Historically, the emergence of ...

Historically, the emergence in the economic activity of different forms of regulation (state regulation, self-regulation, co-regulation, market regulation) due to economic expediency and the desire of society to improve the efficiency of public goods [15, 16.18]. Nature of public goods produced largely determines the specific regulation of their production and consumption [10]. Medical services are classified as experienced and / or trust benefits, ie, exactly the types of goods that involve self-regulation of their respective companies. In other words, Western society considers the public health model, in which self-regulation of professional medical practice physicians (nurses) is required and essential element, as the most effective and economically viable options for the production of medical services. Society benefit from this model including on such grounds as reducing maintenance costs gosregulyatora that Russia is actually very relevant: in terms of the proportion of direct and indirect costs for the actors and gosregulyatora (officials) in the consolidated budget of Russia is the country's health unquestionable "leader" among European countries. Also today, self-regulation as an institutional mechanism for regulating the production of public goods in a given area is usually regarded as the most effective "medicine" in the fight against the evils of another institutional mechanism - regulation is seen as corruption and bribery [11, 17]. Concluding the brief description of some kind of homogenized Western model of public health, it must be said that the structure of public health of a particular State is always a mirror image of the structure of the social structure of the state. The main element of the model of public health is a professional medical community, structured horizontally (medical specialties) and vertical (territorial and national levels), which regulates the professional activities of its members on the principle of self-regulation. Reasonable balance between public and non-regulators in the health sector provides the optimal allocation of resources in the industry, a reasonable public access to and quality of care, the high social and legal protection, as the doctors (nurses) and patients. The legitimacy of professional medical associations, as well as the very model of public health in Western countries is not fixed by any regulations of direct action. Model of public health as an international industry project for voluntary self-regulation, formed an evolutionary-based business practice and common sense. The legitimacy of professional medical societies in this model is determined by long-term historical experience of their operation, structuring and membership in associations (de jure - voluntary, but de facto - mandatory).