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ORDER OF THE GOVERNMENT OF THE RUSSIAN FEDERATION

of March 29, 2019 No. 380

About modification of the state program of the Russian Federation "Health care development"

The government of the Russian Federation decides:

1. Approve the enclosed changes which are made to the state program of the Russian Federation "Health care development" approved by the order of the Government of the Russian Federation of December 26, 2017 No. 1640 "About approval of the state program of the Russian Federation "Health care development" (The Russian Federation Code, 2018, No. 1, Art. 373; No. 11, Art. 1625; No. 48, Art. 7431; No. 53, Art. 8684; 2019, No. 5, Art. 380; No. 11, Art. 1150).

2. Recommend to executive bodies of subjects of the Russian Federation in case of modification of the state programs of subjects of the Russian Federation aimed at the health care development, consider provisions of the state program of the Russian Federation "Health care development" with the changes approved by this resolution.

3. To the Ministry of Health of the Russian Federation to place the state program of the Russian Federation "Health care development" with the changes approved by this resolution on the official site, and also on the portal of state programs of the Russian Federation on the Internet in 2 weeks time from the date of official publication of this resolution.

Russian Prime Minister

D. Medvedev

Approved by the Order of the Government of the Russian Federation of March 29, 2019 No. 380

Changes which are made to the state program of the Russian Federation "Health care development"

State the state program of the Russian Federation "Health care development" in the following edition:

"It is approved by the Order of the Government of the Russian Federation of December 26, 2017 No. 1640
(In edition of the Order of the Government of the Russian Federation of 29.03.2019 No. 380)

State program of the Russian Federation "Health care development"

Passport of the state program of the Russian Federation "Health care development"

 

Program implementation terms

-

2018 - 2024

Executive in charge of the Program

-

Ministry of Health of the Russian Federation

Parameters of financial provision of the Program

-

the total amount of financial provision of the Program - 30011977646, 9 thousand rubles, including:

for 2018 - 3318522375, 8 thousand rubles;

for 2019 - 4111465013, 8 thousand rubles;

for 2020 - 4539958617, 6 thousand rubles;

for 2021 - 4558721178, 8 thousand rubles;

for 2022 - 4520310794 thousand rubles;

for 2023 - 4487338073, 6 thousand rubles;

for 2024 - 4475661593, 3 thousand rubles,

including:

means of the federal budget (by provisional estimate) - 4305494752, 4 thousand rubles,

including:

for 2018 - 311066464, 7 thousand rubles;

for 2019 - 506118587, 4 thousand rubles;

for 2020 - 761235652, 7 thousand rubles;

for 2021 - 694602435, 9 thousand rubles;

for 2022 - 705286903, 9 thousand rubles;

for 2023 - 665092953, 9 thousand rubles;

for 2024 - 662091753, 9 thousand rubles;

means of Federal Compulsory Health Insurance Fund (by provisional estimate) - 16540869900 thousand rubles:

for 2018 - 1994095111, 7 thousand rubles;

for 2019 - 2190422049, 8 thousand rubles;

for 2020 - 2350456250, 1 thousand rubles;

for 2021 - 2501474122, 1 thousand rubles;

for 2022 - 2501474122, 1 thousand rubles;

for 2023 - 2501474122, 1 thousand rubles;

for 2024 - 2501474122, 1 thousand rubles;

the means transferred by Federal Compulsory Health Insurance Fund to the budget of Social Insurance Fund of the Russian Federation (by provisional estimate) - 110784833 thousand rubles:

for 2018 - 18276158 thousand rubles;

for 2019 - 15855869 thousand rubles;

for 2020 - 15892884 thousand rubles;

for 2021 - 15583560 thousand rubles;

for 2022 - 15288301 thousand rubles;

for 2023 - 15042050 thousand rubles;

for 2024 - 14846011 thousand rubles;

means of consolidated budgets of subjects of the Russian Federation (by provisional estimate) - 9165495994, 5 thousand rubles:

for 2018 - 1013360799, 4 thousand rubles;

for 2019 - 1414924376, 6 thousand rubles;

for 2020 - 1428149714, 8 thousand rubles;

for 2021 - 1362644620, 8 thousand rubles;

for 2022 - 1313549768 thousand rubles;

for 2023 - 1320770997, 6 thousand rubles;

for 2024 - 1312095717, 3 thousand rubles;

non-budgetary sources - 117000 thousand rubles,

including:

for 2019 - 0 thousand rubles;

for 2020 - 117000 thousand rubles;

for 2021 - 0 thousand rubles;

for 2022 - 0 thousand rubles;

for 2023 - 0 thousand rubles;

for 2024 - 0 thousand rubles

Parameters of financial provision of projects (programs)

