TO THE QUESTION OF goal-setting in the health care system of the region population
The existing practice of program-targeted planning and management in the medical and demographic sphere at the federal and regional levels doesn't permit to use effectively the budget and achieve their goals. To change this situation it requires an understanding that health care as a subsystem is only one of the elements of a complex system, designed to solve health and demographic problems, the purpose of which is not and can not be the health. This understanding may be developed in the framework of the scientific debate, but requires mandatory institutional changes - legislative, structural and personnel.