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On January 18, the expert round table “Viable Healthcare: What Does Russian Health Care Need besides Money?” took place within the framework of the Gaidar Forum-2013. On the third day of the Gaidar Forum-2013, a closed round table “Viable Healthcare: What Does Russian Health Care Need besides Money?” dedicated to the search of the best solutions for addressing the current challenges of the domestic health care system took place.

Expert round table is one of the events held as part of the discussion platform “Viable Healthcare: Innovative Development”. ACIG Group of Companies acts as a regular partner of this event organized by the Russian Presidential Academy of National Economy and Public Administration, the Presidential Administrative Directorate, Novartis Group of Companies, Ernst & Young and Janssen.

Aleksandr Auzan, Dean of the Faculty of Economics at Lomonosov Moscow State University moderated the round table “Viable Healthcare: What Does Russian Health Care Need Besides Money?” and the following experts took part in it: the Minister of Health Care of the Russian Federation Veronika Skvortsova, Director of the Institute of Social Analysis and Forecasting of the Russian Presidential Academy of National Economy and Public Administration Tatyana Maleva, Head of the Laboratory of Budget Federalism of the Gaidar Institute of Economic Policy Vladimir Nazarov, Ernst & Young Retail and Consumer Products Leader in Russia and the CIS Dmitry Khalilov, President of the Society of Evidence-Based Medicine Specialists Viktor Vlasov and the Head of the RANEPA’s Department of Economic Theory and Policy Abel Aganbegyan.
At the meeting representatives of state, public and business entities discussed a number of systemic problems concerning better quality of health care system, searching for a balance between the interests of the state and businesses, better quality of treatment in Russia, as well as interaction of medical services consumers and providers.

The discussion was opened by the Head of the Laboratory of Budget Federalism of the Gaidar Institute of Economic Policy Vladimir Nazarov. In his speech he pointed to the need of strengthening position of medical service consumers by introducing quasi-market relations. ‘Consumers’ position can be strengthened by enabling them to partially purchase services by themselves’, Vladimir Nazarov noted. One of the most appropriate ways of doing so would be medical saving accounts. They will allow consumers pay for relatively unified services and, if needed so, transfer them partially within one family from one account to another.

Minister of Health Care Veronika Skvortsova reported that due to the lack of labour resources the Ministry’s attention will be further focused on staff and its education. The Government of the Russian Federation is also interested in HR policy aimed at developing professional management. Today new systems of target contract-based training for medical workers are implemented.

According to Veronika Skvortsova, in 2013 the Ministry of Health Care of the Russian Federation together with the Ministry of Regional Development launched elaboration of a strategic plan of territorial infrastructure planning. Public-private partnership in health care is slowly developing and this is where serious measures are going to be taken. ‘We are elaborating a detailed financial and economic model for the industry’s development. A traditional scenario is a breakthrough to 6.5 billion rubles allocated to public health by 2020’, the Minister said. ‘Thus, we will achieve 4.7% of GDP, which is going to make a cardinal change in the quality of medical services, but at the same time it will give an impetus to search for new ways of development.’
In his report, President of the Society of Evidence-Based Medicine Specialists Viktor Vlasov dwelled on the quality of medical treatment with a special emphasis on qualification of general practitioners in Russia.

In her turn, Director of the Institute of Social Analysis and Forecasting of the Russian Presidential Academy of National Economy and Public Administration Tatyana Maleva focused on the need of raising awareness on medical services among consumers. According to her, the situation is further complicated by the negative assessment by the society of the system in general and its reform in particular.

Summing up the meeting Aleksandr Auzan noted the importance of discussing social reforms and addressing them step by step. In her turn, Veronika Skvortsova assured that the experts’ recommendations and proposals developed at the round table would be brought up for discussion of the next meeting of the Ministry of Health Care of the Russian Federation.