for providing medical care and conducting preventive examinations, which is especially important for residents of remote and hard-to-reach territories. The press service of the Cabinet clarifies that in the federal budget for 2024, 80 billion rubles are provided for the development of primary health care.

The subsidy can be received by territories where a regional program for the modernization of health care is in effect. The amount of funding is calculated according to a special formula, taking into account the number of citizens with a compulsory medical insurance policy, the degree of wear and tear of medical institutions, and demographic indicators.

The government has expanded the parameters of the primary health care modernization program

As noted in the government, as before, within the framework of the program, the regions will receive funding for the overhaul of medical institutions, the purchase of equipment and cars for them, the purchase and installation of prefabricated modular structures for the placement of medical outpatient clinics and feldsher-obstetric centers.

The federal project for the modernization of primary health care until 2025 includes plans for overhaul at 3973 health care facilities and the construction of 7324 new ones, equipping medical institutions in settlements with a population of up to 50 thousand people, the purchase of 130 thousand pieces of equipment. 550 billion rubles were allocated for these purposes (from 2021 to 2025). According to Deputy Prime Minister Tatyana Golikova, if the program ends by 2030, the amount of funding can reach 1.3 trillion rubles.

Resolution of December 21, 2023 No. 2226

Approved budget for health care in Russia for 2024

At the end of November 2023, the president Russia Vladimir Putin signed the law on the budget Federal Compulsory Health Insurance Fund (MHIF) for 2024 and the planning period 2025-2026. In addition, the head states approved the Federal Health Care in budget 2024.

It is reported that the budget revenues of the MHIF for 2024 are determined in the amount of 3.74 trillion rubles, for 2025 - 3.93 trillion rubles, for 2026 - 4.19 trillion rubles. At the same time, expenses are estimated at 3.89 trillion, 3.97 trillion and 4.21 trillion rubles, respectively. Thus, the budget is formed with a deficit of about 147 billion rubles in 2024, 34 billion rubles in 2025 and 18 billion rubles in 2026. The shortage of funds is planned to be covered by carrying balances.

The budget for health care for 2024 has been determined

The Federal Budget for Health Needs in 2024 included 1.61 trillion rubles. 1.34 trillion rubles will be allocated for the Healthcare Development program, 206.2 billion rubles for drug provision, and 46.3 billion rubles for the construction of healthcare facilities. About 175.9 billion rubles will be spent on providing purchases for the Circle of Good fund.

The MHIF budget provides for transfers from the federal budget for 2024 in the amount of 486.6 billion rubles, for 2025 - 504.3 billion rubles, for 2026 - 526.2 billion rubles. These funds will be used to financially provide medical care to cancer patients; to pay for high-tech medical care not included in the basic compulsory medical insurance program, and a birth certificate; to compensate for lost income of the MHIF in connection with the establishment by a number of payers of reduced insurance premiums; for medical rehabilitation. The fund's budget also reserved funds of standardized insurance stock for 2024 in the amount of 257.6 billion rubles, for 2025 - 248.7 billion rubles, for 2026 - 248.9 billion rubles.^[1]

Mishustin allocated 5.1 billion rubles for the purchase of continuous glucose monitoring devices for children

Prime Minister Mikhail Mishustin signed a decree that allocated more than 5.1 billion rubles for the purchase of portable continuous glucose monitoring systems. We are talking about the supply of this equipment in 2023-2024. for children with diabetes. The corresponding document was published in November 2023. Read more here.

The government allocated 5 billion rubles to the regions for the digitalization of healthcare in 2024

The Russian government has allocated 5 billion rubles to the regions for the digitalization of healthcare in 2024. Pavel Pugachev, deputy head of the Ministry of Health of the Russian Federation, cited such data at the end of October 2023, speaking at one of the forums in Novosibirsk. Read more here.

The government has increased spending on the state program "Health Development"

The volume of expenses for the implementation of the state program "Health Development" for 2024 has been increased by 8%, for 2025 - by 8%, for 2026th - by 4%. Such data, the head of the Ministry of Health of the Russian Federation Mikhail Murashko published in October 2023.

According to him, a total of 1.33 trillion rubles are planned to be allocated for the Healthcare Development program in 2024. It also provides for an increase in spending on drug supply measures - in 2024 by 33.9 billion rubles in relation to 2023. The volume of financial support for these expenses will amount to 334.2 billion rubles in 2024, the Minister of Health of the Russian Federation said.

