Economic Evaluation of Medical Care Procedures: Methodology and Practical Application

The article is devoted to the development of a methodological approach for the comprehensive eco nomic assessment of Procedures for Rendering Medical Care (PRMC) and the calculation of additional funding requirements upon their updating. The proposed approach is based on the principles of system analysis and elementbyelement decomposition, which make it possible to move from lineitem costing to integrated financial modeling. The essence of the approach lies in considering the integral cost of PRMC implementation as a dynamic model, where changes in one structural block trigger cascading financial consequences in others. The practical implementation of the methodology, including comparative cost assessment of current and draft documents and calculation of additional funding needs, was carried out using data from public procurement of medical equipment and official Rosstat statistics on wages. The results of the analysis confirm that the proposed methodology allows not only to assess total costs but also to identify specific reasons for cost increases, quantify the scale of such increases due to regulatory updates, and substantiate tariff changes within the public healthcare financing system. Thus, the presented methodology can serve as a foundation for more evidencebased budget planning and financially responsible management decisions when updating industryspecific regulatory acts, which determines its practical significance for economists, analysts, heads of medical organizations, and developers of regulatory documents.