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CONDITION AND PROBLEMS OF FINANCIAL SUPPORT OF THE RUSSIAN HEALTHCARE SYSTEM

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.