Minister of Health of the Russian Federation Mikhail Murashko

According to TASS, citing an explanatory note to the draft federal budget of Russia for health care for the period 2021-2023, the costs of implementing the Healthcare Development program for this period of time will amount to about 2.5 trillion rubles.

Budget allocations provided for the implementation of the state program "Development of Health Care" in 2021 will amount to 847,521,4 million rubles, in 2022 - 844,943,3 million rubles, in 2023 - 807,163,9 million rubles. The amounts of budgetary allocations provided for in the bill... in 2021, they increased by 59,880,5 million rubles, in 2022 - by 56,848,1 million rubles, in 2023 compared to the volumes provided for by the bill for 2022, they were reduced by 37,779,4 million rubles, the document says, excerpts from which are quoted by the news agency.

Within the framework of the target program "Promotion of international cooperation in the field of health protection," the cost of contributions to international organizations will increase in 2021 by 88.5 million rubles, in 2022 - by 88.8 million rubles, in 2023 - by 90.5 million rubles. Under the program "Organization of state sanitary and epidemiological supervision and ensuring the sanitary and epidemiological well-being of the population" in 2021-2023, the costs of forming and ensuring the work of a special group to respond to emergencies of a sanitary and epidemiological nature abroad will increase by 41 million rubles.^[2]

Annual expenditures of the Moscow budget for health care for the first time will exceed 1 trillion rubles

In October 2023, the Moscow Government approved the draft law on the capital's budget for 2024 and the planning period 2025-2026. According to the document, in 2024 the city's health care costs will amount to 593.2 billion rubles, and taking into account compulsory medical insurance funds - more than 1 trillion rubles. Read more here.

Mishustin reduced subsidies for the modernization of clinics by 2.4 billion rubles

The Prime Minister Mikhail Mishustin signed an order that cut subsidies for primary modernization health care in 2023 for 61 regions totaling 2.4 billion. rubles The corresponding document, published on the official Internet portal of legal information, drew attention to "."Sheets

Of the funds released, 1.2 billion rubles will be directed to the development of the health care system in, DPR, and LPR. Zaporozhskaya Hersonskaya regions Thus, the DPR will receive 155.95 million rubles, the LPR - 171.1 million rubles, the Kherson region - 429.9 million rubles, the Zaporizhzhya region - almost 267 million rubles.

Mikhail Mishustin

The largest amount of subsidies decreased for:

• Nizhny Novgorod region - by 230 million rubles to 2.5 billion rubles;
• Sverdlovsk region - by 199.3 million rubles to 2.7 billion rubles;
• Perm Territory - by 174.5 million rubles to 1.6 billion rubles;
• Tula region - by 118.7 million rubles to 1.1 billion rubles.

It is clarified that the total amount of allocated funds in 2023 will not change - 88.8 billion rubles are budgeted for this. Financing for 19 regions remained at the same level.

According to the representative of the Ministry of Health, the department worked with the heads of regional health authorities to clarify their proposals for redistributing the existing savings and the amount of the unallocated balance of subsidies under the project. Minister Mikhail Murashko on July 12, 2023 reported to the president about almost 2.5 billion rubles saved in the primary link modernization project.

The key reason for the redistribution of subsidies is the incomplete implementation by a number of subjects of plans for the development of funds, said Sergei Shishkin, director of the Center for Health Policy at the Higher School of Economics. Taking into account the rise in the cost of materials for construction, as well as medical equipment, it would be correct to direct additional funds to the restoration of medical organizations in new regions, said Natalya Zhuravleva, a leading expert at Aktion Medicine (part of the Aktion group). ^[3]

2022

Budget expenditures for the construction of medical institutions increased by 8.5 billion rubles

Budget expenditures for the construction of medical institutions in 2023 increased by 8.5 billion rubles, in 2024 and 2025. - by 7.4 billion and 4 billion rubles. This became known in November 2022.

According to Leonid Ogul, First Deputy Chairman of the Health Protection Committee, investment costs in healthcare will be serious: 110.1 billion rubles will be invested in the medical industry in 2023, 83.1 billion in 2024 and 47.5 billion in 2025.

