student
Choosing the optimal healthcare model is crucial for any country for providing the population with affordable medicine and effective use of available resources. There are many different models of healthcare in the world, but the main ones are budgetary, insurance and private. A mixed healthcare model has been operating in Russia since 1991, which is a combination of a budget and insurance model. The article examines healthcare models in different countries, such as the USA, Germany, France, Great Britain, and Italy, and analyzes their advantages and disadvantages. The analysis of the current state guarantee program with a description of costs and innovations, as well as the healthcare model in Russia, was also carried out, the applicability of models from other countries to Russia was considered, conclusions were drawn and necessary reforms for the development of the healthcare system were proposed.
models of healthcare financing, analysis of healthcare models, features of the organization of the healthcare system, healthcare reforms
1. Postanovlenie Pravitel'stva Rossiyskoy Federacii ot 29 dekabrya 2025 g. № 2188 "O Programme gosudarstvennyh garantiy besplatnogo okazaniya grazhdanam medicinskoy pomoschi na 2026 god i na planovyy period 2027 i 2028 godov" / SPS Konsul'tant Plyus
2. Galstyan, A. V. Ekonomicheskie problemy rossiyskogo zdravoohraneniya i puti povysheniya ego effektivnosti / A. V. Galstyan // Tendencii razvitiya nauki i obrazovaniya. – 2024. – № 110-5. – S. 129-132. – DOIhttps://doi.org/10.18411/trnio-06-2024-242. – EDN SUVUOG. - https://www.elibrary.ru/item.asp?id=70694677
3. Zyukin, D.A. Osnovnye trendy razvitiya sistemy zdravoohraneniya v Rossii do i posle pandemii / D. A. Zyukin, O. V. Vlasova, S. A. Belyaev, I. V. Shalimov // Estestvenno-gumanitarnye issledovaniya. – 2025. – № 5(61). – S. 210-214. – EDN OJDZEV. - https://www.elibrary.ru/item.asp?id=85114832
4. Korotkova, M. N. Social'naya politika gosudarstva v sisteme zdravoohraneniya: vozrozhdenie modeli Semashko / M. N. Korotkova // Gumanitarnye nauki. Vestnik Finansovogo universiteta. – 2022. – T. 12, № 3. – S. 74-80. – DOIhttps://doi.org/10.26794/2226-7867-2022-12-3-74-80. – EDN RXAQDN. - https://www.elibrary.ru/item.asp?id=49380211
5. Kocharyan, A. S. Osnovnye modeli finansirovaniya zdravoohraneniya: zarubezhnyy opyt i model' finansirovaniya zdravoohraneniya v RA / A. S. Kocharyan // Semnadcataya Godichnaya nauchnaya konferenciya : sbornik nauchnyh statey, Erevan, 04–08 dekabrya 2023 goda. – Erevan: Rossiysko-Armyanskiy (Slavyanskiy) universitet, 2024. – S. 117-127. – DOIhttps://doi.org/10.24412/cl-37234-2024-1-117-127. – EDN ECLLZB. - https://elibrary.ru/item.asp?id=80270394
6. Matinyan, K. G. Sravnitel'naya ocenka sistem zdravoohraneniya Rossiyskoy Federacii, Germanii i SShA / K. G. Matinyan // Aktual'nye problemy i perspektivy razvitiya potrebitel'skogo rynka : Materialy HIII Mezhdunarodnoy nauchno-prakticheskoy konferencii studentov i uchaschihsya, Perm', 02–12 dekabrya 2024 goda. – Perm': Rossiyskiy ekonomicheskiy universitet im. G.V. Plehanova, 2024. – S. 217-223. – EDN FAZMKB. - https://www.elibrary.ru/item.asp?id=80520663
7. Mashenceva, N. G. Zdravoohranenie v Rossii: osnovnye problemy i razlichiya ot drugih nacional'nyh sistem / N. G. Mashenceva // Problemy social'no-ekonomicheskogo razvitiya Rossii na sovremennom etape : materialy VII ezhegodnoy Vserossiyskoy nauchno-prakticheskoy konferencii (zaochnoy) (s mezhdunarodnym uchastiem), Tambov, 12 dekabrya 2014 goda. Tom 1. – Tambov: Tambovskaya regional'naya obschestvennaya organizaciya "Obschestvo sodeystviya obrazovaniyu i prosvescheniyu "Biznes - Nauka - Obschestvo", 2014. – S. 167-174. – EDN TKHNMN. - https://www.elibrary.ru/item.asp?id=23044805
