| Summary: | The article analyzes the development of the national healthcare system after the introduction of market reforms in Russia. We consider the economic
substance of healthcare services, the specificity of their provision. Reveals social peculiarity of medical services and a high significance for national
security. Based on existing publications spent a comparative analysis of healthcare reform in foreign countries. Generalized health financing mechanisms
used by national governments. Disclose concept combining paid and free medical services. The paper presents the market mechanism to provide
health care services. Represented the results of the introduction of market reforms in the healthcare of Russia. Analyzes the performance evaluation
of the effectiveness of medical services, offers internal and external criteria for the evaluation of medical to improve the availability and quality of
medical care. Represented the method of evaluating the effectiveness of medical practice. Grounded the necessity of expanding the volume of paid
medical services for compensation of public financial resources. Proposed the conditions for the introduction of paid services in the health care system.
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