2023
Over 6 years, 230 thousand units of medical equipment have been launched in Russia
In September 2024, the Deputy Prime Minister Russia Tatyana Golikova said that within the framework of the national project "Healthcare," more than 230 thousand units of medical equipment were commissioned in six years. This result was made possible thanks to large-scale measures to modernize medical infrastructure throughout the country, which she spoke about at the opening of new facilities. health care
By the end of 2023, more than 11 thousand medical facilities were created and repaired during the implementation of the national project. The Deputy Prime Minister stressed that over ₽802 billion were allocated from the federal budget for these purposes. Among the key achievements are also mentioned the purchase of almost 17 thousand cars for district medical services and more than 2 thousand mobile medical complexes, which has significantly improved the availability of medical care in hard-to-reach regions of the country.
According to Golikova, in 2023, ₽319,2 billion were provided for the implementation of the Healthcare national project. The funds were fully brought to the regions, which made it possible to reach 99.5% of the project's key indicators for April 2024. She also drew attention to the need to strengthen control over the timely implementation of events, since 2024 is the final year for this national project.
Golikova noted that among the key results is an increase in life expectancy in Russia to 73.4 years. A large-scale medical examination was also carried out, including medical examination of more than 60% of the adult population and 96% of children. Particular attention is paid to neonatal screening, which examined 98% of newborns.
Within the framework of the national project, 316 healthcare facilities were built, 1.6 thousand institutions were overhauled, and more than 52 thousand units of medical equipment were commissioned. More than 3 thousand cars for medical needs were also delivered and 24 children's hospitals were built. In November 2023, a new building was launched with a center for nuclear medicine at the Dmitry Rogachev National Medical Center for Pediatric Oncology, Hematology and Immunology.[1]
The Ministry of Health did not master 6.7 billion rubles from the budget for the national project "Healthcare"
At the end of 2023, the budget of the national project "Healthcare" was executed by 97.9%. For comparison, a year earlier, the figure was 96.36%. Such data are given in the report of the Ministry of Finance of the Russian Federation, published on January 17, 2024.
For the national project "Healthcare" in 2023, 319.2 billion rubles were reserved. Of these, 312.5 billion rubles were spent. Thus, the Ministry of Health was unable to master approximately 6.7 billion rubles.
The report of the Ministry of Finance says that in 2023 the budgets of three federal projects were fully mastered: "Development of a network of national medical research centers and the introduction of innovative medical technologies," "Ensuring medical organizations of the health care system with qualified personnel" and "Development of the export of medical services." 7.2 billion rubles, 1.2 billion rubles and 26 million rubles were allocated for them, respectively.
The worst situation is with the federal project "Creating a single digital circuit in healthcare on the basis of a single state health information system (Uniform State Health Information System)." Its budget at the end of 2023 was spent by 83.5%: of the 11.7 billion rubles provided, 9.8 billion rubles were spent.
The largest federal project in terms of finance "Fight against Cancer" was completed by 99.3%: of the 158.4 billion rubles provided, 157.3 billion rubles were spent. Fedproekt "Primary Health Care" was executed by 98.2% - 10.6 billion rubles out of 10.7 billion rubles. Under the program "Fight against cardiovascular diseases," the indicator amounted to 97.9% - 16.4 billion rubles out of 16.8 billion rubles. The federal project "Development of children's health care, including the creation of a modern infrastructure for the provision of medical care for children" was executed by 98.6%: 17.7 billion rubles out of 17.9 billion rubles were spent. The program "Modernization of primary health care of the Russian Federation" was completed by 97% - 92.4 billion rubles out of 95.2 billion rubles.[2]
Deputy Prime Minister Golikova spoke about the results of the implementation of the national project "Healthcare"
On November 10, 2023, Deputy Prime Minister Tatyana Golikova spoke about the results of the implementation of the Healthcare national project. Her data and words are quoted by the press service of the Cabinet.
According to Golikova, within the framework of the project, 818 primary care facilities, 8 cancer hospitals, 15 children's hospitals were built, 497 outpatient oncological care centers and 3589 feldsher-obstetric centers were created. Since the implementation of the program, more than 6.1 million high-tech operations have been carried out and more than 72 thousand people have been evacuated to provide the necessary medical care, 1617 mobile medical complexes, 14,282 vehicles have been purchased and commissioned. In addition, according to the Deputy Prime Minister, the implementation of the measures of the national project made it possible to reduce infant mortality by 6.8% - to 4.1 ppm.
