[THE DELIVERY OF MEDICAL CARE BY ORGANIZATIONS OF THE MINOBRNAUKA OF RUSSIA: THE DEPARTMENTAL SPECIFICS AND SIGNIFICANCE FOR HEALTH CARE SYSTEM OF RUSSIA].

The departmental medical organizations (university clinics, Federal research clinical centers) are important for medical care of population, but their spatial and profile distribution is poorly examined. To integrate them into regional health care systems comprehensive analysis is required. Materials and methods. The frequency and robust statistical analysis of distribution of head offices of the Minobrnauka of Russia providing medical care according Federal Okrugs, organizational legal forms and profile categories was carried out on the basis of data from the Federal forms of statistical observation and the register of licenses. The analysis revealed significant territorial and profile disparity in the departmental network. The typical Federal Okrug had median of ≈5.5 organizations at median of licensed objects of ≈27 (≈3 per organization) that corresponds to scenario of "spot" principal players. The budgetary institutions (≈84.8%) with median of ≈4 prevailed as against ≈1 for autonomous ones. The medians by levels of care were: I≈2, II≈1, III≈1 with wide IQR for level III that confirmed concentration of high-tech medical care. The therapeutic, surgical and laboratory diagnostic profiles dominated. The network of medical organizations of the Minobrnauka of Russia consists of "spot" centers with concentration of high-tech medical care in particular Federal Okrugs. Their integration with Regions, load monitoring and development of primary medical care is needed.