Priority national project “Health. State program of the Russian Federation "health development" Pdf priority national project health

Project Goals

Improving the health of citizens
Increasing the availability and quality of medical care
Primary medical care
The revival of the preventive direction in health care
Providing the population with high-tech medical care

Main directions

As part of the development of primary health care activities are envisaged:

training and retraining of general practitioners
wage increase medical workers primary care medicine.

From January 1, 2006, district general practitioners, district pediatricians and general (family) practitioners are paid an additional 10 thousand rubles, nurses working with them - 5 thousand rubles.

From July 1, 2006, emergency medical personnel receive incentive payments in the amount of: 5,000 rubles. for doctors, 3500 rubles. for paramedics and 2500 rubles. for nurses.

strengthening the material and technical base of emergency medical care

As part of providing the population with high-tech medical care, it is planned:

improving the quality and volume of high-tech medical care
construction of new medical centers and training for them (it is planned to build 15 federal medical centers).

Financing

In 2006, for the implementation of the project from the federal budget and state off-budget funds 78.98 billion rubles were allocated. Besides, additional funds were allocated by the subjects of the Russian Federation and municipalities. In 2007 it is planned to allocate 131.3 billion rubles.

For 2007-2009, expenses related to the implementation of the project are planned in the amount of 346.3 billion rubles.

Immediately after the start of the national project, it turned out that the financing of several important items of expenditure was not taken into account during its development. For example, incentive payments received by medical staff, contrary to Art. 139 Labor Code not included in average earnings and, therefore, these payments did not affect the amount of "holiday" and "sick leave". In this regard, the Ministry of Health was sent great amount appeals both from regional heads of health care and from ordinary employees. The first to achieve justice on this issue was the therapist Anatoly Popov from the Vladimir region.

The issue of the so-called “northern allowance”, which is a significant part of the salary of the population of the northern regions, was much more difficult to resolve. This allowance should apply to all types of earnings, regardless of its source, but none of the budgets provided funds for this purpose. In a number of regions, after medical workers apply to the courts, the debt on the “northern allowances” for incentive payments is reimbursed only to those who apply to the court. Health authorities continue to challenge, with varying success, court decisions that ordered employers to pay back the northern surcharge. Funding problems continued in 2008 and 2009, part of the costs were shifted to the shoulders of regional, city and even municipal authorities, which did not contribute to the achievement of the project's goals.

Implementation results

Life expectancy in Russia

At the beginning of July 2007, 5,834 doctors had completed training and retraining (2,939 in Therapy, 2,298 in Pediatrics and 597 in General Medical Practice). In the first half of 2007, more than 150,000 medical workers (more than 70,000 doctors and 79,000 nurses) received additional cash payments totaling more than 6.6 billion rubles.

At the beginning of July 2007, 3267 units of diagnostic equipment were delivered to the regions (512 sets of laboratory equipment, 71 ultrasound machines, 788 X-ray machines with 443 processors, 438 units of endoscopic equipment, 465 electrocardiographs and 550 fetal monitors). It was planned that in 2007 375 children's polyclinics would be equipped with modern diagnostic equipment.

At the end of 2009, life expectancy in Russia increased to 69 years. In February 2010, Deputy Prime Minister of Russia Alexander Zhukov stated that the increase in life expectancy is the success of priority national projects.

Criticism

Despite the good intentions of the curators of the national project, it was not possible to significantly change the situation in healthcare. Some experts call the national project "Health" a failure.

There was no one to work on the supplied equipment, expendable materials quickly ended, and the quality of the equipment itself leaves much to be desired.

Against the backdrop of optimistic reports from the ministry on the success of the national project, deputies of the State Duma said that the situation with drug provision and the staffing of medical institutions leaves much to be desired.

Sources

Links

National project "Health". Official website of the Council under the President of Russia for the Implementation of Priority National Projects and Demographic Policy
News feed on the national project "Health" on the REGNUM news agency

Wikimedia Foundation. 2010 .

See what the "National Health Project" is in other dictionaries:

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From a speech by V. Putin at a meeting with members of the Government, the leadership of the Federal Assembly and members of the Presidium of the State Council on September 5, 2005:

“First of all, about health measures.

It must be admitted that the situation here is far from favorable. It needs to be radically changed. I consider it necessary to pay special attention to the development of primary health care, primary health care, disease prevention, including vaccination and effective medical examination of the population. We must substantially reduce the prevalence infectious diseases, including HIV infection and others, to introduce new programs for medical examination of newborns.