8. Nadezhdina, D. A. Obzor i sravnitel'nyy analiz razvitiya sistemy zdravoohraneniya i demografii v Rossii / D. A. Nadezhdina, V. S. Prihod'ko, A. M. Ogryzkov // Reshetnevskie chteniya : Materialy XXIH Mezhdunarodnoy nauchno-prakticheskoy konferencii, posvyaschennoy pamyati general'nogo konstruktora raketno-kosmicheskih sistem akademika Mihaila Fedorovicha Reshetneva. V 2-h chastyah, Krasnoyarsk, 10–14 noyabrya 2025 goda. – Krasnoyarsk: Sibirskiy gosudarstvennyy universitet nauki i tehnologiy im. akad. M.F. Reshetneva, 2025. – S. 829-831. – EDN XFTNAV. - https://www.elibrary.ru/item.asp?id=87203503
9. Nesterova, A. A. Sravnitel'naya ocenka istochnikov finansirovaniya zdravoohraneniya v Rossii i Shveycarii / A. A. Nesterova, T. P. Kriveckaya // Buhuchet v zdravoohranenii. – 2019. – № 5. – S. 69-76. – EDN IRVLVG. - https://www.elibrary.ru/item.asp?id=38228917
10. Omel'yanovskiy, V. V. Zarubezhnyy opyt: modeli finansirovaniya i organizacii sistem zdravoohraneniya / V. V. Omel'yanovskiy, L. V. Maksimova, A. P. Tatarinov // Nauchno-issledovatel'skiy finansovyy institut. Finansovyy zhurnal. - 2014. - № 3(21). - S. 22-34. - EDN TAHDCX. - https://www.elibrary.ru/item.asp?id=22587128
11. Protasov, A.D. Sovremennye mirovye tendencii razvitiya vysshego medicinskogo obrazovaniya v SShA, Velikobritanii, Francii i Kitae / A. D. Protasov, E. S. Starodubceva, G. A. Moshlyak, A. V. Zhestkov // Vestnik sovremennoy klinicheskoy mediciny. – 2023. – T. 16, № 5. – S. 127-135. – DOIhttps://doi.org/10.20969/VSKM.2023.16(5).127-135. – EDN ISOUVH. - https://www.elibrary.ru/item.asp?id=54950522
12. Serikov, S. G. Analiz finansovogo obespecheniya sistemy zdravoohraneniya v Rossii / S. G. Serikov, A. E. Filonova // Regional'nye problemy preobrazovaniya ekonomiki. – 2025. – № 9(179). – S. 201-209. – DOIhttps://doi.org/10.26726/rppe2025v9fsaot. – EDN HCADOL. - https://www.elibrary.ru/item.asp?id=85424974
13. Sokolov, E. V. Razvitie sistemy finansirovaniya zdravoohraneniya v Germanii / E. V. Sokolov, D. A. Grechkin // Ekonomika i upravlenie: problemy, resheniya. – 2020. – T. 2, № 6. – S. 159-170. – DOIhttps://doi.org/10.34684/ek.up.p.r.2020.06.02.022. – EDN CFFOCC. - https://www.elibrary.ru/item.asp?id=43167589
14. Solomonova, T. S. Sistema zdravoohraneniya Chehii, Serbii, Velikobritanii i Rossiyskoy Federacii / T. S. Solomonova // Nauka molodyh - buduschee Rossii : sbornik nauchnyh statey 8-y Mezhdunarodnoy nauchnoy konferencii perspektivnyh razrabotok molodyh uchenyh, Kursk, 12–13 dekabrya 2023 goda. – Kursk: Universitetskaya kniga, 2023. – S. 359-363. – EDN MORMQP. - https://elibrary.ru/item.asp?id=59391358
15. Tashenov, A. Sh. Sravnenie sistem strahovaniya modeley Bismarka i Beveridzha / A. Sh. Tashenov, M. K. Manataeva // Razvitie nauki i praktiki v global'no menyayuschemsya mire v usloviyah riskov : sbornik materialov XXV Mezhdunarodnoy nauchno-prakticheskoy konferencii, Moskva, 30 yanvarya 2024 goda. – Moskva: Obschestvo s ogranichennoy otvetstvennost'yu "Izdatel'stvo ALEF", 2024. – S. 312-316. – EDN QOZBDI. - https://www.elibrary.ru/item.asp?id=60224883
16. Juvanita, A. State of healthcare system in Russia / A. Juvanita // Policy, Economy and Innovations. – 2023. – No. 5(52). – EDN ZSPHLC. - https://www.elibrary.ru/item.asp?id=67853755
17. Golikova rasskazala, skol'ko deneg vydelili na medpomosch' po OMS v 2026 godu / Oficial'nyy sayt Setevogo SMI ABN24 - https://abnews.ru/volga/news/bashkortostan/2026/2/15/v-ufe-razrabotayut-proekt-planirovki-kvartala-na-parhomenko
18. Murashko: Summa na lechenie odnogo cheloveka po OMS vyrosla do 24,9 tysyachi rubley / Oficial'nyy sayt FGBU «Redakciya «Rossiyskoy gazety» - https://rg.ru/2026/02/02/murashko-summa-na-lechenie-odnogo-chelovek-po-oms-vyrosla-do-249-tysiachi-rublej.html
