scholarly journals ON DIFFERENTIATION OF HEALTHCARE BUDGET FINANCING OF THE CENTRAL FEDERAL DISTRICT REGIONS

Author(s):  
E.V REPRINTSEVA ◽  

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.

Author(s):  
E.V REPRINTSEVA ◽  

The current health care system in Russia has a number of unresolved problems associated with a lack of financial support for the industry, which negatively affects the effectiveness of medical activities, the quality and availability of medical services [3]. The imperfection of the model of financial support for the industry, combined with underfunding and the lack of clear control over the rationality of the use of funds, became the reasons for the existing problems - the lack of a modern material and technical base, staff shortages, accompanied by ineffective healthcare and, as a result, a decrease in public confidence in the industry. In the course of the study, the current state and problems of financial support of the health care system of the Russian Federation, associated with the socio-economic differentiation of regions of the country by the level of development, were considered, the existing trends and their causes were identified. It has been established that a steady trend towards a reduction in budgetary expenditures aimed at financing the health care sector continues today. If in 2013 the volume of funding was 1.25 trillion. rubles, then to decreased to 950.7 billion rubles. The assessment of the financing of the regions of the Russian Federation in the context of the grouping by federal districts showed a widespread reduction in budgetary spending on health care, however, to the greatest extent - in the regions of the North Caucasus Federal District and the Siberian Federal District, and to the least - in the Central Federal District and the Northwestern Federal District. This indicates that there is a direct relationship between the level of socio-economic development of a subject and the volume of budgetary spending on health care.


2018 ◽  
Vol 35 (2) ◽  
pp. 18-24 ◽  
Author(s):  
E. A. Bessonova ◽  
Y. V. Kelesh

The author's interpretation of the concept of «socio-economic system of the region» is given in the article. The main stages of methodologies for assessing the socio-economic system are considered. The methodology developed by the authors for assessing the development of the social and economic system of the region is based on the implementation of certain principles, compliance with a number of requirements and consisting of 8 stages. The developed methodology was tested in assessing the development of SES regions in the Central Federal District of the Russian Federation. 


2020 ◽  
Vol 99 (3) ◽  
pp. 246-252
Author(s):  
Nina A. Golovina ◽  
N. N. Romanova ◽  
P. P. Golovin ◽  
A. V. Zdrok

Introduction. There have been given results of the assessment of quality and safety of hydrobionts exampled by fishes as main objects of amateurish fishing in water bodies of the Central Feddral District of the Russian Federation. Fishery water bodies on this territory are exposed to anthropogenic impacts and lead in the concerning volume of polluted effluent discharge in Russia. The purpose of this study is to assess the quality and safety of hydrobionts on the example of fish - the main objects of amateur fishing in the reservoirs of the Central District of the Russian Federation. Material and methods. Fish catching was carried out in the summer-autumn period in 2013-2017. The volume of the survey sample was about 1500 fishes. The species composition of helminths in 15 fish species from three families Cyprinidae, Percidae and pike (Esocidae)is was determined by parasitological examination. The safety of fish was evaluated using parasitological and toxicological methods. Results. Fish from water bodies of the Lipetsk, Tambov, Belgorod, Bryansk and Tver areas has been ascertained to be facultatively available for human consumption. Clinical signs of the disease were observed in fish infected with metacercariae trematodes (posthodiplostomum and apophallus) in the form of black spots on the body. Among the detected worms, 2 species can be potentially dangerous for warm-blooded animals and humans - Pseudamphistomum truncatum (Trematoda: Opisthorchidae) and Apophallus muehlingi (Trematoda: Heterophyidae). Analysis of fish contamination with heavy metals showed excess of the permissible cadmium content in fish tissues. Conclusion. The conducted research showed the urgency and social significance of studies on monitoring for water objects and the need to implement the preventive work with the population in such a densely populated part of the Russian Federation as the Central Federal District.