In the next two years, more than 10,000 municipal polyclinics, of which more than a third are in rural areas, as well as a significant number of district hospitals and feldsher stations, will need to be equipped with new diagnostic equipment. This is almost all primary health care. We have a little more of them, about 17.5 thousand, but the difference is a departmental network.

Early 2006 wage district physicians, pediatricians and general practitioners should increase by an average of 10 thousand rubles a month, and nurses - by at least 5 thousand rubles. At the same time, its specific size should directly depend on the volume and quality of medical care provided. I want to emphasize: not up to 10 and up to 5 thousand, but by 10 and 5 thousand - that is, a plus to what is.

More than tens of thousands of district doctors and general practitioners must be trained. The ambulance fleet should also be seriously upgraded, including the purchase of resuscitation vehicles, medical equipment and modern systems connections.

A particular problem is the availability of high medical technologies in cardiac surgery, oncology, traumatology, and a number of other important areas, and, above all, their use in the treatment of children.

The number of citizens who will be provided with high-tech medical care at the expense of the federal budget should increase by 2008 by at least four times. To do this, it is necessary to raise the efficiency of both existing centers of high medical technologies and build new ones, primarily in the regions of the Russian Federation, including Siberia and Far East. I propose to allocate substantial funds from the federal budget to the solution of the tasks outlined above. At the same time, I immediately draw attention to the need for plans to be concise and completely specific. Modern construction technologies, equipment technologies of the medical unit make it possible to do this in as soon as possible. In two years we are able to solve this problem. And this work needs to be started now, right now…”

Goals of the national project "Health"

Strengthening primary health care
Strengthening the preventive focus of health care and medical examination of the population
Improving access to costly and high-tech care

Tasks of the national project "Health"

Training and retraining of primary health care physicians
Implementation of cash payments to health workers of primary health care and emergency medical care
Equipping with diagnostic equipment and sanitary vehicles
Prevention of HIV infection
Additional immunization of the population
Examination of newborns
Additional medical examination
Medical care for women during pregnancy and childbirth
Providing high-tech assistance

"Hotline"

In accordance with the action plan for the implementation of the priority national project "Health" in the Voronezh region, in order to ensure that the population is informed about the implementation of the Project, in accordance with the order of the main health department of the Voronezh region dated 07.06.2006. No. 391 organized a "hot line". Operating mode " hotline»: from Monday to Friday from 9.00 to 17.00, break from 13.00 to 14.00

Improving the quality of life of Russian citizens is a key issue of state policy. It would seem an indisputable declaration. That is how it is perceived now. Including - when it sounds in the mouth of the authorities. But still comparatively recent historical experience shows that only a few years ago its indisputability was by no means so obvious.

Dangerous disintegration of state institutions, a systemic economic crisis, the costs of privatization combined with political speculation on the natural desire of people for democracy, serious miscalculations in the implementation of economic and social reforms - the last decade of the 20th century was a period of catastrophic demodernization of the country and social decline. Almost a third of the population was below the poverty line. Many months of delays in the payment of pensions, allowances, and wages have become a mass phenomenon. People were frightened by the default, the loss of their savings overnight. They no longer believed that the state would be able to fulfill even minimal social obligations.

This is what the government, which began working in 2000, faced. These were the conditions under which it was necessary to simultaneously solve the most acute everyday problems and work to lay down new - long-term - growth trends.

The path that the country has traveled over the past five years is very briefly but clearly described by excerpts from the annual messages of the President of Russia to the Federal Assembly. Let's remember what words Vladimir Putin used to address the nation in different years.

“Today we, first of all, set the task of restoring order in the authorities. This is only the very first stage of state modernization. Combining the resources of the federal, regional and local authorities will be required to solve other complex problems.”

“Today we can already say: the period of “spreading” of statehood is over. The disintegration of the state has been stopped. The year 2000 clearly showed that we can work together, and now everyone needs to learn how to work effectively.”

“We must make Russia a prosperous and prosperous country. To live in it was comfortable and safe. So that people can work freely, without restrictions and fear, to earn for themselves and for their children. And so that they strive to go to Russia, and not from it. Raise your children here. Build your own house here.