Budget expenditures for the construction of medical institutions in 2023 increased by 8.5 billion rubles

Svetlana Gashkina, Director of the Department of Budgetary Policy in the Social Sphere and Science of the Ministry of Finance of Russia, said that taking into account 40 amendments, budget expenditures under the Healthcare section will increase by 20 billion rubles in 2023, by 17.9 billion rubles in 2024, and by 14.3 billion rubles in 2025. As a result, the industry will receive funding in the amount of over 1.5 trillion rubles a year.

Deputies noted that they are concerned about the reduction in allocations for the construction or reconstruction of children's hospitals (buildings) by 1.9 billion rubles in 2023.

Part of the budget allocations may go to the development of the infrastructure of four new regions, which were included in Russia in early October 2022. Deputy Prime Minister of the Russian Federation Marat Khusnullin said on November 11 that only in the territory of the Lugansk and Donetsk People's Republics by the end of the year it is planned to complete restoration and repair work at 82 healthcare facilities.

It is assumed that in 2024 health care costs may amount to 1.511 trillion rubles (17.9 billion rubles more than laid down in the current draft budget), in 2025 - 1.524 trillion rubles (14.3 billion rubles more).

When considering the draft federal budget for 2023-2025, the Accounts Chamber found that the Ministry of Construction did not take into account the proposals of the Ministry of Health on additional allocation of funds for capital investments to complete the construction of seven institutions of medical science and education. The additional need for budgetary allocations for 2023 is 909.8 million rubles, for 2024 - over 6 billion rubles, for 2025 - 12 billion^[4]

Budget spending on health care will grow from 1.46 trillion to 1.49 trillion rubles

The expenses of the federal budget of Russia under the section "Healthcare" in 2023-2025 will amount to 4.47 trillion rubles, follows from the explanatory note to the bill "On the federal budget for 2023 and for the planning period 2024 and 2025." The document was published at the end of September 2022.

So in 2023, budget allocations will amount to 1.46 trillion rubles, in 2024 - 1.49 trillion rubles, in 2025 - 1.51 trillion rubles.

Budget spending on health care will grow from 1.46 trillion to 1.49 trillion rubles

In relation to the volume of GDP of the corresponding year, the share of expenditures of the Healthcare section will be 1.0% in 2023, 0.9% in 2024-2025.

The share in the total volume of federal budget spending on health care in 2023 and 2024 compared to 2022 will decrease and amount to 5.1%, in 2024 and 2025 it will decrease and amount to 5.2% and 5.4%, respectively.

According to the project, it is also planned to increase the cost of purchasing drugs registered in the Russian Federation for a particular child with a life-threatening or chronic disease, including a rare one for groups of such children, in connection with the clarification of the calculated indicators of the forecast of the socio-economic development of Russia.

153.7 billion rubles will be allocated from the federal budget for the project "Fight against cancer" (in 2022 - 189.6 billion rubles), for the fight against cardiovascular diseases - 17.5 billion rubles (25.7 billion rubles), for high-tech medical care outside the compulsory medical insurance program (VMP-II) - 11.4 billion rubles (11.8 billion rubles), for preferential provision of medicines - 186.75 billion rubles (200.6 billion rubles), for the modernization of primary health care - 90 billion rubles (99.8 billion rubles), for the creation of a single digital circuit based on Uniform State Health Information System - 11.5 billion rubles (15.4 billion rubles).^[5]

Allocation of 87.5 million rubles. from the budget of the Russian Federation for the purchase of medical equipment

At the end of September 2022, Prime Minister Mikhail Mishustin signed an order that allocated more than 338 million rubles for the purchase of medical equipment for hospitals in Udmurtia, the Trans-Baikal Territory and the Yaroslavl Region. Read more here.

Mishustin allocated 3 billion rubles for the purchase of ultrasound and other medical equipment for 46 regions

Prime Minister Mikhail Mishustin signed a decree on the allocation of more than 3 billion rubles for the modernization of primary health care in rural areas, urban-type settlements and small towns of Russia. The press service of the Cabinet of Ministers announced this on September 26, 2022.

46 regions will receive funding. With the help of federal funds, more than 1.6 thousand units of medical equipment will be purchased, including ultrasound and X-ray machines, and over 20 specialized cars for delivering patients to hospitals and leaving doctors for calls, which is especially important for residents of remote territories. Part of the allocated money will go to the purchase and installation of more than 20 prefabricated modular structures, which will then house medical outpatient clinics and feldsher-midwife stations. In addition, federal funding will help overhaul 90 health facilities.

