Optimisation Of Financing And Insurance Mechanisms In The Health Care System In The Context Of European Practice

Actuality. The concept of the medical system and its systemic approach, analysis of the financing of the health system, etc. - constitute important categories in the study of health services. At the moment, the overall analysis proves that the current financing mechanism is becoming insufficient, and the medical insurance companies declare themselves dissatisfied with the function they perform, respectively, the process of resiliency of the medical system is impossible. These circumstances suggest that the financial management of the health system requires conceptual changes. In the context of the accession of the Republic of Moldova to the EU, public policies and mechanisms for financing and ensuring the health system become particularly current, together with the medical normative acts, which require the revision of the health protection system. The objective. It consists in the resilience of the national public health financing model in the Republic of Moldova through the thorough analysis and synthesis of existing scientific concepts and practices in the world and their adaptation to the national medical culture. Research methods. In order to achieve the stated objective, the authors documented themselves, performed the selection and bibliographic synthesis of information from national and international medicine. Graphical, tabular and comparative analysis methods were used for visual and representative interpretation. Grouping, synthesis, induction and deduction methods were used. Results. Although none of the existing global public health financing models can claim to be universal, analyzing the weaknesses of different public health financing models and the experiences of their use in certain countries have been essential in formulating the optimal model for the Republic of Moldova, which claims to join the EU. The optimal variant of resilience of the medical financing system in the Republic of Moldova is argued to be: completing the Bismark system with elements of the Semashko system. The argumentation of this model emerged from the functional-structural approach and the dialectical interrelations between the functions of the system and the structure of the studied object - the health and social protection system created. Originality. The study of the strengths and weaknesses of each model and the specific experiences of the selected countries was of key importance in formulating the conceptual aspects of financial management in public health. The authors performed a complex analysis of different health systems from different countries of the world and the Republic of Moldova, determining the opportunities and criteria for improving the system of local medical services. The relevance and variability of the obtained results allowed the authors to formulate the essential theoretical and practical foundations in the field of public health and to argue the option of a more efficient financing mechanism for this field in the Republic of Moldova.