“Over a three-year period, we not only thoroughly sorted out the blockages of problems - and life itself forced us to deal with them almost on a daily basis - but also achieved some positive results. Now we need to take the next step. And all our decisions, all our actions should be subordinated to the fact that in the foreseeable future Russia will firmly take its place among the truly strong, economically advanced and influential states of the world. This is a qualitatively new task. A qualitatively new step for the country. A step that we could not climb before because of a number of, because of many other urgent problems. We have such an opportunity. And we have to take advantage of it."

“We have come to the possibility of developing at a high pace, to the possibility of solving large-scale, nationwide tasks. And now we have enough experience, and necessary tools to set realistic long-term goals. Today, for the first time in a long time, we can predict our lives not for a few months - not even for a year - but for decades to come. And the achievements of recent years give us reason to finally start solving problems that can be dealt with, but can be dealt with only with certain economic opportunities, political stability and an active civil society”.

"I ask you to consider last year's and this year's messages to the Federal Assembly as a single program of action, as our joint program for the next decade."

Isn't it necessary to comment?

But one more step was needed. The success of the country, the achieved macroeconomic stability - how to turn this to the people so that the figures of economic growth cease to be abstract for many more Russian citizens? And this step has been taken.

On September 5, 2005, the President brought together the Government, Parliament and leaders of the regions.

From the speech of V. Putin:

“Today's capabilities of Russia make it possible to achieve more tangible results in improving the well-being of the people of Russia. Achieve without disturbing the balance of the main economic indicators and avoiding a surge in inflation. And therefore, the opportunities already opening up in the Russian economy should not be missed by us.

Today I would like to dwell in particular on practical steps in the implementation of priority national projects in such areas as healthcare, education and housing.

Firstly, it is these areas that determine the quality of life of people and the social well-being of society. And, secondly, ultimately, the solution of these issues directly affects the demographic situation in the country and, which is extremely important, creates the necessary starting conditions for the development of so-called human capital.”

And here is the key quote:

“The concentration of budgetary and administrative resources on improving the quality of life of Russian citizens is a necessary and logical development of our economic course, which we have been pursuing over the past five years and will continue to pursue. This is a guarantee against inert consumption of funds without tangible returns. This is a course towards investing in people, and therefore in the future of Russia.”

(results of 2015)

In 2015, within the framework of the priority national project "Health", 1438.6 million rubles were invested in the health care of the region, of which: 1243.7 million rubles - from the federal budget and the Fund social insurance; 194.9 million rubles - from the regional budget. The implementation of the activities of the priority national project "Health" was carried out within the framework of the state program of the Russian Federation "Health Development" for 2013-2020 in the following areas:

Development of primary health care and improvement of disease prevention

2,689,598 people were vaccinated within the framework of the National Calendar of Preventive Immunizations, 271,966 people were vaccinated according to epidemic indications, which made it possible to maintain epidemiological well-being in terms of infections controlled through vaccine prophylaxis, to avoid group and outbreak morbidity of the population of the Rostov region in 2015.

At the expense of the federal budget, vaccines were delivered to the region in the amount of 286,998.4 thousand rubles, which is 38.6 million rubles more than in 2014; 44,647.1 thousand rubles were provided for these purposes from the regional budget. , 34,647.1 thousand rubles were financed. Failure to fulfill the plan is due to the termination of the contract in the amount of 10.0 million rubles due to the failure of the supplier to deliver due to the lack of certificates.

The complex of organizational, therapeutic and prophylactic, sanitary and anti-epidemic measures implemented in the region makes it possible to timely identify those infected with immunodeficiency viruses, hepatitis B and C and provide the necessary medical care. In 2015, 652,076 people were examined, which is 8.4% more than in 2014. 2,269 HIV patients received free, expensive antiretroviral therapy. In 2015, innovative methods of HIV prevention were applied using television and radio channels with a total coverage of more than 95% of the population of the Rostov region.

From the federal budget, test systems and antiretroviral drugs were purchased in the amount of 230,771.9 thousand rubles, and 10,690.5 thousand rubles were spent on prevention measures. For the purpose of combating HIV infections, 31,091.1 thousand rubles were allocated from the regional budget.