Russian Prime Minister Mikhail Mishustin

{{quote 'Health infrastructure renewal will not stop next year. Ensuring modern and comfortable conditions in our hospitals and clinics is a task that should be given the most serious attention at all levels of government, "said Mikhail Mishustin at a meeting with Deputy Prime Ministers on September 26, 2022. }} In May 2022, the Government allocated more than 1.1 billion rubles for the modernization of primary health care. The money was sent to 23 regions.

In total, at least 500 billion rubles will be allocated for the development of primary health care until 2025. The subsidy can be received by territories where a regional program for the modernization of health care is in effect. The amount of funding is calculated according to a special formula, taking into account the number of citizens with a Campus Management compulsory medical insurance policy, the degree of wear and tear of medical institutions, and demographic indicators.^[6]

In Russia, the cost of building hospitals decreased - by 1.5%, to 248 billion rubles

In 2022, 248 billion rubles were spent from the state budget for the construction and reconstruction of hospitals in Russia, which is 1.5% less than a year earlier. In 2020-2021 similar expenses were measured at 148 billion and 252 billion rubles, respectively. This is evidenced by the data of the Kontur.Torgi service, which became known in July 2023.

The costs of the state budget for the construction and reconstruction of hospitals in Russia grew in 2020-2021, but from 2022 began to decline. However, the results of the first half of 2023 indicate that cost reductions may be replaced by growth, the study says, excerpts from which RIA Novosti quotes.

248 billion was spent on the construction and reconstruction of hospitals

According to the Kontur.Torgi service, the largest purchase - a children's multidisciplinary hospital - took place in Krasnoyarsk and amounted to 15.4 billion rubles. The second place was taken by the tender for the construction of a new multidisciplinary medical and diagnostic building GB No. 40 in the city of Sestroretsk, the contract was concluded for 11.4 billion rubles. The third in terms of the amount was a contract for 10 billion rubles - residents of the Krasnoselsky district of St. Petersburg will have a new high-tech hospital by December 2026.

At the end of 2022, it became known that within the framework of the state program "Development of Healthcare," the Russian government will allocate 38.8 billion rubles for the construction and reconstruction of medical institutions, the cost of construction of which exceeds 3 billion rubles 26.4 billion rubles will go to federal entities in 2023, 11.8 billion - in 2024, 667 million - in 2025.

The funds will be used to modernize and build 19 hospitals in 17 regions of Russia. In particular, as reported, the construction of the Republican Center for Pediatric Oncology and Hematology will be completed in Ufa, oncological and anti-tuberculosis dispensaries will be erected in Saratov, a multidisciplinary medical center in Orel, an oncological center in the Tula region, and a multidisciplinary children's regional hospital in Kursk.^[7]

Mishustin allocated 1.1 billion rubles for the modernization of hospitals and clinics in the regions

At the end of May 2022, Prime Minister Mikhail Mishustin signed an order, which allocated more than 1.1 billion rubles for the renovation of hospitals and clinics in the regions. The funds will go to the development of primary health care in rural areas, urban-type settlements and small towns of the Russian Federation.

According to the press service of the Cabinet, with the help of federal funds, more than 2 thousand units of medical equipment will be purchased (including X-ray and ultrasound machines, electrocardiographs) and 58 specialized cars for delivering patients to hospitals and leaving doctors for calls, which is especially important for residents of remote territories. Part of the allocated money will go to the purchase and installation of more than 20 prefabricated modular structures, which will then house medical outpatient clinics and feldsher-midwife stations.

Mishustin allocated 1 billion rubles for the modernization of hospitals and clinics in the regions

In addition, federal funding will help overhaul two polyclinics in the Ryazan and Tambov regions, and in the Irkutsk region - build a children's clinic. In total, the order concerns the modernization of health care institutions in 23 regions.

In total, at least 500 billion rubles will be allocated for the development of primary health care until 2025. The subsidy can be received by territories where a regional program for the modernization of health care is in effect. The amount of funding is calculated according to a special formula, taking into account the number of citizens with a compulsory medical insurance policy, the degree of wear and tear of medical institutions, and demographic indicators.

All this is in demand by citizens, and we, together with Russian entities, will continue to work on solving the problems facing our health care in order to improve the quality and availability of medical care throughout the country, - said Mikhail Mishustin at a meeting with Deputy Prime Ministers on May 30, 2022.[8]

2020

Expenditures of the budget of the Russian Federation for health care increased by 87%

By the end of 2020, the expenditures of the Russian budget for health care soared by 87% compared to 2019. Such data are given in the conclusion of the State Duma Committee on Economic Policy, Industry, Innovative Development and Entrepreneurship on the draft Federal Law "On the Execution of the Federal Budget for 2020," published in September 2021.

