It is clear that the maintenance of these ...

It is clear that the maintenance of these institutions in the budgets laid considerable funds of taxpayers. Sometimes, in the absence of a unified command in the executive management of regional funds CBOs operating at approximately equal surface area with the same number of the insured population and the volume of the number of states in the order varies from one another in size. For example, in the executive management of the Vladimir regional fund CMI in 2003, was approved by the 154 staff positions, in the Lipetsk Compulsory Medical Insurance Fund of 69, and the Belgorod - 88. A similar pattern in the structures, abundances and levels of budgets in all the local health authorities and territorial structures of social security funds. Simple calculations show that if today is abolished at the level of the country's territorial structure of the health authorities, the executive directorate of territorial funds of obligatory medical insurance and administrative structure of social security funds, and in their place to create a territorial agency for Welfare and Health, with the number of managerial staff, For example, two times less than the sum of the total number of officials of the above three structures, the effectiveness of such integration on a national scale would be quite substantial. The main thing with this reorganization be achieved to ensure a uniform approach to public health, excluded a number of duplicate structures perform similar functions today, perhaps the union funds, hitherto scattered, but in fact allocated to the same goal; ensures optimum number of medical officials; increased personal responsibility, set a single-founded The regular vertical connection with the newly created Ministry of Health and Social Development. In constructing such a state structure of public health and social development can be ensured logical conclusion model of sector management by objective, structure and functions. It is clear that doing so does not cause optimism among officials in the present-day regional health authorities, local self-government funds and social security, but it is safe to say that will support most of the population, and that not least - the medical community.

Competition in Health and Medicine

(On the development of theoretical foundations and constructing a model of competition in production and consumption of medical services), six destiny IA D. mc., Professor of management Vladimir Branch of Russian Academy of Public Administration under the President of the Russian Federation Competition - the trigger of market relations. With the upcoming change the health care system of the Russian Federation remains a very topical problem of finding a model of national health systems, adequate to modern realities of society.