Activities aimed at detecting tuberculosis,treatment of patients with tuberculosis

Thanks to a systematic approach that includes measures to prevent the spread of tuberculosis, its timely diagnosis and treatment, it is possible to reduce the incidence and mortality from tuberculosis every year. In 2015, according to operational data, the incidence of tuberculosis was 39.6 cases per 100 thousand of the population, and the death rate from tuberculosis was 15.1 cases per 100 thousand of the population (2014 - 16.8).

The number of people examined for tuberculosis by fluorography in 2015 amounted to 1,823,062 people, which is 78,201 people more than in 2014.

To finance the re-equipment of medical institutions of this profile and the purchase of antibacterial anti-tuberculosis medicines(second row) in 2015, 206,167.0 thousand rubles were allocated from the federal budget, and 6,636.0 thousand rubles from the regional budget.

Increasing the availability and quality of specialized, including high-tech, medical care

Since 2014, the possibilities of financial support for the provision of high-tech medical care at the expense of compulsory medical insurance have been expanded. In 2015, 7,190 people received high-tech assistance as part of the financing of the Health national project (from all sources of funding - 16,304 people, in 2014 - 13,119 people). The availability of specialized medical care for children in the region has increased. 2,468 children were treated (2014 - 1,955 people).

The provision of high-tech medical care was carried out in 17 medical institutions of federal, regional, municipal subordination, private forms of ownership. Over the years, the main development in the region has been those areas that directly affect the medical component of demographic indicators. These are cardiac surgery, obstetrics and gynecology, oncology and traumatology-orthopedics.

Table. Growth certain types high-tech medical care

	Stenting	Endoprosthetics

In 2015, new profiles of high-tech medical care were introduced in the Rostov region: transplantology, rheumatology, endocrinology, pediatric ophthalmology, pediatric traumatology and orthopedics, and pediatric otorhinolaryngology.

For these purposes, 36,060.5 thousand rubles were invested from the federal budget, and 122,540.4 thousand rubles from the consolidated budget of the region.

Improving medical care for women and children

In 2015, financing in the amount of 522,731.0 thousand rubles was planned from the social insurance fund to pay for medical care provided to women during pregnancy and childbirth;

Prenatal and neonatal diagnostics and audiological screening activities continued.

Prenatal diagnostics was carried out in 33,001 pregnant women registered up to 12 weeks. Screening coverage of the first trimester was 85.6%, which is 11.2% more than in 2014.

50,000 newborns were examined for galactosemia, 6 detected cases, 50,591 for cystic fibrosis, 5 detected cases; adrenogenital syndrome - 50,694 children, identified cases - 8; primary hypothyroidism - 51,069 newborns, identified cases - 9; phenylketonuria - 50,650 children, identified cases - 10. The number of children who underwent audiological screening is 50,016, children with hearing impairment were identified - 9.

As a result of the implemented set of measures, it was possible to improve the annual target values of infant mortality rates. Infant mortality decreased by 16.5% compared to 2014 and, according to current data, was 6.6 cases per 1,000 live births.

Many activities previously included in the Health national project were implemented in 2015 as part of the State Health Development Program until 2020. In the main significant areas, separate agreements were concluded to co-finance the expenditure obligations of the subject from the federal budget. Part of the activities was financed from the funds of compulsory medical insurance.

Formation healthy lifestyle life

In 55 territories of the region, more than 648 actions of the movement for a healthy lifestyle "Quiet Flows the Don - health in every home!" were held; 11 field events within the framework of the project "Your health is in your hands - Enlighten!"; 7 specialized events within the framework of the project "Let's keep health at work"; 55 events within the Don Donors, Dance for Life, Everything That Concerns You projects, Healthy Start and Youth Against Drugs volunteer campaigns.

In total, in 2015, 721 events were organized aimed at promoting a healthy lifestyle.

14 adults and 6 children's health centers continue to operate in the region.

In 2015, 81,478 people were examined, of which 32,440 people (39.8%) were recognized as healthy.

As a result of the work carried out in the region, according to operational data, a decrease in the level of consumption alcoholic products per capita by 6.9%, a decrease in the proportion of smokers by 23.5%, a decrease in the proportion of patients with drug dependence syndrome who are under observation, in remission for 6 months or more by 23.2%.

Medical examination of citizens and children

In 2015, medical examination of the population continued at the expense of compulsory medical insurance.

It was planned to examine 400 thousand people insured under compulsory medical insurance, over 18 years old, as of January 1, 2016, 405,235 people (101.3%) were examined.

