The impact of budget network reform on the availability and quality of social services (for example, the health sector)[Влияние Реформирования Бюджетной Сети На Доступность И Качество Социальных Услуг (На Примере Сферы Здравоохранения)]

The The results of reforms in the health sector are controversial. On the one hand, the optimization of the budget network did not lead to a decrease in the volume of services provided. Our assessment of the relative effectiveness of health care organizations in the regions in the period 2012-2016 confirms the positive impact on the efficiency of the health care system of the transition to single-channel financing. On the other hand, the intensification of the work of medical institutions was accompanied by a deterioration in a number of indicators of its effectiveness. In general, these reforms did not lead to the solution of the core problems of the healthcare sector - chronic underfunding and a high degree of inter-territorial inequality in the financing of healthcare facilities and the provision of medical care. This paper offers recommendations on improving the federal legislation on the organization of the budget network and assessment of the quality of public services, and on possible areas of restructuring and optimization of the budget network.