MODERNIZATION OF HEALTH CARE FINANCING IN KYRGYZSTAN

In the Kyrgyz Republic, the residual principle of financing the state healthcare system is remained. In this regard, in modern conditions it is urgent to develop a mechanism for attracting additional sources of financing and their effective use. In the analysis of the structure and dynamics of financial resources, potential sources of financing of state organizations in the Kyrgyz Republic for compulsory health insurance have been identified. The main disadvantage of compulsory health insurance in the Kyrgyz Republic is the lack of forms of participation of the insured patient in the economic system of insurance relations. Introducing of personified accounting for compulsory health insurance is proposed for more complete coverage of commercial structures and increase their interest. Informal payments in medicine should not be considered a “bribe”, since in the absence of an adequate regulatory mechanism, this type of payments for medical services appear as an addition to the market price which is not regulated by the state and which cannot be canceled. The only way to formalize this type of payments is legalization.Funds received as a result of the legalization of paid medical services should not be taken outside hospitals and clinics. They should supplement their wage fund and used as a source of motivation.

MODERNIZATION OF HEALTH CARE FINANCING IN KYRGYZSTAN

In the Kyrgyz Republic, the residual principle of financing the state healthcare system is remained. In this regard, in modern conditions it is urgent to develop a mechanism for attracting additional sources of financing and their effective use. In the analysis of the structure and dynamics of financial resources, potential sources of financing of state organizations in the Kyrgyz Republic for compulsory health insurance have been identified. The main disadvantage of compulsory health insurance in the Kyrgyz Republic is the lack of forms of participation of the insured patient in the economic system of insurance relations. Introducing of personified accounting for compulsory health insurance is proposed for more complete coverage of commercial structures and increase their interest. Informal payments in medicine should not be considered a “bribe”, since in the absence of an adequate regulatory mechanism, this type of payments for medical services appear as an addition to the market price which is not regulated by the state and which cannot be canceled. The only way to formalize this type of payments is legalization.Funds received as a result of the legalization of paid medical services should not be taken outside hospitals and clinics. They should supplement their wage fund and used as a source of motivation.

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  • CHIF report for 2009- 2019. Data of the CHIF of the Kyrgyz Republic for 2009-2019.
  • Джапарова, Д. Экономический анализ системы здравоохранения в КР. – Бишкек: КТУ «Манас», 2014.
  • Ананко, А. 2018. Государственное медицинское страхование в Германии. Исторические корни и принцип. – Режим доступа: http://medicusamicus.com/index.php? action=7x994-9egx1.
  • Калиев, М. Т., Мейманалиев, С. Обязательное медицинское страхование в Кыргызской Республике (20 лет опыта). – Бишкек, 2016.
  • О Программе государственных гарантий по обеспечению граждан медико-санитарной помощью: Постановление Правительства Кыргызской Республики от 20.11.2015. – Режим доступа: http://cbd.minjust.gov.kg/act/view/ru-ru/98210.
  • Положение о сооплате за медицинские услуги, предоставляемые организациями здравоохранения, работающими в системе Единого плательщика: Постановление Правительства КР от 24 августа 2007 года № 363. – Режим доступа: http://cbd.minjust.gov.kg/act/view/ru-ru/58604?cl=ru-ru.
  • Колосницкая, М.Г., Шейман, И.М., Шишкин, С.В. Экономика здравоохранения. – Москва: ГЭОТАР-Медиа, 2018.
  • Положение о порядке сооплаты населением медикаментов, питания и отдельных видов медицинских услуг, оказываемых государственными лечебными учреждениями. 2018. – Режим доступа: https://online.zakon.kz/document/?doc_id=30260447#pos=1;-70.
  • В Кыргызстане предлагают повысить отчисления на обязательное медстрахование за счет доходов работника с 2 до 3%. – Бишкек, 2014. – Режим доступа: http://www.akipress.org/zdorovie/news:17203/
  • Данные Министерства здравоохранения Кыргызской Республики за 2009-2016.
  • Джапарова, Д. Анализ обеспечения здравоохранения Кыргызской Республики финансовыми ресурсами // Реформа. – 2018. – №3 (79). – С. 62-64.
  • Джапарова, Д. Экономика здравоохранения Кыргызстана в период трансформации. – LAP LAMBERT Academic published, Germany, 2016.