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Issue № 72. February 2019

State Regulation of Healthcare and Quality of Medical Services as a Component of the State Social Function

Andrey A. Tretyakov, Oksana V. Sertakova, Mikhail N. Dudin

Andrey A. Tretyakov — Minister of Health of Tula region, Tula, the Russian Federation.

Oksana V. Sertakova — Director of the Department for Departmental Control and Support of the Ministry of Health of Tula Region, Tula, the Russian Federation.

Mikhail N. Dudin — DSc (Economics), Professor, Deputy Director of the Market Economy Institute of Russian Academy of Sciences (MEI RAS), Moscow, the Russian Federation; principal researcher, Management and Marketing Institute, Russian Presidential Academy of National Economy and Public Administration, Moscow, the Russian Federation.


Insufficiently high quality of medical services is one of the key socio-economic problems that intensifies the confrontation between the state and society, therefore raising the quality parameters of medical services for the population is an urgent task requiring new solutions. To achieve new results, it is necessary to systematize the causes and propose sound solutions aimed at improving the quality of medical services through the use of modern management tools and instruments of state regulation of health care. To develop solutions aimed at improving the quality of medical services, the authors used data from a sociological survey conducted by the population (employed respondents who live in a residential area of Moscow, who do not have additional income, do not receive pensions, social benefits, etc.), as well as representatives of the administration of state and municipal medical institutions located in the Moscow region. On the basis of the results of the sociological research, as well as on the basis of the results of the content studies of publications on the topics considered in the article, the authors proposed to change the paradigm of the healthcare sector regulation, as well as the paradigm of managing the activities of health care facilities: in the first case, due to the transition to a decentralized and diversified health insurance system; in the second case due to the transition to high-tech compliance management and socially responsible precision medicine.


Health, quality of health services, public policy, health care reform, national health, living standards, life expectancy.

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