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2023
30 billion rubles were allocated for the federal project to combat diabetes mellitus
In November 2023, the passport of the federal project to combat diabetes was published. It follows from it that the budget for the implementation of the program in 2023-2025. laid down 30 billion rubles, or 10 billion rubles annually. The first 4.7 billion rubles are planned to be spent by the end of 2023.
The federal project "Combating Diabetes" involves a number of measures to improve the quality and life expectancy of people with this disease. In particular, within the framework of the project, all diabetic patients should be provided with continuous glucose monitoring systems, test strips and medicines. In addition, the program should contribute to the emergence of diabetes schools in the regions - organizations that provide assistance to patients with endocrine problems. The project also involves strengthening the training of medical personnel. Among the project targets are:
- an increase in the proportion of patients with diabetes mellitus of types 1 and 2, covered by clinical supervision;
- increasing the proportion of patients with glycated hemoglobin less than or equal to 7;
- reducing the number of patients with high amputations and in need of renal replacement therapy;
- reducing the proportion of patients with blindness to all diabetic patients with chronic kidney disease and diabetic retinopathy;
- the proportion of patients with diabetes identified for the first time during preventive examinations should increase from 20% to almost 28%, and the coverage of citizens with a glucose study should increase from 41% to 62%;
- the proportion of patients trained in diabetes schools is projected to rise from 12% to 15% by 2025, according to the project authors.
In October 2023, the Ministry of Health of the Russian Federation reported that it is planned to allocate an additional 5.1 billion rubles in 2023-2024. for the purchase of continuous glucose monitoring systems (NMG) for children.
Passport of the Federal Project on Diabetes Control
Mishustin allocated 2.3 billion rubles for the creation of endocrinological centers in Russia
Prime Minister Mikhail Mishustin signed a decree on the allocation of more than 2.3 billion rubles for the creation and equipment of regional endocrinological centers, as well as for the work of health schools for patients with diabetes. The corresponding document was published at the end of October 2023.
As the press service of the Cabinet of Ministers clarifies, 36 regions will receive funds, including,,,, and Buryatia Karelia Khakassia Krasnoyarsk Perm the region, Khabarovsk as well as,,, and Bryansk Kaluzhskaya Kemerovo Saratov the region. Tver Chelyabinsk
It is expected that in 2023 the regions will receive a total of 3.6 billion rubles for the creation and modernization of regional endocrinological centers, equipping rural hospitals with equipment for diagnosing diabetes mellitus, as well as for the creation and development of health schools for patients with this disease.
Thus, almost 1.4 billion rubles will be allocated to equip district and district hospitals with special equipment. Federal funding will allow the technical renewal of medical institutions in almost all regions, including in rural areas and remote areas. Laboratory equipment and special devices for detecting the disease and monitoring the health of people with diabetes will be delivered there.
According to the press service of the government, the work is being carried out within the framework of the federal project "Fight Diabetes," the implementation of which began in 2023. Its main goals are the early detection and treatment of diabetes mellitus, providing patients with the necessary drugs, the development and launch of regional programs to combat this disease. The federal project provides for the creation of a single network of regional endocrinological centers for diagnosing and providing timely medical care to people suffering from diabetes.
Government of the Russian Federation Order of October 24, 2023 No. 2956-r
Laying down 9 billion rubles a year for a fedproject to combat diabetes mellitus
The government plans to allocate 9 billion rubles a year to finance the fedproject "Combating Diabetes" This was reported in the draft federal budget for 2024 published in September 2023 and the planning period 2025-2026.
As the publication "Medical Bulletin" notes, the planned costs are 1 billion rubles less than those laid down in Federal Law No. 466-FZ of the 05.12.2022 "On the federal budget for 2023 and for the planning period 2024 and 2025." Despite the fact that according to the explanatory note to the bill, according to the indicators of the consolidated budget painting as of September 1, 2023, 10 billion rubles have already been spent on the fight against diabetes mellitus.
The Ministry of Finance planned to reserve the same amount for 2024-2025. They wanted to finance the fedproject through an excise tax on sugar-containing drinks. The law establishing it in the amount of 7 rubles. per liter from July 2023, was signed by the president in November 2022. Revenues to the budget from this collection were estimated at 35 billion rubles. per year.
The passport of the federal project "Combating Diabetes," which was agreed by the Ministry of Finance, assumes (within the framework of the said budget) the provision of continuous glucose monitoring systems, including Russian production, for children with type 1 diabetes from 2 to 17 years old inclusive, the letter says. In addition, the project proposes to equip regional hospitals with medical equipment, in which endocrine diseases are diagnosed and treated.
Another area of the project is associated with advanced training of doctors and nurses providing care to patients with diabetes. Were engaged in development of the federal project the Ministry of Health together with SSC RF Federal State Budgetary Institution NMIC endokrinologii. Since April, the document has been under approval by the government, two sources in the pharmaceutical market know. Vedomosti sent inquiries to the office of Deputy Prime Minister of the Russian Federation Tatyana Golikova and the Ministry of Finance. The representative of the press service of the Ministry of Health, in response to a request, said that the passport of the federal project "Fight Diabetes" was formed and submitted for discussion at the project committee.[1]
2022: The federal program for combating diabetes is estimated by the Ministry of Health of the Russian Federation at 240 billion rubles
In early May 2022, estimates of the Ministry of Health of the Russian Federation on the budget expenditures of the program "Fight Diabetes Mellitus" became known. Its implementation will require about 238.8 billion rubles.
As Kommersant writes with reference to the data of the Center for Expertise and Quality Control of Medical Care (CEKKMP) of the Ministry of Health, 139.9 billion rubles are needed to provide patients with test strips, 32.6 billion rubles for continuous blood glucose monitoring systems, 9.8 billion rubles for insulin pumps. (non-insulin) drugs are estimated at 52.4 billion rubles Another 4.1 billion rubles is required to finance schools for patients with diabetes.
At the end of April 2022, the expert health council under the Federation Council Committee on Social Policy discussed options for reducing costs, one of the meeting participants told the publication. According to him, there is no final decision yet. In mid-2021, the chief freelance specialist-endocrinologist of the Ministry of Health, President of the National Medical Research Center of Endocrinology Ivan Dedov said that the estimated costs of the program are 150-200 billion rubles a year.
According to Petr Rodionov, general director of Geropharma, the optimal solution for reducing costs will be the ability to provide continuous glucose monitoring systems for all children with type 1 diabetes mellitus, and for adults, gradually bring the provision of test strips to the required level. According to Rodionov, this will help optimize more than 27 billion rubles of budget funds.
According to the federal register of diabetes mellitus, at the beginning of May 2022, 4.7 million patients are registered at the dispensary. Given such a number of patients and a significant amount of funds necessary to finance the program, it is necessary to initiate negotiations with manufacturers at purchase prices, says Vitaly Omelyanovsky, CEO of TsEKKMP.[2]
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