Healthcare in Russia: Macroeconomic Parameters and Structural Issues

The epidemiological crisis of 2020–2021 has revealed a number of imbalances and “bottlenecks” that have developed in the Russian healthcare system over the past 20 years as a result of a policy of limiting development to breakthroughs in individual areas accompanied by optimization of the sector. It became evident that one of the most acute problems is interregional disparity in terms of personnel and resource availability in the healthcare system, which determines the system’s ability to respond to challenges and shocks. Solving these problems requires a comprehensive approach: simply increasing the sector’s financing is not sufficient and must be accompanied by structural changes, in particular, modifying the education system and training new highly qualified personnel, creating an effective system of territorial distribution of personnel, and radically increasing the availability of high-end equipment, i.e., a transition to a new model of healthcare.