It is noted that the national project "Healthcare" in a number of regions is being implemented at a faster pace. The construction and reconstruction of healthcare facilities in the Oryol, Penza, Samara and Ryazan regions, the Republic of Mordovia was completed ahead of schedule, Tatyana Golikova said on November 10, 2023 during a meeting with the regions on the progress of the national project.
 | But the most important thing is not quantitative, but qualitative indicators, because all measures of the national project are aimed at ensuring that our citizens receive highly qualified and timely medical care, "Golikova summed up. |  |
The implementation of expenses under the national project "Healthcare" as of November 1, 2023 is only 72%, follows from the data of the Ministry of Finance - out of 316 billion rubles pledged for the year, so far only 228 billion rubles have been spent. This is one of the lowest indicators, although by the end of 2023 the dynamics of the development of the budget for health care accelerated sharply (in September and October, the level of execution of expenses for the national project was at the level of 57%).[3]
319 billion rubles are provided for the national project "Healthcare"
In 2023, almost 319 billion rubles are provided for the implementation of the national project "Healthcare." On June 8, 2023, Deputy Prime Minister of the RFTatyan Golikov told aboutthe RFTatyan Golikov told about this.
| | The regions should pay special attention to the timely implementation of all measures, since 2023 and next year are key in terms of summing up the results for the entire period of the implementation of the national project, "she said following a meeting with the regions on the progress of the implementation of the national project" Health "in 2023. | |
It is noted that as part of the implementation of this project, the construction and commissioning of three facilities for children in the Kaluga, Kaliningrad and Samara regions was completed in five months of 2023, and an oncological dispensary in the Ryazan region was also commissioned. In addition, about 200 primary facilities have been created, some of them are in the stage of obtaining a license. In addition, 28 thousand of 49 thousand pieces of equipment and 2 thousand cars out of the planned 2.8 thousand were purchased, the Golikova apparatus noted.
According to the national project "Health" by March 1, 2023, about 13 billion rubles were spent. The level of implementation of budget funds amounted to 4.3% - this is the worst result of all national projects, with the exception of the project "Tourism and the hospitality industry."
The press service of the Ministry of Health then explained the situation by the fact that the contracting process is still underway in the regions. In 2023, within the framework of the national project "Healthcare," it is planned to create more than 1200 objects of medical organizations, overhaul of more than 1.7 thousand existing buildings.
| | The Ministry of Health keeps the situation under special control and weekly hears regional reports as part of meetings of the operational headquarters of the ministry, the department stressed. | |
2022
The budget of the national project "Healthcare" turned out to be one of the least executed
The budget of the national project "Health" was one of the least executed in 2022. This is evidenced by the data of the Ministry of Finance of the Russian Federation, published in January 2023.
According to the statistics of the department, the indicator of cash execution of federal budget expenditures for the implementation of the national project "Healthcare" amounted to 96.36% against 95.2% a year earlier. Expenses on federal projects included in it increased from 243 billion to 360.78 billion rubles.
Among other national projects, "Healthcare" in terms of cash execution of expenses was in 2022 only in 11th place. The same level was recorded at the end of 2021. At the same time, the 2022 figure was higher for three projects (Digital Economy - 92.6%, Culture - 93.1%, Small and Medium Enterprises and Support for Individual Entrepreneurial Initiatives - 94.7%).
In 2022, funds from federal projects "Providing medical organizations of the health care system with qualified personnel" (1.19 billion rubles), "Development of a network of national medical research centers and the introduction of innovative medical technologies" (10.7 billion rubles), "Development of export of medical services" (27 million rubles) were 100% used.
