Health care costs in Russia

2024

In Russia, ₽46 billion is allocated for the construction of 330 women's consultations

As part of the new national project "Family," the Russian government is allocating ₽46 billion to expand the network of women's consultations. This was announced on October 16, 2024 by the Minister of Health of Russia Mikhail Murashko during a report to President Vladimir Putin on the development of health infrastructure. Read more here.

₽46 billion allocated for the purchase of medical equipment in 180 children's medical institutions in Russia

The Russian government has allocated ₽46 billion for the purchase of new medical equipment for 180 children's hospitals across the country. This was announced on October 16, 2024 by the Minister of Health of Russia Mikhail Murashko during a report to President Vladimir Putin on the development of health infrastructure.

According to the official Telegram channel of the Russian Ministry of Health, in addition to equipping children's hospitals, it is planned to re-equip 450 children's clinics. This is part of a large-scale program to modernize the country's health care system.

₽46 billion allocated in Russia for the purchase of medical equipment

Over the past five years, more than 6 thousand new healthcare facilities have been created in Russia, and by the end of 2024 it is planned to commission another 600 facilities. Major repairs and reconstructions were carried out in 5300 medical institutions, 236 thousand units of medical equipment were delivered, 60% of which were domestic production.

As part of new national projects, from 2025, it is planned to allocate ₽174 billion for the construction of 59 large healthcare facilities and ₽650 billion for the development of infrastructure, including the modernization of primary care. Another ₽290 billion is planned to be allocated to the creation of more than 3.8 thousand objects.

Particular attention is paid to the development of emergency medical care. More than ₽10 billion will be directed to the creation of 90 modern high-tech reception departments in the regions.

The Minister of Health noted that about 70% of the population assess the work of state authorities through the state of health. Over the past two years, positive assessments have increased one and a half times.

Russian President Vladimir Putin highly appreciated the work done in the field of health care and expressed the hope that all programs will be finalized within two to three weeks and finally approved in early November 2024.^[1]

Disclosed the budget for the purchase of medical equipment in St. Petersburg

In St. Petersburg, ₽3,82 billion were allocated for the program for the modernization of primary health care in 2024. Of this amount, ₽1,65 billion came from the federal budget, and ₽2,17 billion from the city. Information about the budget was released in October 2024. Read more here

The budget for health care in the Krasnoyarsk Territory will grow by 9% to ₽140,2 billion

At the end of September 2024, the Government of the Krasnoyarsk Territory approved the State Program "Healthcare Development" for 2025-2027. According to the document, the budget for health care in the region in 2025 will increase by 9% and amount to ₽140,2 billion. Read more here

The annual budget for health care in Tatarstan has grown to ₽122,2 billion

At the end of September 2024, at a meeting of the profile committee of the State Council of the Republic of Tatarstan, data were presented on a significant increase in budget spending on health care in the region. According to the announced information, in 2025 it is planned to allocate ₽122,2 billion for this area, which is ₽13,8 billion more than in 2024. Read more here

In the Russian Federation, ₽146 billion is allocated to equip children's hospitals and women's consultations

Government of Russia allocates ₽146,7 billion for the equipment and modernization of children's clinics, perinatal centers and antenatal clinics within the framework of the project "Protection of motherhood and childhood." This was announced on October 1, 2024 by Elena Sheshko, director of the department of medical care for children, maternity services and public health. Ministry of Health Russia

According to TASS, the project "Protection of Motherhood and Childhood" is part of the national project "Family" and is aimed at improving the infrastructure of medical institutions serving women and children. Sheshko stressed that in addition to infrastructure improvements, the project provides for network and functional activities to improve the quality of medical care.

146 billion ₽ allocated in Russia to equip children's hospitals and women's consultations

One of the key requirements for medical organizations receiving funding will be mandatory participation in the quality management program. This condition applies to all institutions, including children's hospitals, antenatal clinics and children's clinics.

The head of Roszdravnadzor Alla Samoilova noted that obstetric hospitals are already leading in the introduction of quality management systems. Institutions that have implemented such systems show higher indicators in inspections and do not fall into the risk group according to Roszdravnadzor indicators.

According to Samoilova, there is a positive trend: the number of patient complaints against medical specialists decreases annually. This indicates the strengthening and development of the health care system in the field of maternal and child health.

