Main results and trends of budget policy (стр. 6 )

	Unit of measurement	2005	2006	2007	2008	2009	2010
Volume of outpatient and polyclinic care	Number of visits per 1,000 people	8,900	9,800	10,550	11,500	11,580	11,630
Volume of inpatient care	Number of bed days per 1,000 people	3,085	2,900	2,750	2,500	2,300	2,200
Hospitalization level	per 100 people	22.3	22.5	20.8	20.0	19.0	18.5
Length of stay at 24-hour inpatient clinics	days	13.8	13.2	12.5	12.0	11.5	11.1

The following objectives have been placed before healthcare organizations:

	Unit of measurement	2005	2006	2007	2008	2009	2010
Number of persons with alcohol addiction and alcohol psychoses	Persons per 100,000 people	1,539.1	1,646.0	1,630.7	1,628.3	1,625.9	1,612.4
Number of persons diagnosed for the first time for alcohol addiction and alcohol psychoses	Persons per 100,000 people	147.0	158.0	150.0	148.0	146.0	144.0
The average life span of persons with chronic pathologies after diagnosis	years	10	11.5	12.5	13.5	14	14.5
The share of preventive examination visits to doctor	%	34	36	38	38	38.5	38.7
Flu vaccination	%	14.7	15.0	20.0	21.0	22.0	23.0

Technologically Advanced Medical Assistance

Beginning in 2006 the federal government has appropriated significant funds aimed at providing our citizens access to costly technologically advanced medical aid. Construction began in 2006 on four federal medical centers offering technologically advanced treatment, which will reduce the wait currently experienced by individuals seeking advanced medical treatment, in addition to reducing the number of individuals seeking medical treatment abroad.

In 2008 technologically advanced medical assistance will be offered to 195,000 citizens; this number will grow to 220,000 in 2009, and to 240,000 in 2010. Expenditures in this regard will increase by a factor of 1.33 over the next three years, satisfying up to 45% of the demand for technologically advanced medical aid in 2008, and up to 80% in 2010 (compared to 25% in 2006).

To satisfy the demand for donated blood and blood additives the federal government has allocated special funds that will be used to operate 21 plasma centers opening in 2007.

Protection for Families and Children

Increased healthcare spending will significantly bring down the statistics on infant and maternal mortality, and result in improved infant and child health.

	Unit of measu­rement	2005	2006	2007	2008	2009	2010
Infant mortality per 1,000 live births	people	11.0	10.2	10.1	9.9	9.6	9.3
Maternity mortality per 1,000 live births	people	25.4	24.5	24.0	23.0	22.0	21.0
Child mortality at the age of 0-4 per 1,000 newborns	people	13.9	14.2	13.3	12.7	11.6	10.9
The ratio of Health Group One children to the total number of children aged 0-17	%	-	30.0	32.0	33.5	35.5	37.5
Primary disability among children aged 0-17 per 10,000 children	people	24.8	24.0	23.3	22.6	22.0	21.4

To improve the quality and accessibility of medical assistance during pregnancy, delivery and post-delivery periods, beginning in 2008 the federal government will fund the construction of twenty modern perinatal facilities with infant intensive care units throughout the subjects of the Russian Federation; in 2008 the federal budget allows for 8 *****bles in funding, rising to 12 bln. in 2009.

Confronting Disease of Social Significance

The federal government funds prevention and treatment of socially significant diseases, such as diabetes, hepatitis B and C, sexually transmitted infections, HIV and tuberculosis, through the federal targeted program titled “Prevention and treatment of socially significant diseases, .” The amount of funding for the program will increase yearly, beginning with 4.4 *****bles in 2008, and 4.8 and 10.5 rubles for 2009 and 2010, respectively. As a result the rate of new infections will be stabilized and reduced.

	Unit of measurement	2005	2006	2007	2008	2009	2010
Number of persons first diagnosed for HIV per 100,000 people	people	21.0	21.2	20.9	20.7	20.5	20.3
Active tuberculosis incidence (number of persons first diagnosed per 100,000 people)	people	83.8	83.0	82.7	82.3	82	81.7

National Project Health

A significant portion of the funds under the article Healthcare will be assigned to a project of national priority titled Health (table 3.5).

Table 3.5

Costs and Results of the National Priority Project Health

	Unit of measurement	2007	2008	2009
National Project Public Health, total	*****bles	107.7	85.9	91.5
Expenditures for additional training of general practitioners, neighborhood physicians and pediatricians	*****bles	0.3	0.3	0.3
thous. people	12.0	12.0	12.0
High-tech medical care	*****bles	17.5	22.0	26.5
thous. people	170.0	195.0	220.0
Equipment supplies to federal specialized medical institutions for the development of new medical technologies	*****bles		7.0	6.0
sets		47.0	47.0
Improvement of health care services to road accident victims	*****bles		2.5	2.5
pieces of equipment		2,861	2,837
Improvement of health care services to persons with cardiovascular diseases	*****bles		1.4	1.5
pieces of equipment		82.0	84.0
Examination and treatment of HIV-positive persons, HIV, B and C hepatitis prevention	*****bles	7.8	7.8	9.3
mln. people	22.6	22.7	22.8
Examination of the newborns for early detection of hereditary diseases	*****bles	0.4	0.5	0.5
mln. people	1.3	1.6	1.7
Immunization under the National Vaccination Schedule	*****bles	6.1	6.1	6.1
mln. people	77.7	74.2	74.2
Payments to medical personnel at feldsher-midwife stations (FAPs), physicians, paramedics and nurses at emergency care stations (SMPs)	*****bles	0.1	0.1	0.1
persons (FAPs / SMPs)	42/1,290	42/1,290	42/1,290
Payments to physicians and nurses providing primary care at federal health facilities under government contracts for additional health care services if awarded municipal contracts (the Federal Medical and Biological Agency of Russia and the Russian Academy of Sciences)	bln. .rubles.	0.3	0.3	0.3
persons (physicians/nurses)	98/ 1,070	98/ 1,070	98/ 1,070
Subsidies to medical personnel at feldsher and midwife stations (FAPs), physicians, paramedics and nurses at emergency care stations (SMPs)	*****bles	11.1	10.8	10.8
thous. people (FAPs / SMPs)	58.9/ 111.1	60.4/ 113.8	60.4/ 113.8
Payments to general practitioners, neighbourhood physicians, Pediatricians and nurses assigned to respective doctors	*****bles	20.8	22.8	23.3
persons (physicians/nurses)	77.5/82.6	82.9/89.3	84.5/92.5
Preventive examination of working citizens	*****bles	4.0	4.0	4.0
mln. people	7.4	6.9	6.5

Because the greater portion of healthcare spending comes from regional budgets the project Health involves significant subsidies and acquisitions of equipment and medication for regional and municipal healthcare facilities.