At the same time, only 93.6% of allocations were used for the federal project "Modernization of Primary Health Care," which started last year (96.8 billion of the 103.4 billion rubles budgeted). Even lower is the cash execution under the project "Creating a single digital circuit in healthcare on the basis of a single state health information system (Uniform State Health Information System)" - 90.8%, 13.4 billion out of 14.7 billion rubles were mastered. However, in 2021, the indicators of spending on the digital circuit were even lower - 85.3% (14.2 billion out of 16.6 billion rubles).[4]
619 billion rubles are allocated for the implementation of the national project "Healthcare"
As it became known on September 22, 2022, the Russian authorities allocate 619 billion rubles for the national project "Healthcare" for a two-year period. In particular, 310 billion rubles are planned for 2023 and 309 billion rubles - for 2024.
The provided volumes of budgetary allocations compared to 2022 in 2023 are planned to be reduced by 118.2 million rubles, and in 2024 - by 329.8 million rubles. This is stated in the materials for the draft federal budget for 2023 and the planning period 2024-2025.
In addition, the document indicates that the budget Social Fund Russia was formed taking into account the "freeze" for 2023-2025 of deductions for a funded pension.
It is emphasized that the budget of the combined fund was formed separately for each type of compulsory social insurance and social security. The budget revenues of the fund were formed on the basis of the standards established by the Budget Code for the distribution of income from paid insurance premiums based on the unified rate of insurance premiums for compulsory pension insurance at the level of 72,8%, for compulsory social insurance in case of temporary disability and in connection with motherhood at the level of 8,9%, for compulsory health insurance in the amount of 30% within the established value of the base for calculating insurance premiums, 15.1% - over the established limit value of the base for calculating insurance premiums.
Also, from January 1, a single size of the limit value of the base for calculating insurance premiums for compulsory pension insurance, compulsory social insurance in case of temporary disability and in connection with motherhood in relation to each individual is established.[5]
2021
Over 687 billion rubles will be allocated for the national project "Healthcare" in 2022-2024
On September 21, 2021, it became known about the increase in funding for the national project "Health" by several billion. In the period 2022-2024. it is planned to spend over 687 billion rubles on its implementation, according to an explanatory note to the draft federal budget.
According to TASS with reference to this document, budget allocations for the financial support of the implementation of the national project "Healthcare" are planned in 2022 in the amount of 254.4 billion rubles, in 2023 - in 215.6 billion rubles, in 2024 - 217.77 billion rubles. Expenses compared to those approved earlier increased by 3.3 billion, 3.46 billion, 312.1 million rubles, respectively.
The change in volumes is associated with the revision of some parameters for financing federal projects included in the national project. For example, to implement the International Classification of Diseases of the eleventh revision (MKB-11; approved by WHO in 2019, will enter into force in 2022) the budget of the federal project "Creation of a single digital circuit in health care on the basis of a single state information system in the field of health care (EGIZ)" will change.
The parameters of the financial support of the federal project "Fight against Cancer" have also changed due to the redistribution of budget funds allocated for the construction of the Tula Regional Oncology Center. The 2.8 billion rubles provided for for 2024 will be redistributed to 2022 (1.68 billion rubles) and 2023 (1.11 billion rubles).
Increased the amount of funds for the construction of a multidisciplinary regional children's clinical hospital of the third level in Kursk as part of the Fedroject "Development of Children's Health."
By September 21, 2021, the draft law "On the federal budget for 2022 and for the planning period 2023 and 2024" was approved at a meeting and as part of the budget package will be submitted to the State Duma by October 1.[6]
The Ministry of Health will monitor the national project "Healthcare" in 25 indicators
As it became known in early May 2021, the Ministry of Health of the Russian Federation will monitor the national project "Healthcare" in 25 indicators. This is reported in the federal plan of statistical work compiled by the Government of the Russian Federation monitoring the achievement of socio-economic indicators of national projects. The corresponding order is published on the official portal of legal information.
The list of indicators that the Ministry of Health will monitor within the framework of "Healthcare" includes data:
- on the proportion of patients with blood circulation diseases who received medical services during dispensary observation;
- about the proportion of people with heart attacks, bypass surgery, angioplasty, catheter ablation who received drugs on an outpatient basis;
- about the proportion of people with cancer who have been diagnosed or treated in relation to the total number of patients under clinical supervision and the proportion of malignant neoplasms detected at stage I-II.
The ministry will also collect information on the proportion of patients who received treatment at the National Medical Research Center outside the territory of their residence and the volume of high-tech medical care, the volume of export of medical services.
