ON DIFFERENTIATION OF HEALTHCARE BUDGET FINANCING OF THE CENTRAL FEDERAL DISTRICT REGIONS
The issue of financial support for the healthcare industry today is one of the most urgent and complex, which is caused by the peculiarities of the healthcare system. The existing model of financial support for the industry is recognized as imperfect and requires modernization. However, improving the financial provision of health care faces a number of challenges at every stage from accumulation to targeted use of funds. As a result, the amount of healthcare funding in Russia is one of the lowest in comparison with developed countries, which have a high level of medical development, and has a significant differentiation. In the course of the study, a comparative analysis of the volume of budget financing of health care in the regions of the Central Federal district was carried out, and current trends and their causes were identified. It is established that at present there is a significant differentiation in the level of budget financing of the healthcare industry, which is also accompanied by a reduction in the volume of incoming financial resources in most regions. At the same time, the largest amount of budget expenditures falls on Moscow - 183.7 billion rubles, which is 53.4% of the total amount of healthcare funding in the Central Federal district and 19.3% in the Russian Federation as a whole. The second place is taken by the Moscow region, whose share in the total volume of industry financing in the Central Federal district in 2018 was 23.2%, and in the Russian Federation - 8.4%. Thus, the capital region accounts for about 76.6% of the total budget expenditures on healthcare in the Central Federal district.