-

the general size of means at the expense of means of the federal budget constitutes - 1384466668, 7 thousand rubles,

including:

for 2018 - 6234000 thousand rubles;

the national Health care project - 1366723530, 7 thousand rubles:

for 2019 - 160337458, 7 thousand rubles;

for 2020 - 299092870 thousand rubles;

for 2021 - 238753482 thousand rubles;

for 2022 - 250642920 thousand rubles;

for 2023 - 210449000 thousand rubles;

for 2024 - 207447800 thousand rubles;

the national Demography project - 11509138 thousand rubles:

for 2019 - 1073246, 5 thousand rubles;

for 2020 - 4423142, 7 thousand rubles;

for 2021 - 1503187, 2 thousand rubles;

for 2022 - 1503187, 2 thousand rubles;

for 2023 - 1503187, 2 thousand rubles;

for 2024 - 1503187, 2 thousand rubles;

the means transferred by Federal Compulsory Health Insurance Fund to the budget of Social Insurance Fund of the Russian Federation - 110784833 thousand rubles:

for 2018 - 18276158 thousand rubles;

for 2019 - 15855869 thousand rubles;

for 2020 - 15892884 thousand rubles;

for 2021 - 15583560 thousand rubles;

for 2022 - 15288301 thousand rubles;

for 2023 - 15042050 thousand rubles;

for 2024 - 14846011 thousand rubles;

amount of means of consolidated budgets of subjects of the Russian Federation - 638181045, 4 thousand rubles,

including:

for 2019 - 130889576, 2 thousand rubles;

for 2020 - 130540487, 4 thousand rubles;

for 2021 - 112660075, 5 thousand rubles;

for 2022 - 99828859, 3 thousand rubles;

for 2023 - 94638039 thousand rubles;

for 2024 - 69624008 thousand rubles;

non-budgetary sources - 117000 thousand rubles,

including:

for 2019 - 0 thousand rubles;

for 2020 - 117000 thousand rubles;

for 2021 - 0 thousand rubles;

for 2022 - 0 thousand rubles;

for 2023 - 0 thousand rubles;

for 2024 - 0 thousand rubles

The purposes of the Program and their value by years of realization

-

the purpose 1 - decrease by 2024 in death rate of working-age population to 350 cases on 100 thousand population;

in 2018 - 455 on 100 thousand population;

in 2019 - 437 on 100 thousand population;

in 2020 - 419 on 100 thousand population;

in 2021 - 401 on 100 thousand population;

in 2022 - 383 on 100 thousand population;

in 2023 - 365 on 100 thousand population;

in 2024 - 350 on 100 thousand population;

the purpose 2 - decrease by 2024 in death rate from blood circulatory system diseases to 450 cases on 100 thousand population;

in 2018 - 565 on 100 thousand population;

in 2019 - 545 on 100 thousand population;

in 2020 - 525 on 100 thousand population;

in 2021 - 505 on 100 thousand population;

in 2022 - 485 on 100 thousand population;

in 2023 - 465 on 100 thousand population;

in 2024 - 450 on 100 thousand population;

the purpose 3 - decrease by 2024 in death rate from new growths, including from malignant, to 185 cases on 100 thousand population;

in 2018 - 199,9 on 100 thousand population;

in 2019 - 199,5 on 100 thousand population;

in 2020 - 197 on 100 thousand population;

in 2021 - 193,5 on 100 thousand population;

in 2022 - 189,5 on 100 thousand population;

in 2023 - 187 on 100 thousand population;

in 2024 - 185 on 100 thousand population;

the purpose 4 - decrease by 2024 in infantile death rate to case 4,5 on 1 thousand which were born live;

in 2018 - 5,5 on 1 thousand which were born live;

in 2019 - 5,4 on 1 thousand which were born live;

in 2020 - 5,2 on 1 thousand which were born live;

in 2021 - 5 on 1 thousand which were born live;

in 2022 - 4,8 on 1 thousand which were born live;

in 2023 - 4,6 on 1 thousand which were born live;

in 2024 - 4,5 on 1 thousand which were born live

Directions (subprogramme) of the Program


the direction (subprogramme) "Enhancement of delivery of health care, including prevention of diseases and forming of healthy lifestyle";

the direction (subprogramme) "Development and implementation of innovative methods of diagnostics, prevention and treatment, and also fundamentals of the personalized medicine";

direction (subprogramme) "Development of medical rehabilitation and sanatorium treatment, including children";

direction (subprogramme) "Development of personnel resources in health care";

direction (subprogramme) "Development of the international relations in the field of health protection";

direction (subprogramme) "Examination and control and supervising functions in the field of health protection";

direction (subprogramme) "Medical and sanitary ensuring separate categories of citizens";

direction (subprogramme) "Information technologies and management of development of industry";

the direction (subprogramme) "The organization of compulsory medical insurance of citizens of the Russian Federation" - 2018.

 

The structure of the Program in 2019 - 2024 is given in appendix No. 1.

The list of collaborators and participants of the Program is given in appendix No. 2.

Rules of provision and distribution of subsidies from the federal budget to budgets of subjects of the Russian Federation on implementation of actions according to the prevention and fight against socially important infectious diseases are given in appendix No. 3.