As of 01.01.2016, out of 7,510 orphans subject to medical examination in state institutions, 7,611 children were examined. Of the 7,390 orphans under guardianship, adopted, adopted, 7,390 children were examined.

Conducting medical examinations, medical examinations population, including rural residents, children, contributes to the early detection of diseases, pathological conditions, risk factors for their development.

Measures to improve the provision of medical care to patients with vascular diseases

The provision of medical care to patients with vascular diseases is carried out in the regional vascular center on the basis of the State Budgetary Institution RO ROCH and in 3 primary vascular departments on the basis of municipal medical institutions (BSMP No. 2 in Rostov-on-Don, GBSMP in Taganrog, GBSMP Kamensk-Shakhtinsky).

In 2015, a number of targeted measures were taken to early identify patients with risk factors for cardiovascular diseases, the initial stages of diseases of the circulatory system, their timely setting to "D" - registration and training of residents of the region on a healthy lifestyle.

Training of specialists of pre-medical and primary health care levels was organized modern methods recognition and provision of emergency care to patients with acute coronary pathology and cerebrovascular accident.

At the level of municipal medical organizations developed, agreed with the Ministry of Health of the Rostov Region and approved by the heads municipalities routing plans with acute vascular accidents in institutions of the intermunicipal and regional levels using necessary cases thrombolytic therapy both at the prehospital and hospital stages. This made it possible to significantly reduce mortality from acute myocardial infarction and acute disorders of cerebral circulation, including through the timely use of high technologies for coronary stenting, coronary artery bypass grafting and neurosurgical interventions for hemorrhagic strokes.

The creation of a regional register of patients with acute cardiovascular pathology has significantly increased the number of cases of delayed surgical interventions aimed at secondary prevention of recurrent cardiovascular accidents.

As a result, according to operational data, a decrease in the indicator "Mortality from diseases of the circulatory system" was achieved - 617.3 cases, while the plan was 753.4 cases per 100 thousand of the population, which is significantly lower than the national average - 631.8.

Measures to improve the organizationcancer care to the population

Refurbishment completed in 2015 medical equipment five regional cancer centers (Rostov-on-Don, Shakhty, Novocherkassk, Taganrog, Volgodonsk). Funded for drug supply, preventive measures, organization of training and retraining medical personnel, selection in medical organizations premises necessary for providing medical care to patients, and carrying out their repair.

As a result of the implementation of the above measures in 2015, according to operational data, the number of deaths from malignant neoplasms decreased to 164.9 cases per 100 thousand of the population (2014 - 174.4), the number of people who lived 5 years or more after the establishment of a clinical diagnosis increased , the number of patients with a diagnosis established in the 1st and 2nd stages of the disease.

Measures aimed at improving the organization of medical care for victims of road traffic accidents

Thanks to the well-established mechanism for the interaction of all services in providing medical care to victims of road traffic accidents, there is a tendency to reduce the number of deaths at various stages of medical care. There are no casualties in traffic accidents on the M4-Don highway, who died during transportation by ambulance teams. With the target set road map» «mortality from road traffic accidents» - 10.3 deaths per 100 thousand of the population, in 2015, according to operational data, the indicator was reached - 7.3 (2014 - 9.3).

Plans and tasks for 2016

In 2016, within the framework of the national project "Health", the provision of medical care to women during pregnancy and childbirth will continue. Financing in the amount of 488.1 million rubles is planned from the FSS funds. All the main activities of the PNP "Health" are included in the state program for the development of healthcare until 2020.

By 2006, Russian healthcare came with the following accumulated problems :

underfunding of the industry;

outdated material and technical base of medical institutions;

low salaries of medical workers;

structural imbalances;

outdated management practices medical institutions(inefficient use of industry resources).

In addition, significant disadvantage health care system was the weakening of the preventive focus, health education of the population and the formation of a healthy lifestyle.

The lack of results of the reforms carried out in the 80-90s of the twentieth century and the ongoing public health crisis led to the need to revise the state health policy.

