RETHINKING THE NATIONAL HEALTH SYSTEM
Airat Farrakhov, Deputy of the State Duma of the Federal Assembly of the Russian Federation
A healthy, happy and long-lived person is the main goal of the health system. During the pandemic, life expectancy in Russia has decreased by several years, which is an additional challenge to the ambitious goal: to reach the average life expectancy of 78 years by 2030. Achieving this most important result requires a rethinking of the entire system, including a turn from reactive to preventive medicine, the need for modernization of the organizational and financial model, active development of digital technologies, telemedicine, replacement of outdated or worn-out infrastructure, overcoming the human resource gap, which in many regions predetermines the availability of medical care, as well as addressing a range of other, no less important issues.
• Stay healthy or treat illness? How to instill a new culture in people and what changes in healthcare are needed. Does the system need a complete revision?
• Primary care. Where to get money for modernization?
• Digitalization and telemedicine.
• To pay or not to pay? Where are the boundaries of free medical care (technological, economic, organizational). How to develop medicine in the absence of competition?
• Staff shortages, outflow, burnout. How to retain people and where to get new employees? How to teach, develop, and keep people safe in healthcare?