The implementation of the project "Protection of motherhood and childhood," which includes equipping medical institutions with modern equipment, training personnel and the introduction of new diagnostic and treatment technologies, is already leading to a decrease in infant and maternal mortality rates. At the same time, patient satisfaction with the quality of medical care is growing.^[2]

20 billion rubles allocated for the development of medicine in Karelia in 2025

The Russian government has significantly increased funding for health care in the Republic of Karelia for 2025. This was announced on October 2, 2024 by the head of the regional Ministry of Health Mikhail Okhlopkov, noting that the subvention from the federal budget for the first time will exceed ₽20 billion. Read more here.

The budget for health care in Russia has grown to ₽1,86 trillion

The government Russia submitted for consideration State Duma to the draft federal budget for 2025 and the planning period 2026-2027. According to the document, health spending in 2025 will reach ₽1,86 trillion, which is ₽243,99 billion more than in 2024. Information about this appeared at the end of September 2024.

According to the Ministry of Finance of Russia, in 2024, ₽1,62 trillion was allocated for health care. The increase in budgetary allocations in 2025 is aimed at solving key problems in the field of medicine and improving the quality of medical services for the population.

The budget for health care in Russia has grown to ₽1,86 trillion

A significant part of the funds - ₽425,72 billion - will be used to ensure the activities of state health care institutions. This will support the work of hospitals, clinics and other medical organizations throughout the country.

Special attention in the budget is paid to the fight against serious diseases. It is planned to allocate ₽77,4 billion to finance federal projects to combat cardiovascular diseases, diabetes mellitus and hepatitis. Medical care will continue to be provided to patients with cancer.

The support of the Circle of Good Foundation, which helps children with severe and rare diseases, will significantly increase. In 2025, ₽202,7 billion will be allocated for these purposes, which is part of a three-year plan with a total funding of more than ₽687 billion.

As part of the modernization of the health care system, it is planned to open new primary vascular departments and other units based on district hospitals. It also provides for the creation of a system for remote monitoring of patient health and the construction of new medical infrastructure facilities.

It is expected that the adoption of a budget with increased health care costs will help strengthen the medical care system and improve the health indicators of the Russian population in the long term.^[3]

4.2 billion rubles allocated for the construction of hospitals in Ugra

On September 26, 2024, the Ugra Duma approved amendments to the regional budget. Expenses on state programs of the Autonomous Okrug, taking into account the internal redistribution, were increased by 11.8 billion rubles and in general will amount to 426.2 billion rubles. Of the 24 state programs, adjustments were made on 22. Read more here

35 billion rubles allocated for the development of healthcare in Primorye in 2018-2023.

35 billion rubles were allocated for the development of healthcare in Primorye in 2018-2023. The governor of the region Oleg Kozhemyako spoke about this at the end of August 2024, speaking at the board of the regional Ministry of Health. Read more here.

5 billion rubles allocated for the renewal of medical institutions in Transbaikalia

��5 billion allocated for the renewal of medical institutions of the Trans-Baikal Territory This became known in August 2024 from information published in the official Telegram channel of the Russian Ministry of Health. The funds are aimed at modernizing primary health care within the framework of the program, designed for the period from 2021 to 2025. A significant part of the funding came from the federal budget, which made it possible to implement large-scale changes in the region. Read more here.

Purchase of 1.8 thousand units of medical equipment and overhaul of hospitals. For which 1.7 billion rubles were allocated in the Saratov region by the end of the year

In the Saratov region, by the end of 2024, more than ₽1,7 billion were allocated for the modernization of primary health care. This became known in September 2024. The funds were directed to the overhaul of seven hospitals, the purchase of over 1.8 thousand units of medical equipment, as well as the installation of 18 feldsher-obstetric centers (FAPs) in rural settlements. Read more here.

Penza region spent 800 million rubles per year on the purchase of medical equipment

In 2023, the Penza region allocated more than ₽800 million for the purchase of modern medical equipment for medical institutions in the region. These funds were allocated as part of the implementation of federal and regional programs, which made it possible to significantly improve the technical equipment of medical institutions, especially in primary health care. This became known in August 2024. Read more here

8.7 billion rubles were allocated for the purchase of 7 thousand medical devices in hospitals in the Rostov region

By the end of 2024, medical institutions in the Rostov region will receive almost 7 thousand units of new medical equipment worth more than ₽8,7 billion. This was announced in September 2024 by the press service of the regional government. Read more here.

