The development of public health policy in the context of the transformation of socio-economic systems

The study examines the mechanisms of implementation of state policy in the field of healthcare and analyzes the level of implementation of the State Program “Development of healthcare in Moscow (Metropolitan Healthcare)”, which allows us to assess their impact on the quality of life of the capital’s population. The study examines the specifics of state policy in the field of healthcare, with special attention being paid to the analysis of the problems of the low level of provision of qualified specialists, specialized equipment and medicines to public medical organizations. The actual causes of the outflow of medical personnel from the public sector to the private sector, as well as the lack of preferential medicines and the shortage of medical diagnostic equipment have been identified. Based on the results of the monitoring of the State Program “Development of Healthcare in Moscow (Metropolitan Healthcare)”, recommendations have been proposed aimed at developing public health policy, including attracting private medical organizations to the public sector under the compulsory medical insurance system (CHI) by evenly distributing the tariffs of medical care provided between the public and private healthcare systems, which It will increase the accessibility of specialized procedures for the population, to balance the number of referrals to public and private medical organizations, and to reduce the professional burden on internists, oncologists, and ophthalmologists. In addition, government subsidies and the development of research and development activities are required for the development of Russian drugs and equipment, as well as the training of scientific, technological and production personnel in the industry in order to import foreign medicines and equipment.