Public procurement in the healthcare sectors of Russia and EEUU

• Marina V. Shmeleva Saratov State Law Academy, Russia https://orcid.org/0000-0002-1628-8366

DOI: https://doi.org/10.46925//rdluz.34.10

Keywords: Russian Federation, EEUU, health services, innovation behaviors

Abstract

The aim of the study is to analyze public procurement issues in the field of healthcare. Dialectical, logical, and comparative methods have been used. The author has studied the best practices of such procurement and conducted a comparative legal analysis of Russian and the US public procurement systems. The following results have been achieved: it has been found that public procurement in the healthcare sector is considered more complex than that in other sectors of the economy since there are more barriers and travails. This is because through healthcare public procurement the state purchases medical equipment and medications for state and municipal healthcare facilities. The author concludes that one of the main problems in the regulation of healthcare public procurement is that budget holders’ supply agreements for medical equipment, medications, and medical products are often competition-free. Covering the efficiency of public procurement in Russia, the author highlights the main violations typical of the system at all levels (from regional authorities to municipal institutions). There are also some practical recommendations to improve Russian public procurement legislation.

References

Baldi, S.; Vannoni, D. (2017). The impact of centralization on pharmaceutical procurement prices: The role of institutional quality and corruption. Regional Studies, 51(3), 426–438. doi:10.1080/00343404.2015.1101517.

Devaiah A., Wijaranakula M., Kommuru Rena C., Conti R. M. (2020). Product Procurement In A Time Of Federalism: The COVID-19 Challenge. URL: https://www.healthaffairs.org/do/10.1377/hblog20200515.360276/full/ (accessed on 25 February 2021).

Edquist C., Hommen L., Tsipouri L. (2000). Public technology procurement and innovation. Kluwer Academic Publishers, Boston, Dordrecht, London.

Federal Law “On the Circulation of Medicines” of 12 April 2010 https://clineg.com/laws-in-russia/federal-law-61 (accessed on 20 June 2021).

Federal Law on the Contract System https://en.fas.gov.ru/netcat_files/File/44-FZ%20eng.pdf (accessed on 20 June 2021).

Government Decree “On approval of the rules for forming the list of medications procured under their trade names and on amendments to the Regulation on the Government Commission on Public Health Protection” of 28 November 2013 https://base.garant.ru/70522140/ (accessed on 20 June 2021).

Government Decree on Medicine Descriptions URL: https://base.garant.ru/71810812/ (accessed on 20 June 2021).

Huculová, E. (2018). Porovnanie vybraných metodologických prístupov HTA na národnej úrovni a naúrovni nemocníc. Exclusive journal: economy and society and environment 2018, 6(4), 53-59.

Improving Public Procurement. Recommendations and materials prepared by the Industrial Companies Working Group (2012), Moscow.

Letter of the Federal Antimonopoly Service URL: https://drcs.krasnodar.ru/content/134/show/6880/#:~:text=Письмо%20ФАС%20России%20от%2030,МНН».%2011%20сентября%202016%2C%20Воскресенье (accessed on 20 June 2021).

Ochrana, F.; Maaytová, A. (2012). Starting points for creating a transparent and non-corruption public procurement system. Ekonomický časopis, 60 (7), 732-745.

OECD (2013). Health at a Glance 2013: OECD Indicators, OECD Publishing. http://dx.doi.org/10.1787/health_glance-2013-en (accessed on 20 June 2021).

Presidential Document by the Executive Office of the President on 05/22/2018. Efficient Federal Operations. URL: https://www.federalregister.gov/documents/2018/05/22/2018-11101/efficient-federal-operations (accessed on 25 December 2019).

Presidium Meeting of the Government of the Russian Federation on the development of competition in the markets of air transportation and medicines, 2013. URL: http://government.ru/news/8354 (accessed on 25 December 2019).

Sirotkina, N.G.; Skrebtsova, R.R. (2015). The Characteristics of Procurement Procedures in State-Financed Healthcare Facilities of the Russian Federation. MEDICAL ALMANAC, 4 (39). https://publications.hse.ru/mirror/pubs/share/folder/dzx8nj0ocv/direct/171938284 (accessed on 20 June 2021).

Sokolov, B.I.; Lin A.A.; Terekhov M.E. (2013). Pharmaceutical Market: Wholesale Sector. Problems of the Modern Economy, 2 (46).

Yagudina R.I., Arinina E.E., Kondratieva B.B. (2013). Interchangeability and Substitutability of Medicines. Modern Organization of Medication Supply, 1.