Structural reforms in the public health system makes it necessary to examine the status and trends in the use of resources in both Russia and in some regions. Objects for the study were chosen among the areas most characteristic of the Volga Federal Okrug and socioeconomic and ethnic-confessional diversity of its regions. Reforms in inpatient and outpatient service for the population are analyzed. Both positive results in the optimization of structural reforms in the public health system and some negative trends were found.

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