EFFICIENCY OF COSTS FOR HEALTH CARE: PROBLEMS AND WAYS OF SOLUTION

Abstract

The research results of infection rate and medical personnel provision in whole along Russian Federation, regions of North Caucasian federal district and Republic of North Ossetia-Alaniya are brought in the article.  The conducted comparative analysis allowed estimating expenditure facilities efficiency to the health service, educing a row of regional problems and marking the ways of their solving. The author made a row of conclusions: 1) over a period of на 2005–2014 sickness rate of Russians in whole increased on 5,8%, along the regions of NCFD and the population infection rate on the contrary decreased on 4,6%, and in RNO-Alaniya -  one of the seven subjects of NCFD - population sickness rate increased in 3,1 times in comparison with all-Russian indice, and in comparison with average district indice practically in 4 times;  2) under the higher sickness rate in the Republic of North Ossetia-Alaniya doctors provision in the region is significantly higher: thus in 2014 it comprised 70,3 of doctors per 10 000 of population,  and in 2015 – 63,9 of doctors per 10 000 of population that is practically in 1,5 times more than along RF (48,9  and 48,1 accordingly) and in whole in the regions of NCFD (41,6, and 39,6 accordingly); 3) under the significantly higher doctors provision their average salary appeared to be lower than that of neighboring regions and more distant but demographically comparable subjects of the Russian Federation. The author made a conclusion on the need to optimize the staff of medical and preventive institutions in the Republic of North Ossetia-Alaniya in order to create a more efficient system for providing medical services, the types, quality and volumes of which will correspond to the level, structure of morbidity and population needs, with maintaining of beds optimal number and staff size of medical personnel.