Improving of Multi-Channel Financing of Military Medical Organizations
( Pp. 294-301)

The purpose of the research. The paper presents the results of studies on achieving full-fledged operation of military medical organizations taking into account the possibility of using various sources of financial support and increasing on this basis the availability of medical care for the civilian population and the possibility of full-fledged existence of these organizations in the medical services market. An analysis is conducted and sources of financing from the federal budget allocated through appropriations for the implementation of the state assignment of the Ministry of Defense of the Russian Federation (MO RF), funds of the Compulsory Medical Insurance Funds and funds from the provision of paid medical services to citizens and legal entities (including voluntary medical insurance contracts) are shown. Attracting the optimal number of patients, payment for whose treatment does not come from the federal budget allocated through appropriations for the implementation of the state assignment of the MO RF, is proposed to be achieved by introducing the development of effective management solutions in military medical organizations. Materials and methods. Statistical data on financial resources from different sources. Statistical and economic analysis of the number of treated patients with division into sources of payment for medical care provided, content analysis of publications on the topic and a fragment of the study. Research base. Federal State Budgetary Institution «National Medical Research Center for High Medical Technologies—Central Clinical Hospital named after A.A. Vishnevsky» of the Ministry of Defense of the Russian Federation. Conclusions. The proposed main directions for improving the quality of financial management of the VMO can, to a certain extent, become «breakthroughs» in the full application of all currently available sources of financial support in the provision of medical services, increasing their quantity and accessibility.

Esipov A. V., Stolyarova A. N. Improving of Multi-Channel Financing of Military Medical Organizations // ECONOMIC PROBLEMS AND LEGAL PRACTICE. 2025. Vol. 21. № 2. P. 294-301. (in Russ.) DOI: 10.33693/2541-8025-2025-21-2-294-301. EDN: RSISDO

Abrosimova A.S., Nadina E.V. Problematic aspects of the medical insurance contract // Achievements of science and education. —2022. —No. 3 (83). —P. 54–58.
Antoshina I.N., Kocheruk T.V., Zotkin A.V. Actual issues of organizing and conducting internal control of the quality and safety of medical activities in a military multidisciplinary outpatient and polyclinic organization // Military Medical Journal. —2025. —V. 346. —No. 4. —P. 17–25.
Banin S.A. Systematization of problems of financing healthcare in the Russian Federation // Bulletin of Tomsk State University. Economics. —2016. —No. 3 (35). —P. 89–106.
Borodenko V.V., Konovalov P.P., Tetyukhin K.A. Analysis of the financial and economic activities of a medical institution as a basis for making management decisions in order to increase the income of a military hospital // Ural Medical Journal. —2013. —No. 5 (110). —P. 101–107.
Borodenko V.V., Starodubtseva O.S., Borzunov I.V., Danilenko V.Yu. Analysis of the financial and economic activities of a military hospital // Journal of scientific articles «Health and education in the 21st century». —2017. —No. 3. —P. 88–89.
Valieva E.N. Financial management of state medical organizations // Bulletin of the Samara State University of Economics. —2022. —No. 8 (214). —P. 67–75.
Goloshchapova L.V., Yakushina S.O. Financial risk management in healthcare and ways to minimize them // Bulletin of the Academy of Knowledge. —2019. —31 (2): 278–80.
Esipov A.V., Abushinov V.V., Alenhanovich A.V. New requirements for internal quality control and safety of medical activities: ways and tools for their implementation in a multidisciplinary hospital (second message) // Hospital medicine: science and practice. —2021. —Vol. 4. —No. 2. —P. 64–71.
Esipov A.V., Abushinov V.V., Alenhanovich A.V. Project management of the activities of a multidisciplinary military hospital // Military Medical Journal.—2022.—Vol. 343.—No. 7.—P. 4 -11.
Esipov A.V., Abushinov V.V., Alekhnovich A.V. Implementation of the Development Strategy of a Military Medical Organization Using the Example of the Central Military Hospital // Hospital Medicine: Science and Practice. —2023. —Vol. 6. —No. 1.
Esipov A.V., Alekhnovich A.V., Meshkov A.V. Technologies for Optimizing the Management of a Multidisciplinary Hospital. —Moscow: VukiVedi, 2019. —244 p.
Zoricheva A.L. Primary Health Care in Certain Regions of the Russian Federation: Problems, Achievements, Prospects (Review) // Hospital Medicine: Science and Practice. —2023. —Vol. 6. —No. 4. —P. 59–68.
Zubareva N.N. Financial and economic mechanism for the development of primary health care (regional experience) // Economy. Informatics. —2020. —No. 1. —P. 13–22.
Kaibarova A. T. Problems and future development of compulsory and voluntary health insurance systems in Russia // Scientific journal «Studenchesky». —2022. —No. 15-55 (185). —P. 21–26.
Kovalevsky S. M. Some legal problems of voluntary health insurance contracts // Medicine and healthcare organization. —2019. —Vol. 4. —No. 1. —P. 17–23.
Kochanovskaya O. M., Mikhailyuk A. S. Evolution of modern financial management tools in healthcare institutions. —2015. —No. 3 (39). —P. 78–84.
Kuvshinov K.E., Alzoba Yu.A., Yasakova M.V., Nasretdinov I.N. Issues of legal regulation in the field of voluntary medical insurance // Military Medical Journal. —2025. —V. 346. —No. 2. —P.16–21.
Lebedeva N.O., Balzamova L.A. Influence of the financing model on the efficiency of medical institutions // Quality management of medical care. —2014.—No. 1. —P. 46–53.
Luk'yantseva D.V., Melnikova L.S., Fedyaev D.V. et al. Review of Russian experience in organizing and financing the provision of medical care to employees of various government agencies using the example of departmental medicine of the Ministry of Defense of the Russian Federation // Pharmacoeconomics. Modern pharmacoeconomics and pharmacoepidimiology. —2018. —Vol. 11. —No. 4. —P. 81–91.
Potapova L.A., Ivanova M.N. Concept, features and legal contracts of voluntary medical insurance // Current research. —2021. —No. 25 (52). —P. 60–62.
Ragozin A.V. Payment for medical services by separate coverage of fixed and variable costs of medical organizations // ORGZDRAV: news, opinions, training. Bulletin of the Higher School of Healthcare and Social Protection. —2022. —Vol. 8. —No. 4. —P. 63–72.
Ryabicheva O.I. Voluntary medical insurance in Russia: problems and development prospects // Journal of applied research. —2021. —No. 6-10. —P. 996–1004.
Sazanova G.Yu., Mirieva I.D., Erugina M.V., Ponomarev A.D. Quality of medical care and issues of financial management (review) // Saratov Scientific Medical Journal. —2021. —Vol. 17. —No. 4.
Starodubov V.I., Kadyrov F.N. Financial reserves of state (municipal) healthcare institutions of the Federal State Budgetary Institution «Central Research Institute of Public Health» of the Ministry of Health of the Russian Federation, Moscow, Russia // Healthcare Manager. —2017. —No. 10. —P. 65.
Faiberg T.V. Financing of medical care in Russia: sources and problems of their assessment / T.V. Faiberg, I.N. Shcherbakova. // Baikal Research Journal. —2021. —Vol. 12. —No. 1.
Shishkin S.V. Evolution and prospects of the compulsory medical insurance system in Russia // Economic policy. —2023. —Vol. 18. —No. 1. —P. 8–33.

efficiency, budget financing, compulsory medical insurance, multi-channel financing, military medical organization, financial security, management decision, system analysis of cash receipts.