The document has been developed by the Ministry of Healthcare and is aimed at ensuring the constitutional rights for Russian citizens to receive guaranteed healthcare and improving its organisation and the management of healthcare resources.
The programme establishes a list of the types, forms and conditions of free medical care and a list of the diseases and conditions of patients who can receive free medical care.
The programme establishes the standards of the range of medical care, the average spending for a unit of medical care, the average funding standards per capita, the procedure and the structure of setting tariffs for medical care and the ways of payment.
The programme establishes the average range of medical care and the average funding standards for a unit of medical care per capita as part of the Programme, and per an insured individual, as part of the Mandatory Medical Insurance basic programme.
Under the programme, the regional executive bodies will develop and approve the territorial programmes of state guarantees for free medical care for 2014 and the 2015-2016 planning period, including the Mandatory Medical Insurance territorial programmes.
The approved programme includes a number of new statutes:
- it introduces changes in respect to covering medical examinations and diagnostic examinations for the medical certification of individuals intending to adopt children without parental care;
- it introduces one instance of hospitalisation as a standard of the volume of medical care received in a hospital instead of one bed day to provide for uniform approaches to planning and covering medical care;
- it establishes the average standard of the volume of medical rehabilitation as part of the Mandatory Medical Insurance basic programme in standard hospital care to stimulate the development of this component of medical care.
Compared with the standards approved for 2014 and 2015, the programme increases by 110% the standards of funding in terms of the Mandatory Medical Insurance basic programme for one day in a day patient facility. This is due to the expanded range of specialised medical care extended in day hospitals with Mandatory Medical Insurance funds, including the chemical therapy of cancer patients.
The average standards of funding per capita under the programme (without account of federal budget spending) are:
In 2014 – 10,294.4 roubles (1,261.9 roubles or 14% more than in 2013), in 2015 – 12,096.7 roubles, and in 2016 – 12,642.1 roubles.
In 2014, the territorial programmes will cost 1.727 trillion roubles, or 229.1 billion roubles more (15.3%) than in 2013 (1.498 trillion roubles).
The Ministry of Healthcare has organised a public discussion of the draft resolution and an independent anticorruption expert review.
The draft resolution was debated and approved at the Government meeting on 17 October, 2013.