Allocation of 540 million rubles for the purchase of medical equipment

In August 2024, it became known that the Stavropol Territory allocated ₽540 million for the purchase of medical equipment, which will be delivered to medical institutions in the region by the end of 2024. According to the Minister of Health of the region Yuri Litvinov, within the framework of these funds, about 740 units of modern medical equipment will be purchased to improve the diagnosis and treatment of patients. Read more here.

600 million rubles were allocated for the purchase of medical equipment in the Kursk region

In August 2024, ₽600 million were allocated for the purchase of medical equipment for state medical organizations of the Kursk region. Funds sent from the reserve fund of the Government of Russia will be used to equip regional hospitals and other healthcare institutions, providing them with the necessary equipment for the diagnosis and treatment of patients. Read more here

The government allocated 1.3 billion rubles to the Volgograd region for the purchase of medical equipment and the renewal of hospitals

The Russian government in August 2024 allocated ₽1,3 billion to the Volgograd region for the purchase of medical equipment and the renewal of hospitals. This measure is aimed at improving the quality of medical care and increasing the availability of modern diagnostics and treatment for residents of the region. Read more here

24 billion rubles allocated for the modernization of healthcare of the North Caucasus Federal District

In July 2024, it became known that the Russian government allocated ₽24 billion to modernize the health care system in the North Caucasus Federal District. These funds are aimed at implementing a program for the modernization of primary care, initiated by President RFVladimir Putin. Large-scale funding is designed to significantly improve the quality and availability of medical services for residents of the region.

Russian Health Minister Mikhail Murashko, during a working trip to the Chechen Republic, spoke in detail about plans to use the allocated funds. In particular, it is planned to repair and build 47 medical facilities in Chechnya, purchase 450 units of modern medical equipment and more than 200 units of automotive equipment for the needs of primary health care.

The Russian government has allocated ₽24 billion to modernize the health care system in the North Caucasus Federal District

Special attention within the framework of the modernization program is paid to the development of the oncological service in the region. In the Stavropol Territory, by August 2024, the construction of the medical and diagnostic building of the regional clinical oncological dispensary is underway. ₽1,885 billion allocated for the implementation of this project in 2023-2024. The new building, designed for 376 beds and 600 visits per shift, is scheduled to be commissioned in 2026.

In Kabardino-Balkaria, work is also underway to create a modern oncological dispensary. ₽1,3 billion was allocated for the revision of design estimates and the start of construction of a republican oncological center with 250 beds in Nalchik. The facility, which will have a capacity of 100 visits per shift, is scheduled to be completed by 2026.

In addition, within the framework of the program for the modernization of primary health care in the Stavropol Territory, the construction of 82 medical facilities is planned. Of these, three will be built from scratch, and 79 are subject to major reconstruction. For these purposes, the region will receive ₽9,8 billion from the federal budget in the period from 2021 to 2025.^[4]

1 billion rubles for medical equipment. The results of the implementation of the national project "Healthcare" in Mari El have been summed up

The Republic of Mari El has allocated more than ₽1 billion for the purchase of modern medical equipment within the framework of the national project "Healthcare" over the past five years. This became known in July 2024. The total amount of funding for measures of the national project in the region exceeded ₽11 billion. Read more here

The government of the Smolensk region allocated 1 billion rubles for the purchase of medical equipment in hospitals in the region

In July 2024, the government of the Smolensk region decided to allocate ₽1 billion for the purchase of medical equipment for hospitals in the region. The funding will be aimed at equipping medical facilities in 2024 as part of a program to develop the health care system.

According to TASS, of the total amount, about ₽700 million will come from the federal budget, and the remaining ₽384 million will be allocated from the regional treasury. The Governor of the Smolensk Region Vasily Anokhin stressed that the development of the regional health care system remains a key priority in the work of the government.

The government of the Smolensk region allocated 1 billion rubles for the purchase of medical equipment for hospitals

As part of the program, the Smolensk Regional Clinical Hospital has already received new equipment, including an X-ray bone densitometry system, endoscopic equipment and laparoscopic systems. For the children's surgical department of the hospital, an angiograph, anesthesia apparatus and an operating table were purchased.