According to the national project "Healthcare," the Ministry of Health should report on the number of "comfortable" children's clinics, retrofitted, with modern infrastructure, and on the share of their visits to children in the total number of visits to clinics.
Another block concerns data on the staffing of medical institutions by doctors and nurses, including feldsher-obstetric centers (FAP). In particular, data will be collected on the number of visits to the FAP per villager and the share of settlements with the number of residents up to 2 thousand people for whom primary medical care is available.[7]
2020: Putin instructed to organize payment for high-tech medical care from the budget
Russia Vladimir Putin The President at the meeting held on August 11, 2020 gave a number of instructions. In Government of the Russian Federation particular, by October 15, the Cabinet of Ministers needs to calculate budget funding for 2021-2023 for the implementation of measures to provide high-tech medical care and medical care to patients, cancer as well as citizens suffering from other rare diseases (including hemophilia, cystic fibrosis, pituitary nanism, Gaucher's disease, etc.). More. here
2019: RUB 969 million allocated to fight oncology
The national project "Healthcare" by 2024 will help save the lives of 230 thousand Russians. This was stated on February 19, 2019, Director of the Department of Project Activities of the Ministry of Health of Russia David Melik-Huseynov. According to him, the national project "Healthcare" has been implemented since the beginning of 2019.
| | In 2018, before the launch of the national project, 6.6 thousand Russians were saved from premature death. By 2024, taking into account the national project, this figure must be increased 40 times: the project should help save 230 thousand lives, - said the director of the project activities department of the Ministry of Health. | |
David Melik-Huseynov drew attention to the fact that as of February 2019, the national project "Healthcare" includes 8 federal projects.
| | In total, 1.7 trillion rubles were allocated for the national project "Healthcare." Of this money, 969 million rubles will go to the fight against oncology, 166 million rubles - to provide personnel, 211 million rubles - to develop children's health care, the official said. | |
The director of the department of project activities of the Ministry of Health also added that project offices have been launched in the regions to implement the national project. They, according to him, allow speeding up communication between the federal center and the entities to fulfill the set indicators.[8]
2018: Announcement of the start date of the national project
From October 1, 2018, the priority national project "Healthcare" will start working in Russia. For 6 years, the Ministry of Health expects to reduce the mortality rate of the working-age population by more than a quarter and infant mortality by 19.6%.
It is assumed that losses from circulatory diseases should decrease by 23.4%, from cancer - by 7.8%. The project price exceeds 1.36 trillion rubles, the bulk of which is planned to be spent within the first three years.
In general, the Ministry of Health oversees 10 federal projects: eight independent within the framework of the national project "Health," and two in the national project "Demography." Among the target indicators of the project: reducing mortality, eliminating personnel shortages, universal coverage of Russians with professional examinations, increasing the availability of medical care, optimizing the work of medical institutions, reducing queues and increasing "the volume of exports of medical services by at least four times."
As the Minister of Health Veronika Skvortsova said, the department is faced with the task of forming "total alertness to oncological diseases in the primary care," re-equipping more than 100 regional institutions, and forming outpatient cancer services. In addition, within the framework of the project "Combating Cancer," a network of proton centers will be created - the most innovative part of nuclear medicine, as well as a network of reference centers for a second expert opinion on the most complex diagnostic methods. A separate part of the program is devoted to eliminating the shortage of personnel in the oncology service, including engineering personnel - those specialists without whom radiology cannot develop.
The program to combat cardiovascular diseases involves the re-equipment of the entire network of primary vascular departments, regional centers and rehabilitation departments, an increase of at least twice the volume of X-ray endovascular interventions, stenting, angioplasty in acute coronary syndrome.
But, first of all, the national project is devoted to improving the availability, quality and comfort of primary health care, this is its first direction, Skvortsova emphasized. Until 2021, it is planned to build more than 360 new healthcare facilities for small settlements, increase the coverage of the population with professional examinations, the introduction of technologies, the so-called lean clinics. In general, the Ministry of Health expects to bring the "staffing rate" of Russian medical institutions to 95%. The planned financing of 1.3 trillion rubles should be enough to solve all the tasks of the national project, Skvortsova is sure.[1]
See also
Notes
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