THE PITFALLS OF THE CURRENT GOVERNMENT PROCUREMENT ALGORITHMS IN THE HEALTHCARE SYSTEM OF THE RUSSIAN FEDERATION

The article reflects on current problems within the system of government procurement of pharmaceutical products that fulfil the public healthcare system needs. The authors examine the public procurement procedures in regard to implementation of the citizens’ constitutional right to healthcare. The purpose of the work is to identify problematic issues within the public medicines procurement procedures and to propose measures aimed at improving the legislation within the domain. The range of problems include inefficient calculation algorithms that determine the maximum initial price of a contract and the excessiveness of the existing protectionist laws within the procurement system. The article uses general scientific methods: analysis, abstraction, system-structural approach, modeling, and pharmaceutical market monitoring analysis. The authors consider reevaluation of some legislative initiatives to be essential so that law violation could be avoided, and patient rights would be ensured. The research importance consists in the possibility of implementation of the introduced approach to change the law in order to enhance the government procurement system performance in regard to pharmaceutical products and, consequently, improve the efficiency of the healthcare system as a whole. The research may be useful for public servants, lawmakers, students and practitioners.

government procurement, legislative initiatives, pharmaceutical products, health care system, social and economic policy