In this particular outcome ...

At this particular end result (preservation of life, recovery, relief of suffering, prevention, etc.), across a variety of possible medical technologies appropriate to the specific medical needs, in terms of application can be uniquely productive for the individual patient. It is understandable that a rational activity (excluding emergencies), following a reasonable logic is unacceptable excessive consumption of material resources, personnel and technology. Although all production is impossible without costs. Quite literally - the costs (English Expenses) are a set of movements of funds that impact on the operation and structure of the enterprise [2]. In a production system of medical services is important to not having the costs themselves, and their structure and level. In the economic activities of modern institutions of health systems in Russia, a high proportion of structures with high production costs. Detail the formation of the parsed costs in the manufacture of medical services enables the health-cost areas to allocate (born Cost Centre), subdividing them into "operational" and "structural." Comparing the proportion of such expensive land in comparable regions of the production of medical services we can speak about a certain degree of cost-effectiveness of medical institutions (medical practice), and, therefore, relate not only to return with the efficiency and quality of care, but with the characteristics of profitability. Hence, apparently, there are limits to a kind of "return" to provide specific medical services, under which the costs of producing the service are commensurate with the specific parameters of medical practice, including appropriate provision of this activity and the necessary technology. The aggregate costs of medical procedures in the broadest sense, as a form of address the health needs of the patient and the desired result within the medical demand, are in some kind of reasonable equilibrium. As is well known in the economy, such an equilibrium satisfies the three conditions [3]: the marginal cost in health care must be equal to short-term marginal revenue and costs of medical services (in the context of this article we have not considered sources of payment for medical services) - [this thesis is described by P = MR = MC, where P is the marginal cost, MR - short-term marginal revenue, MR - marginal price], and each health care setting (medical practice) is conditionally satisfied with their delivery of care and use of facilities and resources for health services in these volume (short term average total costs [ATSmin] are the lowest possible long-term average cost [LATCmin] - [ATSmin = LATCmin]; each health care setting (medical practice) receive zero economic profit at the highest level of quality of care, ie