+7 925 966 4690, 9am6pm (GMT+3), Monday – Friday
ИД «Финансы и кредит»






Regional Economics: Theory and Practice

The evolution of the financial and organizational aspects of health infrastructure development: The national and regional level perspectives

Vol. 18, Iss. 11, NOVEMBER 2020

Received: 18 August 2020

Received in revised form: 26 September 2020

Accepted: 7 October 2020

Available online: 13 November 2020


JEL Classification: H51, I11, I18, N30, R58

Pages: 2049–2070


Sycheva I.V. Tula State University (TulSU), Tula, Russian Federation


Sycheva N.A. Tula State University (TulSU), Tula, Russian Federation


Sabinina A.L. Tula State University (TulSU), Tula, Russian Federation

ORCID id: not available

Izmalkova S.A. Tula State University (TulSU), Tula, Russian Federation


Sokolovskii V.V. Tula State University (TulSU), Tula, Russian Federation

ORCID id: not available

Subject. This article considers the stages of development of the Russian healthcare infrastructure.
Objectives. The article aims to highlight the sustainable trends of the development of the multi-level public and market healthcare system in Russia at the turn of the 20th and 21st centuries in terms of financial and organizational support. The article also intends to consider the prospects for the development of the Russian healthcare system.
Methods. For the study, we used the methods of the evolution theory, economics, statistical, and structural analyses, and the expert assessment approach.
Results. The article presents an evolutionary model of the health system financing in Russia. It describes the prospects for the development of Russian healthcare in the context of creating a digital single circuit built on the network interaction of regional digital platforms.
Conclusions. Creating a regional digital platform based on next-generation smart information systems will help improve the quality of healthcare delivery and the level of health investment.

Keywords: healthcare infrastructure, financing mechanism, medical services market, digital platform


  1. Pirogov M.V., Uspenskaya I.V., Kozachenko S.V. Mezhdunarodnyi i otechestvennyi opyt reformirovaniya zdravookhraneniya: monografiya [International and domestic healthcare reform experience: a monograph]. Moscow, Panorama Publ., 2012, 80 p.
  2. Krasovskii V.P., Bronshein Ya.T., Zotova T.G. et al. Infrastruktura i intensifikatsiya ekonomiki [Infrastructure and intensification of economy]. Moscow, Nauka Publ., 1980, 193 p.
  3. Kutzin J. Descriptive Framework for Country-Level Analysis of Health Care Financing Arrangements. Health Policy, 2001, vol. 56, iss. 3, pp. 171–204. URL: Link00149-4
  4. Kochanovskaya O.M., Mikhailyuk A.S. [Evolution of the modern tools of financial management in health care institutions]. Uchet i statistika = Accounting and Statistics, 2015, no. 3, pp. 78–84. URL: Link (In Russ.)
  5. Akhmeduev A.Sh. [Problems of development and imperatives of reforming the health care in Russia and its regions]. Regional'naya ekonomika: teoriya i praktika = Regional Economics: Theory and Practice, 2018, vol. 16, iss. 5, pp. 884–901. (In Russ.) URL: Link
  6. Kozlova E.I., Novak M.A. [The market of paid medical services in Russia: dynamics, factors of development]. Innovatsionnaya ekonomika: perspektivy razvitiya i sovershenstvovaniya, 2018, no. 5, pp. 50–57. URL: Link (In Russ.)
  7. Ulumbekova G.E. Zdravookhranenie Rossii. Chto nado delat'. Sostoyanie i predlozheniya: 2019–2024 gg.: monografiya [Health care in Russia. What is necessary to do. The state-of-the-art and proposals: 2019–2024: a monograph]. Moscow, GEOTAR-Media Publ., 2019, 416 p.
  8. Jochimsen R. Theorie der Infrastruktur. Tübingen, Universität Tübingen, 1966, 253 p.
  9. Kovalev S.P., Sorokoletov P.V., Yashina E.R. et al. Aktual'nye voprosy upravleniya zdravookhraneniem pri perekhode k tsifrovoi ekonomike: monografiya [Current health management issues in the transition to the digital economy: a monograph]. Moscow, Grifon Publ., 2019, 343 p.
  10. Molchanova E.V. [The international practices of digital health: Theoretical and applied aspects]. Natsional'nye interesy: prioritety i bezopasnost' = National Interests: Priorities and Security, 2020, vol. 16, iss. 5, pp. 905–928. (In Russ.) URL: Link
  11. Sabinina A.L., Izmalkova S.A., Sycheva I.V. [Digital transformation of regional economy as a strategic potential of its development]. Ekonomicheskii analiz: teoriya i praktika = Economic Analysis: Theory and Practice, 2019, vol. 18, iss. 6, pp. 999–1013. (In Russ.) URL: Link
  12. Morozova Yu.A. [Digital transformation of Russian health care as a factor in the development of the industry]. Intellekt. Innovatsii. Investitsii = Intellect. Innovations. Investments, 2020, no. 2, pp. 36–47. (In Russ.) URL: Link
  13. Sabinina A.L., Sychova N.A. [Organization of the process of strategic planning of development of social infrastructure in Tula region]. Izvestiya Tul'skogo gosudarstvennogo universiteta. Ekonomicheskie i yuridicheskie nauki = News of Tula State University. Economic and Legal Sciences, 2013, no. 4-1, pp. 118–124. URL: Link (In Russ.)
  14. Kovaleva I.P., Bajenova S.A., Ambaryan A.Kh. [The public-private partnership in Russian health care: the regional aspect]. Problemy sotsial'noi gigieny, zdravookhraneniya i istorii meditsiny = Problems of Social Hygiene, Public Health and History of Medicine, Russian Journal, 2020, vol. 28, iss. 3, pp. 360–367. (In Russ.) URL: Link
  15. Sychova I.V., Sychova N.A. [The problems of introduction of projects of public private partnership in development of social infrastructure of regions of Russia]. Izvestiya Tul'skogo gosudarstvennogo universiteta. Ekonomicheskie i yuridicheskie nauki = News of Tula State University. Economic and Legal Sciences, 2013, no. 2-1, pp. 42–47. URL: Link (In Russ.)
  16. Roehrich J.K., Lewis M.A., George G. Are Public-Private Partnerships a Healthy Option? A Systemic Literature Review. Social Science & Medicine, 2014, vol. 113, pp. 110–119. URL: Link

View all articles of issue


ISSN 2311-8733 (Online)
ISSN 2073-1477 (Print)

Journal current issue

Vol. 22, Iss. 5
May 2024