State regulation of health resort services as sector responsible for high quality work force potential recoveryand development
Inmodern society, the nation's health resources are capital, upon which sustainable economic growth is possible. However, deterioration ofhealth, in particular, super-mortality (particularly for men of working age), casts doubt on the achievement of economic growth requiredfor the development of Russia, because the negative changes in health status primarily reflect on the quality of labour resources. Thenation's health is largely determined by the state and effectiveness of health and social protection. Accordingly, one of the mostimportant social responsibilities of the state is to maintain the health of citizens, primarily through the development of health systems. Inthe pre-existing health care system an important place was given to prevention and rehabilitation. Planned activities in these areas createan acceptable level of quality of labour resources while minimizing the social costs of treatment. The main subject to ensure preventionactivities for a long time are spa facilities (SF). In the administrative-command system of management, their work is characterized byhigh efficiency due to the reduction in the number of days provided for a disability, in payments for temporary disability, in productionlosses as the morbidity of personnel is lower. The transition to the market economy system has created conditions for the developmentof the contradiction between the increase in the total number of SF and the amount of services. There is a paradoxical situation: intheory, with an increase in the number of SF, the need for services increases dramatically. In practice, there is a reduction of SF, becauselow payment demand slows their growth and improvement. In turn, the lack of periodicity of spa treatment and reduction of theefficiency of SF lead to deterioration of labour force, which is an obstacle to economic growth. Effective government intervention in theregulation of this sector can significantly improve the functioning of spa market in areas that lack their own markets or market-baseddecision-making is difficult for them. These include the following: rational use and protection of natural medicinal resources, buildinginformation infrastructure, organization of a specialized sales network, control of pollution of the environment, restrictions on land useand economic activities in the resorts and resort off localities in areas of health and fitness organizations, creation of industrialinfrastructure in the resort, including the support of transport network, communication, service and leisure facilities, funding andorganization-wide scope of research in balneology, etc. An effective solution to all these questions may be a creation of a competentorgan in the Ministry of Public Health of the Russian Federation. It should operate as an information centre, accumulating all theinformation about the resorts on different topics. The response to emerging issues should be timely. Thus we see the Federal Agency forResorts.
Keywords
санаторно-курортные учреждения, здоровье, государственное регулирование, health resort establishment, health, state regulationAuthors
Name | Organization | |
Sarkisyants Artur A. | Liski Branch of Voronezh State University | sarkartur@ya.ru |
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