Rules of provision of subsidies from the federal budget within the federal projects "Fight Against Oncological Diseases", "Development of Children's Health Care, including Creation of Modern Infrastructure of Delivery of Health Care to Children", the departmental target programs "Enhancement of Rendering Emergency Medical Service and Activities of the All-Russian Service of Medicine of Catastrophic Crashes", "Enhancement of System of Delivery of Health Care by the Narcological Patient and Patient with Mental Disturbances and Disorders of Behaviour", "Prevention and Fight against Socially Important Infectious Diseases" and "Strengthening of Material and Technical Resources of Organizations" of the state program of the Russian Federation "Health care development" to budgets of subjects of the Russian Federation for the purpose of joint financing of capital investments in objects of state-owned property of subjects of the Russian Federation which are performed from budgets of subjects of the Russian Federation, or for the purpose of provision of the corresponding subsidies from budgets of subjects of the Russian Federation to local budgets on joint financing of capital investments in objects of municipal property which are performed from local budgets are given in appendix No. 4.

Rules of provision and distribution of subsidies from the federal budget to budgets of subjects of the Russian Federation for the purpose of joint financing of payment commitments of the subjects of the Russian Federation connected with achievement of results of the federal project "Development of System of Rendering Primary Health Care" which is part of the national Health care project by means of implementation of actions on purchase of aviation works for the purpose of delivery of health care (fast specialized medical care) are given in appendix No. 5.

Rules of provision and distribution of subsidies from the federal budget to budgets of subjects of the Russian Federation for the purpose of joint financing of the expenses arising when rendering to citizens of the Russian Federation the high-technology medical care which is not included in the basic program of compulsory medical insurance are given in appendix No. 6.

Rules of provision and distribution of subsidies from the federal budget to budgets of subjects of the Russian Federation for the purpose of joint financing of payment commitments of the subjects of the Russian Federation connected with achievement of results of the federal project "Development of Children's Health Care, including Creation of Modern Infrastructure of Delivery of Health Care to Children" which is part of the national Health care project by means of implementation of actions on development of material and technical resources of children's polyclinics and children's polyclinic departments of the medical organizations containing in state programs of subjects of the Russian Federation are given in appendix No. 7.

Rules of provision and distribution of subsidies from the federal budget to budgets of subjects of the Russian Federation on lump compensation payments to health workers (doctors, paramedics) aged up to 50 years who arrived (moved) to work to rural settlements, either working settlements, or settlements of city type, or the city with the population to 50 thousand people are given in appendix No. 8.

Rules of provision and distribution of subsidies from the federal budget to budgets of subjects of the Russian Federation for the purpose of joint financing of implementation of state programs of the subjects of the Russian Federation containing actions for development of system of palliative medical care are given in appendix No. 9.

Rules of provision and distribution of subsidies to budgets of subjects of the Russian Federation on implementation of the regional projects "Creation of Single Digital Contour in Health Care on the basis of the Single State Information System of Health Care (SSISHC)" are given in appendix No. 10.

Rules of provision and distribution of subsidies from the federal budget to budgets of subjects of the Russian Federation for the purpose of joint financing of payment commitments of the subjects of the Russian Federation connected with achievement of results of the federal project "Development of System of Rendering Primary Health Care" which is part of the national Health care project by means of realization of action for development of network of medical and obstetrical centers and (or) offices of general practitioners in the rural zone are given in appendix No. 11.

Summary information on the advancing development of the priority territories of the Russian Federation in the directions (subprogrammes) of the Program is given in appendix No. 12.

Appendix №1
to the state program of the Russian Federation "Health care development"

Structure
the state program of the Russian Federation "Health care development" in 2019 - 2024

 

Project (programs)

Departmental target programs, separate actions

name

purposes, terms (stages)

name

purposes, terms (stages)

The direction (subprogramme) "Enhancement of delivery of health care, including prevention of diseases and forming of healthy lifestyle"

Federal project "Development of System of Rendering Primary Health Care"

purpose: ensuring optimum availability to the population (including for inhabitants of the settlements located in the remote areas) the medical organizations giving primary health care; providing scope of all citizens with routine medical examinations at least once a year; optimization of work of the medical organizations giving primary health care, reducing waiting time in queue in case of the appeal of citizens to the specified medical organizations, simplification of the procedure of making an appointment with the doctor;

forming of system of protection of the rights of patients.

Realization term - on January 1, 2019 - on December 31, 2024.

departmental target program "Enhancement of Rendering Emergency Medical Service and Activities of the All-Russian Service of Medicine of Catastrophic Crashes"

purpose 1: reducing time of arrival (less than 20 minutes) of mobile teams of emergency medical service in the emergency form to the patient and to the place of the road accident respectively:

2019 - percent 89,5;

2020 - 90 percent;

2021 - percent 90,5;

2022 - 91 percent;

2023 - percent 91,5;

2024 - 92 percent;

2019 - 95 percent;

2020 - percent 95,5;

2021 - percent 95,5;

2022 - 96 percent;

2023 - 96 percent;

2024 - percent 96,5;

purpose 2: decrease in hospital lethality of the injured emergency situations which arrived in the medical organizations due to enhancement of work of the All-Russian service of medicine of catastrophic crashes:

2019 - percent 2,3;

2020 - percent 2,2;

2021 - percent 2,1;

2022 - 2 percent;

2023 - percent 1,9;

2024 - percent 1,8.

Realization term - 2019 - 2024.

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