The document reports that the volume of the reserve fund Governments Russia in 2020 was increased to 4.5 trillion rubles, of which 2.8 trillion rubles were aimed at resolving financial support for measures to prevent the deterioration of the economic situation in industries, to prevent and eliminate the consequences of the spread of coronavirus () COVID-19 infection.

Expenditures of the budget of the Russian Federation for health care at the end of 2020 increased by 87%

Regions for medical care infected with coronavirus received 378 billion rubles. 231.7 billion rubles were spent on incentive payments for special working conditions and additional workload for medical workers providing medical care to citizens who have been diagnosed with coronavirus infection, persons from risk groups, civil servants who implement measures to prevent the import and spread of coronavirus infection, as well as those working with the sick. Another 31.5 billion rubles were allocated to medical institutions for the purchase of equipment.

The expenditures of the federal budget of Russia to finance the national project "Healthcare" in the period 2022-2024 are planned in the amount of more than 687 billion rubles, the explanatory note to the draft federal budget says.

Budget allocations for the financial support of the implementation of the national project "Healthcare" are planned in 2022 in the amount of 254,397,3 million rubles, in 2023 - 215,601,6 million rubles, in 2024 - 217,769,9 million rubles, - said in the document.[9]"

Federal budget spending on science in the field of medicine increased by 51%, to 52.7 billion rubles

By the end of 2020, federal budget expenditures on science in the field of medicine in Russia soared by 51.9% compared to 2019 and reached 52.7 billion rubles. Relative to 2011, growth was measured at 327%. This is evidenced by the data of the Institute for Statistical Research and Economics of Knowledge (ISIEZ) HSE.

According to the study, the cost of research in the field of health care in 2020 accounted for 9.6% of the allocation for civil science from the federal budget, which amounted to 549.6 billion rubles (2.41% of federal budget expenditures). Almost two-thirds of them (63%) are aimed at supporting applied scientific research and 37% - fundamental. The key task of applied science, financed from budgetary funds, is the development of the national economy: such studies account for 41.7% of the allocation.

According to experts, the federal budget costs for science in the field of medicine increased largely due to the COVID-19 coronavirus pandemic, but an increase in funding for applied health research was observed before this crisis: In 2011-2020, allocations for them increased 4.3 times (in constant prices), and their share in the total amount of allocations for civil science - from 2.4 to 9.6%.

According to the Ministry of Health, in 2020, 86 subordinate organizations that received a state assignment for scientific development performed 53 fundamental scientific research, 987 applied and 42 experimental developments. As a result, 7 new diagnostic test systems, 12 drugs and 2 biomedical cell products were developed. 613 patents have also been obtained for an invention, utility model or industrial design for the development of innovative methods and means of prevention, diagnosis and treatment.^[10]

2014

According to the results of 2014, Russia's spending (RU) as a percentage of GDP is comparable to countries such as South Korea and Brazil.

In a 2017 Future Health Index study commissioned by Philips to assess the quality of health care systems in countries around the world, an efficiency ratio was introduced to compare health care costs. (as a percentage of GDP) with results in this area, including maternal mortality rates, average life expectancy and mortality from non-communicable diseases. According to this indicator, Russia took 8th place out of 19 countries in which^[11] was collected^[11]The United States, at the highest percentage of costs from GDP, has only 18th place in efficiency out of 19 countries.

In 2020, Russia spends 3.6% of GDP on healthcare. Slightly less than a third of this amount - 1 trillion rubles - is allocated by the federal budget, where the share of medicine is 5.5 times lower than spending on security officials and 1.5 times less than the cost of maintaining officials and the state authorities.

"The Accounts Chamber believes that an increase in funding for the industry is simply necessary," said Izotov, deputy head of the Accounts Chamber. "Today, in medical organizations, salary costs account for up to 80% of the organization's total funding, which significantly limits the possibility of a full-fledged medical and diagnostic process.

It is necessary for a decent salary for medical employees, additional insurance guarantees, the purchase of modern equipment, the introduction of digital technologies and the introduction of new training programs for medical workers, "said the deputy head of the joint venture.

Notes