2021 ◽  
Vol 67 (3) ◽  
pp. 361-367
Author(s):  
Vakhtang Merabishvili ◽  
Iuliia Iurkova ◽  
Aleksandr Shcherbakov ◽  
Evgenii Levchenko ◽  
Anton Barchuk ◽  
...  

Lung cancer (LC) is the main cause of morbidity and mortality in the population of Russia and many economically developed countries of the world. At the same time, referring to localizations with a high mortality rate, the official data on the number of recorded primary cases (which form the incidence rate) are significantly underestimated, which is confirmed by the registration reliability index, which in many territories is higher than critical values. The aim of our study is to present the real state of the prevalence of PC in Russia, based on the newly created database (DB) of the population cancer register (PRR) of the Northwestern Federal District of the Russian Federation (NWFD RF) — the only one in Russia. We analyzed the loss of the number of primary patients who were not included in the state reporting, showed the real value of the achieved death rate of patients in the first year of dispensary observation, calculated the patterns of annual mortality of patients, the median of survival and 1 and 5-year survival of patients with lung cancer based on the database of the population cancer registry. Northwestern Federal District of the Russian Federation, on the materials of which for the first time in Russia the dynamics of changes in the detailed localization and histological structure of lung cancer was traced.


Author(s):  
T. A. Savitskaya ◽  
A. V. Ivanova ◽  
G. Sh. Isaeva ◽  
I. D. Reshetnikova ◽  
E. Kabve ◽  
...  

The review used the data from operational monitoring carried out by the Reference Center for Monitoring over HFRS – “Kazan Research Institute of Epidemiology and Microbiology of the Rospotrebnadzor”, based on official data provided by the Rospotrebnadzor institutions in the constituent entities of the Russian Federation. Statistical processing was conducted using conventional methods of variation statistics applying the Excel program. Over the past decades, hantavirus diseases have become very relevant and spread throughout the world. In the territory of the Russian Federation, natural foci of HFRS are located in the European part of the country, Western Siberia and Far East. The most epidemically active foci are situated in the European part of Russia. Over the past decade, the intensive incidence rate of HFRS in the Russian Federation stayed within the range of 3.0–9.5 per 100 thousand of the population, the long-term average annual indicator – 5.2 per 100 thousand of the population. In 2020, 3845 cases of HFRS were registered (2.62 per 100,000 of the population). There was a decrease in the incidence of HFRS by 3.6 times, compared with the indicators of 2019. A factor that may have influenced the decrease in the incidence of HFRS was the depression of the epizootic process among small mammals, the main carriers of HFRS pathogens, due to natural and climatic factors. The nature of the distribution of HFRS incidence across the territory of the Russian Federation in 2020 was heterogeneous. Statistical processing of the data made it possible to identify 5 groups of territories that differ in the level of HFRS incidence. Almost all constituent entities of the Volga Federal District and the Kostroma Region belonging to the Central Federal District were classified as groups of territories with high and very high incidence rates. In 2021, the deterioration of the epidemiological situation is predicted in the summer-autumn period of the year in the Volga Federal District and four entities of the Central Federal District. 


2019 ◽  
Vol 7 (5) ◽  
pp. 835-839
Author(s):  
Larisa A. Tretyakovа ◽  
Marina V. Vladyka ◽  
Tatyana A. Vlasova ◽  
Denis S. Glotov

initial key competitive indicators, including those reflecting the regional resource potential. Methodology: The usage of the proposed methodological approach provides model systematization of data based on selected indicators of competitiveness, reflecting the effectiveness of socio-economic processes in the development of regional space and indicators of resource provision in the region, determining the development of competitive advantages. Result: The most important condition for ensuring the sustainability of socio-economic systems is competitiveness. The processes of globalization have increased attention not only to the cross-country component of competitiveness but also to the formation, evaluation, and development of the competitive advantages of individual regions. Due to the fact that it is the complex of various competitive advantages of a region that predetermines its competitive position among other regions and provides attractiveness in the context of the main target groups whose inflow the region needs for further development, it becomes very important to compare competitive advantages based on their quantitative and qualitative measurement. Applications: This research can be used for universities, teachers, and students. Novelty/Originality: In this research, the model of Differentiation of the Regions of the Central Federal District of the Russian Federation According to the Level of Competitive Advantages is presented in a comprehensive and complete manner.


