Financial provision for inpatient emergency medical care

Research objective. To conduct a comparative analysis of the financial provision for emergency medical care in inpatient settings according to the tariffs of the compulsory medical insurance system with the actual costs of providing it. Materials and methods. An analysis was conducted of data from medical organizations participating in the provision of emergency medical care in inpatient settings, regarding the tariffs charged for medical care provided within the framework of the Territorial Program of Compulsory Medical Insurance of St. Petersburg for 2024 and the first half of 2025. General tariff agreements, the procedure for forming and applying tariffs, the cost of clinical- statistical groups of diseases, and their components were studied. For comparison, materials received from a medical organization regarding the costs of emergency care provided in inpatient settings were processed. Results. In 2025, a clinical- statistical group of diseases st36.048 «Daytime hospitalization for diagnostic purposes» was formed, the cost of which in St. Petersburg is 5,987.9 rubles. When modeling the costs of providing emergency medical care in inpatient settings, the financial costs per case of treatment during daytime hospitalization amounted to 6,135.58 rubles, which is only 2.5% higher than the cost of the clinical- statistical group of diseases st36.048 «Daytime hospitalization for diagnostic purposes». Conclusion. The introduction of the new clinical- statistical group of diseases st36.048 «Hospitalization for less than 24 hours for diagnostic purposes» into the Program of State Guarantees for the Free Provision of Medical Care to Citizens for 2025 and for the planning period of 2026 and 2027 allows for the provision of medical care in emergency medical care beds, reimbursing the costs incurred by the medical organization.

1. Zheleznyakova I. A., Plakhotnik O. S., Rumyantseva E. I., Sidorova E. A., Vakhrusheva T. S., Yakina A. S., Morkhodoeva S. B., Zuev A. V., Fedyaev D. V., Avksentieva M. V., Omelyanovsky V. V. Main changes in the model of payment for medical care by clinical and statistical groups in the Russian Federation in 2025. Medical Technologies. Assessment and Selection, 2025, Vol. 47, No. 2, рр. 18–30 (In Russ.).

2. Letter of the Ministry of Health of Russia dated January 28, 2025 No. 31–2/I/2–1304 «On methodological recommendations on methods of payment for medical care at the expense of compulsory medical insurance funds» (together with the «Methodological recommendations on methods of payment for medical care at the expense of compulsory medical insurance funds», approved by the Ministry of Health of Russia No. 31–2/115, FFOMS No. 00–10–26–2–06/965 January 28, 2025). URL: https://www.consultant.ru/document/cons_doc_LAW_497461 (accessed October 28, 2025) (In Russ.)].

3. Gumenyuk S. A., Fedin A. B., Potapov V. I., Lyavina S. M., Bazarova M. B. Main aspects of the analysis of the activities of stationary emergency medical care complexes providing emergency medical care to the population of Moscow. Emergency Medical Care, 2025, Vol. 26, Nо. 2, рр. 9–15 (In Russ.).

4. Teplov V. M., Stozharov V. V., Tsebrovskaya E. A., Korshunova A. A., Burykina V. V., Enikeeva K. R., Bagnenko S. F. The problem of payment for a short-term case of treatment in a stationary emergency medical care department: analysis and simulation modeling. Public Health, 2024, Vol. 2, No. 4, рр. 52–60 (In Russ.).

5. Shlyafer S. I. Indicators of the work of emergency medical care provided in inpatient settings in the Russian Federation. Problems of social hygiene, healthcare and history of medicine, 2025, Vol. 33, No. 3, рр. 352–356 (In Russ.)

6.

7.