To correct the current situation, at the suggestion of the President of Russia, the Ministry of Health and social development RF was designed , and December 21, 2005 approved national project "Health", whose main priorities are:

1. Development of primary health care:

making cash payments to general (family) practitioners, district general practitioners, district pediatricians and nurses of district general practitioners and district pediatricians, taking into account the volume and results of their activities;

training and retraining of general practitioners (family practice, district general practitioners and district pediatricians;

organizing the opening of offices of general practitioners

equipping outpatient clinics with diagnostic equipment

providing medical care to women during pregnancy and childbirth in state and municipal health care institutions on the basis of birth certificates;

equipping with ambulances, including reanimobiles;

2. Strengthening the preventive focus of health care:

formation of a culture of health among a significant part of the population, increasing motivation to preserve it;

additional medical examination of the working population;

immunization of the population within the framework of the national vaccination schedule;

prevention of HIV infection, hepatitis B and C, detection and treatment of HIV patients;

examination of newborn children for galactosemia, adrenogenital syndrome and cystic fibrosis;

3. Providing the population with high-tech medical care:

construction federal centers high medical technologies;

increasing the availability and volume of high-tech medical care.

At a meeting with members of the government, the leadership of the Federal Assembly and members of the Presidium of the State Council on September 5, 2005, President of Russia V.V. Putin said: I consider it necessary to pay special attention to the development of primary health care, primary health care, disease prevention, including vaccination and effective medical examination of the population.…».

Project "Health" as tasks, which will be addressed in the coming years, are determined by:

increase in life expectancy,

Reducing infant mortality and improving the effectiveness of assistance to women during pregnancy and childbirth,

Reducing the number of infectious diseases through vaccination and vaccination.

Responsible for project implementation:

Ministry of Health and Social Development of the Russian Federation

Ministry of Finance of the Russian Federation

Ministry of Economic Development and Trade of the Russian Federation

Ministry of Education and Science of the Russian Federation

Ministry information technologies and communications of the Russian Federation.

Financing a national health project will amount to 208.9 billion rubles, including 88.4 billion rubles in 2006.

Main activities and expected results of the national project "Health":

It is planned to reorganize the health care system in such a way that standard set quality medical services were provided to all those in need. Health care opportunities will be balanced with the available financial resources, and the regions will receive equal financial opportunities in the social sphere;

Primary health care will become more accessible and of high quality;

General practitioners, district therapists and district pediatricians will undergo advanced training and professional retraining;

The prestige of the work of primary health care workers will increase, as a result, young qualified specialists should come to the district service;

Outpatient clinics will be equipped with the necessary diagnostic equipment, which means that waiting times will be reduced and the quality of diagnostic tests will be improved;

New machines will be delivered to the regions Ambulance”, this will increase the efficiency of the ambulance service;

Organization of a mass examination of newborns to identify hereditary diseases (phenylketonuria, congenital hypothyroidism, adrenogenital syndrome, galactosemia, cystic fibrosis) will prevent the disability of children;

The organization of additional free immunization of the population will lead to a decrease in the incidence;

Timely detection and prevention of diseases will become possible due to mass free medical examination of working citizens (aged 35-55 years) and citizens working in industries with harmful and dangerous production conditions;

The detection of diseases will increase by 1.5 times and the average life expectancy of patients after the first diagnosis will increase by 3.5 years (up to 12 years), the number of days of temporary disability will decrease by 30%;

It will be possible to reduce the incidence of hepatitis B by 3 times, rubella - up to 10 cases per 100 thousand of the population, the elimination of congenital rubella; the incidence of influenza stabilizes in the absence of the emergence of a pandemic virus; the frequency of HIV infection will decrease (per 1000 people per year);

Thanks to the construction of new federal high technology centers, waiting times will be reduced and the availability of high-tech (expensive) medical care will increase, especially for residents of remote areas;

Transparency of the queue for receiving high-tech (expensive) types of medical care will be ensured through the introduction of a system of "waiting lists";

The quality of medical care provided to pregnant women, both in antenatal clinics and in maternity hospitals, will be improved through the introduction of a system of birth certificates.

In the future, during the successful implementation of the Health project, the following is expected:

* Reducing mortality and disability rates population by increasing the availability and quality of medical care;

* Need Satisfaction population of the Russian Federation in a free high-tech (expensive) medical care;

* Approximation national healthcare to European standards medical assistance to the population;

* Reduction of economic losses by strengthening and restoring the health of citizens, reducing the financial costs of paying disability pensions and temporary disability benefits;

* Strengthening the position of Russia in the domestic and international markets of medical services and medical technologies (economic and professional incentives for the implementation of domestic developments at the international level and attracting foreign patients to Russian clinics).