Contemporary Problems of Social Work Современные проблемы социальной работы academic journal

81
VOLUME 2, No. 1, 2016
Research methods: economical and statistical analysis, abstract and logical, generalizations, 
comparisons, tabular.
Results of work
Providing public services to the population is the main function of implementation of 
the activity for the state. The significant share in rendering of services is defined in the 
social sphere (education, culture, health care, social security, public service and other 
services).
For society the health system as provides public health care has special value, defines 
longevity, birth rate, working capacity of the population, so, is reflected also in country 
economic and social situation.
Now development of health system reflects a condition of economic and social situation 
in the country. The condition of technological level, volume, existence and a condition (the 
industry average term of use) of fixed assets defines activity (quality of services) of healthcare 
institutions.
According to Goskomstat of the Russian Federation existence of fixed assets [6] has made: 
in 2005 – 1023,4 billion rubles, in 2010 – 2175,8 billion rubles, in 2014 – 3233,8 billion rubles, 
that is increase in fixed assets in 2014 in comparison with 2005 on 2210,4 billion rubles, or by 
3,16 times is noted.
Commissioning of fixed assets [6] is presented: in 2005 – 79,8 billion rubles, in 2010 – 
159,3 billion rubles, in 2011 – 205,6 billion rubles, in 2012 – 295,9 billion rubles, in 2013 – 
295,3 billion rubles, in 2014 – 199,5 billion rubles. At the same time from 2005 to 2012 increase 
by 216,1 billion rubles, or by 3,7 times is observed. However since 2013 reduction of volumes 
of commissioning of fixed assets in comparison with 2014 on 95,8 billion rubles, or 32,4% is 
observed.
It is necessary to consider that degree of wear of fixed assets [6] makes: in 2005 – 47,8%, 
in 2010 – 53,3%, in 2011 – 53,9%, in 2012 – 52,7%, in 2013 – 54,9%, in 2014 – 54,7%. Despite 
reduction in 2012, in 2014 in comparison with 2005 there was an increase in degree of 
wear of fixed assets by 6,9%, that is more than a half of fixed assets of health care demand 
updating.
At the same time the coefficient of updating of fixed assets [6] has made: in 2005 – 3,7%, 
2010 – 4,6%, in 2011 – 5,3%, in 2012 – 6,1%, in 2013 – 5,8%, in 2014 – 4,7%. If from 2005 to 
2012 increase in coefficient of updating by 2,4% is noted, then from 2013 to 2014 value of 
coefficient of updating of fixed assets has decreased by 1,1%, and in 2014 in comparison with 
2005 value of coefficient has increased only by 1%.
The leavings of fixed assets [6] given on coefficient show that in 2005 – 1,1%, in 2010 – 
1,3%, in 2011 – 1,4%, in 2012 – 1,2%, in 2013 – 1,7%, in 2014 – 1,7%. in general, increase in 
coefficient of leaving of fixed assets continued till 2013, in 2014 value of coefficient of leaving 
of fixed assets has stopped at the level of 2013.
Existence of fixed assets of health system is interconnected with a state of health, demography, 
the level of life expectancy of the population. This situation should be considered at adoption 
of the budget of the country. However volumes of the expenses directed to health care tend 
limitation of the budgetary resources as, despite the allocated funds, lack of necessary medical 
equipment, idle time of the purchased medical equipment, absence of the experts capable to 
handle the hi-tech medical equipment and other factors is observed.
The head of the Ministry of Health of the Russian Federation Veronika Skvortsova has 
reported that the consolidated budget of health care in 2016 has grown by 4,3%. “in ten years 
since 2006 the consolidated budget in our country has grown by health care by 4,2 times: 
from 690 billion to 2,8 trillion rubles in 2016. And if to compare 2016 by 2015, despite all 
financial difficulties, the consolidated budget on health care in our country will grow by 4,3%” – 
Skvortsova has noted, speaking at the Gaidar forum [27].

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82
CONTEMPORARY PROBLEMS OF SOCIAL WORK
Financing of health system also includes investments into fixed capital of health 
system.
Table 1
The Investments into Fixed Capital Aimed at the Development of Health Care 
(in Actually Operating Prices) [6]*
Investments by years
2005
2010
2011
2012
2013
2014
Investments into fixed capital:
million rubles
94806
196182 216335 255759 222531 195385
percentage of the total amount of investments 
into fixed capital in economy
2,6
2,1
2,0
2,0
1,7
1,4
* The table is submitted on the basis of data of Goskomstat of the Russian Federation.
The presented investments into fixed capital aimed at the development of health care [6] 
tend: from 2005 to 2012 increase by 160953 million rubles, but from 2012 to 2014 decrease 
by 60374 million rubles, percentage of the total amount of investments into fixed 
capital in economy stable reduction of investments into fixed capital of health system is 
traced.
In modern conditions the health system needs maintenance of the existing financing level, 
and also use of new instruments of investments that will affect development of health care and 
availability of medical services and medical care for the population.  
In this situation one of effective and perspective instruments of attraction of investments 
into health system is leasing.
We will present advantages of leasing before other options of financing.
Table 2
Advantages of Leasing in Comparison With Other 
Options of Financing [17]
Factor
Option of financing of the in-
vestment project
own means
credit
leas-
ing
Probability of single acquisition of necessary 
property
no
yes
yes
Need of accumulation of volumes of own enterprise assets on 
implementation of the project
yes
no
no
Reference on prime cost of the expenses connected with imple-
mentation of the investment project
no
no
yes
Possibility of application concerning the acquired property of the 
accelerated depreciation with coefficient to the 3rd
no
no
yes
Now acquisition of the medical equipment by means of the leasing company and the leasing 
company which activity is carried out by various structures is possible.
The structure is understood as structures at the level of government, at the level of separately 
taken territorial subject of the federation and others.
We will carry out comparison of advantages of the specified leasing companies by comparison 
revealed criterion.

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