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History of medicine. Development of healthcare at the end of the 20th - beginning of the 21st centuries (the most important)

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53. The development of healthcare in the late XX - early XXI centuries

Health care system during the years of the country's transition from a socialist to a democratic-capitalist system, it underwent strong transformations, which initially did not have the best effect on the health of the population.

Funding has been drastically reduced, making health care unavailable to all segments of the population, reducing the influence of government agencies and guarantees in this regard, and, as a result, the standard of living and the main vital indicators of health of large groups of the population have declined.

At the beginning of 1990, the resources allocated to medicine were extremely inefficient and incompletely used, since there was no clear structure for the provision of medical care. In addition, there was a clear bias towards the development of expensive types of medicine, and the system for the development of generally accessible, high-quality and financially easy medical and preventive care did not find a way out.

Health system reform began in 1991.

The Law on Compulsory and Voluntary Health Insurance was adopted, the main expected results of which were the partial elimination of the problems of financing the medical industry and relief for patients representing the largest groups of the population. The hopes placed on reform did not materialize. The health insurance system is still unfinished, but with sufficient development, many problems in the financial system of providing the medical industry can be solved.

After a long period of stagnation, 1996-1997, the situation began to improve somewhat. This improvement began with the adoption of the concept of development of health care and medical science. When adopting this concept, the Government of the Russian Federation approved and consolidated the course for a new strategy for reforms in the healthcare system. Since then, the most important task in the field of medicine has been to unite all existing health care systems by establishing close contacts between individual sectors, as well as establishing a balance in the processes of centralization and decentralization, public administration and self-government. Boundaries were also established between public institutions and private estates, and consequently, a system of private supplies to the medical services market developed. A line was established between the financing of government health care structures and the financing of medical needs and requirements.

As before, the fact that "health is not when you are treated and recover, but when you do not get sick" remained relevant. In this regard, the most important task, after providing the necessary medical care, was to provide a full range of preventive methods in order to maintain the health of the healthy.

Author: Bachilo E.V.

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