Assessment of long-term changes (scenarios) in the healthcare system in the context of modern technological development and value-oriented approaches[Оценка Долгосрочных Изменений (Сценариев) В Системе Здравоохранения В Условиях Современного Технологического Развития И Ценностно-Ориентированных Подходов]

In accordance with applicable law, in the control and payment of medical care, treatment outcomes are evaluated selectively. The tools used to control the quality of medical care are aimed at monitoring processes and their timeliness, and not at the results (outcomes). The system of payment for medical care takes into account only its volumes, and not the achievement of a significant outcome for the patient. Thus, in the modern healthcare system of the Russian Federation there are no incentives and mechanisms to increase the motivation of medical workers to improve the quality of medical care, which inevitably negatively affects the results of treatment. The paper analyzes foreign experience in introducing the concept of value-based healthcare and suggests approaches to introduce the concept into the conditions of the healthcare system of the Russian Federation.