From the viewpoint of systematic and comprehensive ...

From the standpoint of a systematic and integrated approach, the competitive advantages of medical services provided by legal, professional, technological, market, scientific, economic, organizational, psychological and other aspects, as well as their systemic relationship. Attractive field and reasonable competition in the market of medical services can be formed when a number of mandatory conditions to some of them classified as shown in Table 1. Table 1. Conditions for the formation of the competitive environment in the markets of medical services types and levels of management

Market of medical services - a state monopoly, oligopoly or a strategic alliance?

Six destiny IA Russian Academy of Public Administration under the President of the Russian Federation. Vladimir branch of the question of developing the theoretical foundation and constructing a model of competition in production and consumption of medical services. Competition - a maximum of strategy with minimal bureaucracy. Direction and development of health care reforms in Russia provide, ceteris paribus, developing and implementing health care strategies undertaken by state authorities and local self-modern economic relationships in health care are characterized by the desires of obtaining medical institutions (MPI) of a certain legal and economic autonomy and, At the same time - the vital need to strengthen partnerships. The main structural constituents of the healthcare system are not isolated health facilities or health care industry itself, and strategic alliances, which are territorial groupings health facilities and related organizations operating in a certain area and shares a common activity and complementary to each other. On the one hand, the classic strategic alliance as one of the many forms of organization, must be distinguished from an oligopoly, and with another - is well correlated with the real possibility of its appearance in the existing model of the health system. Being a fairly common form of the market, an oligopoly in the production and delivery of health services has the following characteristics: a small number of competitors with significant barriers to entry into the industry new health care facilities; provided medical care within the economic characteristics (medical services) can be standardized, so and differentiated, the effectiveness of medical care requires that the production capacity of each health facility occupied a large share of the total market for medical services. In connection with this - quite a high concentration of medical institutions in the region in which the total share of four to eight medical institutions I-II category of not less than 60% of the total demand for medical services; profitable expansion of material-technical base of medical care setting to larger sizes due to the weakness or absence of an attractive field and reasonable competition, the absolute vertical interdependence of health - care facilities, neutralizing effective mechanisms for competitiveness, mainly non-price competition in the production and consumption of medical services in the municipal form of medical care.