Health reform is a specific research object that is characterized by internal dynamics, depending on a number of external factors and effects on the health of the population. It is a versatile process and develops in a complex environment. Here we start from the understanding that improving the healthcare system needs different changes. The healthcare system‘s reform must not ignore the national specificities of the country concerned but should be done through the necessary variety of measures: purposefulness, lasting and long-term structural changes that cover the national, regional and local levels of the change. It must be acceptable both to the needs of citizens and professionals. Each organization has a definite and regular cycle of development. There are certain defects in it. These defects are always the expression of a particular process, which in most cases lead to crises in the organization. It may be due to factors in the external environment, but necessarily develops within the organization‘s internal environment. This brief commentary shows that the reform is organically inherent in any organization. It aims to protect the organization and to guarantee the fulfillment of its mission and its own development for a certain period. It is precisely the inevitability and necessity of reforms that I consider to be a mandatory addition to the definition of healthcare reform. We can summarize that healthcare reform is a process in which changes in health policy and normative basis are made simultaneously or consistently. They affect the economic relations, the institutions and the organizational and structural structure of the health system, in which it goes into a qualitatively new state. This process is inherent in each healthcare system during its development, as the aim is to increase its efficiency for citizens and society as a whole. In the various publications, as the beginning of the healthcare reform different years in the last decade of the last century have been indicated. The new healthcare legislation started in 1998-1999, but there are also opinions that the beginning of the reform dates back to 1989. Implementation of the reform is inconceivable without the adequate use of modern management approaches and methods without a new management style at all levels of the healthcare system. Here, a serious analysis of the health status of the population and the risk factors are made as well as the activity of the healthcare system. Implementation of the reform is inconceivable without the adequate use of modern management.
Reform of the Russian healthcare system – threat to the security of social groups or evolution of health protection?
