ON THE IMPROVEMENT OF LEGAL REGULATION IN HEALTH CARE OF THE RUSSIAN FEDERATION

Abstract

The author points out that in terms of existing legal regulation in health care and
consequently to the optimization of this field happening over the last few years, according
to data of the Audit Chamber of the Russian Federation a number of hospitals has
reduced from 10704 in 2000 to 4398 in 2013. Over this period a number of specialized
health centers reduced twice. As a result, 17 5000 settlements are deprived of medical
infrastructure, which leads to disorganization of medical assistance and restriction of
access for those who need medical help. In order to prevent worsening of this situation
the author suggests introducing particular amendments to the Federal Law of November
21, 2011 “On Fundamental Healthcare Principles in the Russian Federation”.
The article considers problems of imperfect legal regulation in high-technology
medical help, medicine assistance to people suffering from orphan diseases and a failure
to comply with requirements of the Russian Federation Law of July 02, 1992

“On Psychiatric Care and Guarantees of Citizens’ Rights during Its Provision” in terms
of establishment of Patients’ Rights Protection Service independent from executive authorities
and located within medical institutions rendering psychiatric help, which is one
of factors causing persistent violation in this field. The author shares a position of the
Federal Antimonopoly Service of the Russian Federation on the need for ratification of a
Decree of the Russian Government called forth to establish a quality control system on
the basis of strengthening quality criteria when rendering medical assistance. The author
emphasizes a need for laying down budgetary rules, according to which the amount of
financing in health care in the Russian Federation will be not 3.6 % of GDP, but more
than 5 % as it is suggested by the World Health Organization.