The regional oncological dispensary was equipped with a surgical multifunctional universal operating table. The institution expects the supply of a high-tech aspirator. The primary vascular department of Clinical Hospital No. 1 received an apparatus for robotic therapy of the lower extremities, a diagnostic complex for ultrasound studies, a stabilizer and a medical lift. In addition, 60 functional beds were delivered to the department.

Particular attention is paid to equipping medical facilities in municipalities. Dorogobuzh Central District Hospital received a new electrocardiograph and dental installation. A laparoscopic system has been delivered to the Gagarin hospital. Two cars were purchased for the Smolensk district medical institution.

Governor Anokhin expressed confidence that the new equipment will improve the quality of diagnosis of diseases and the provision of medical care to the population of the Smolensk region. The implementation of the program for equipping medical institutions will continue during 2024, which will significantly improve the material and technical base of the region's health care system.^[5]

The annual budget for health care in Russia has grown to 6.7 trillion rubles

Healthcare spending in Russia in 2024 amounts to 6.7 trillion rubles, which corresponds to approximately 3.7% of GDP. For comparison, in 2021, the costs in the relevant area were estimated at 5.3 trillion rubles. Such data were released in mid-May 2024.

As the candidate for the post of Minister of Health RFMikhail Murashko noted, government spending in the compulsory health insurance system increased from 3.2 trillion rubles in 2022 to 3.8 trillion rubles in 2024. According to him, this is an additional 600 billion rubles, and "the growth was 13.6% in subventions that go to the subjects of the Russian Federation."

Healthcare costs in Russia in 2024 amount to 6.7 trillion rubles

Murashko notes that in 2024, financial support for the activities of the state program "Health Development" in the amount of 1.33 trillion rubles is provided. In particular, the cost of drug provision will increase on an annualized basis by 33.9 billion rubles - up to 334.2 billion rubles. Of these, 3 billion will be directed to the purchase of tuberculosis drugs. Another 25.62 billion rubles in 2024 is planned to be spent on the purchase of vaccines of the national calendar of preventive vaccinations.

For the purchase of drugs for people infected with HIV, including in combination with the hepatitis C virus, additional allocations are provided for new regions - 2 billion rubles. The total amount will be 36 billion 384 million rubles in 2024, says Murashko.

It is also noted that 2024 year 289 billion rubles are provided for the implementation of measures for the national project "Healthcare." Among other things, measures will be taken to combat diabetes. Approximately 8.8 billion rubles in 2024 will be directed to the organization of health care in new territories. In general, it is argued that the preservation of the health of Russians is one of the unconditional priorities of social policy. states^[6]

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

107 billion rubles were spent on the construction of medical institutions and the purchase of medical equipment in Bashkiria for the year

At the end of 2023, ₽107 billion were spent on the construction of medical institutions and the purchase of equipment in Bashkiria. These funds are aimed at updating the health infrastructure of the region, including the construction of new facilities and the modernization of existing ones. This information was announced in September 2024 by the Acting Minister of Health of the Republic Robert Ishtukov at an operational meeting under the leadership of the head of Bashkortostan Radiy Khabirov. Read more here.

Mordovia's health care expenses for the year exceeded 9 billion rubles. What the money went for

The expenses of the Republic of Mordovia on health care in 2023 exceeded ₽9 billion. This became known in August 2024. These funds were aimed at large-scale improvements in the health care system, including the purchase of medical equipment, the renewal of the ambulance fleet, as well as the construction and repair of medical institutions. Read more here.

In the Kaliningrad region, 16.6 billion rubles were spent on the health care program for the year

��16,6 billion was spent on the health care program in the Kaliningrad region in 2023. This became known in the spring of 2024. These funds were aimed at developing health infrastructure, modernizing medical institutions, as well as providing beneficiaries with the necessary medicines and medical nutrition. Read more here.

Annual healthcare costs in the Tyumen region reached 51.2 billion rubles

The expenditures of the consolidated budget for health care in the Tyumen region in 2023 reached ₽51,2 billion, according to preliminary calculations. This information became known on August 5, 2024. Read more here.

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.

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 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.^[7]

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.

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.^[8]

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.

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). ^[9]

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.

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^[10]

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.

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).^[11]

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.

{{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.^[12]

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.

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.^[13]

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.

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.[14]

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.

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.[15]"

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.^[16]

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^[17] was collected^[17]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