2021 ◽  
Author(s):  
Ekaterina Dmitrievna Myagotina ◽  
Ilona Vladimirovna Tregub

Nowadays analysis of various econometric models is used to study a significant amount of updated statistical information and find out relationships between statistical economic indicators, that were not investigated earlier. Main idea of investigation in this research work — to find out whether factors influence on the GRP, Consumption, Profit of the organizations and Investments or the model is outdated and non-applicable nowadays. The results obtained in the framework of this research will give us understanding changing which factors (exogeneous variables) — for example, increasing or decreasing credit and deposit rates, tax rates will rise national income, consumer expenditure, investment and operating surplus and, as a result, will accelerate economic development of the Russian Federation. The purpose is to evaluate whether the Menges model which includes all the indicators mentioned as dependent variables is applicable in the modern conditions of the Central Federal District in Russia or not and to find out whether there are other factors which also have an impact on endogenous variables. The object — a set of the panel data of economic statistical information of the Central Federal District in Russia (2008–2013). The subject — the reduced form of Menges model including GRP, Consumption, Profit of the organizations and Net Investments. According to our research, it is reasonable enough to increase the volume of industrial production in order to increase GRP both economically and with the help of the Menges econometric model. Besides that, it is also reasonable to increase the volume of industrial production in order to get a higher cost of investment.


Author(s):  
Elena Nikolaevna Dombrovskaya

The article is devoted to the features of the organization and accounting of payment for medical care provided by medical institutions. The article highlights the trends in reforming the system of payment for medical care, which include the use of per capita payment based on the principles of Fund maintenance. The review of the current regulatory framework in the field of financial support of medical care was conducted. Based on the analysis of models of per capita financing of primary health care in the subjects of the Russian Federation, their insufficient focus on achieving final results is noted. The article deals with the organizational mechanism and accounting mechanism of payment for medical care in health care institutions.


2021 ◽  
Author(s):  
Konstantin Pozdnyakov

The purpose of the monography is to elaborate the concept of the development of inter-regional investment cooperation by identifying the trends and features of its impact on the economic growth potential of the macro-region. The monography consists of the introduction, three chapters, conclusion and applications, as well as a list of references. The first chapter substantiates theoretical approaches to the essence, conditions and factors of regional development and the content of interregional investment cooperation in the current socio-economic conditions, analyzes the features of institutional design and the mechanisms for regulating regional cooperation for economic growth and development purposes, taking into account the Russian and foreign experience on the example of the European Union. The second chapter, basing on the economic analysis, identifies the trends in the development of the regions of the Central Federal District of the Russian Federation in terms of emerging macro-regions. A model has been proposed to assess the extent of the region’s economy’s involvement in inter-regional relations, which would allow to determine the dependence of variables such as interregional exchange, investment and gross regional product. Using mathematical modeling tools, the impact of these factors on the growth of the gross regional product of the Central Federal District of Russia, as well as its two regions — Moscow and Belgorod region — was evaluated. The third chapter identifies the prospects for the development of interregional investment cooperation in the Central Black Earth macro-region of the Central Federal District of the Russian Federation. The concept of developing inter-regional investment cooperation in the macro-region within the framework of the creation of a network of territories ahead of socioeconomic development (PSEDA) has been developed. The mechanism of inter-regional investment cooperation in the framework of the creation and development of the territories ahead of socio-economic development (PSEDA) has been adapted in order to form the points of economic growth in the macro-region. The main text of the monography is laid out on 234 pages and is illustrated with 21 drawings and 40 tables. The monography contains 4 applications. The references list includes 144 units.


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