Difficulties of the federal centers providing the profile medical assistance

The main goal of the Federal Center (FC), not dependent on its profile, is to assist specialized, including high-technology medical care using new, unique and resource-intensive technologies. This statement is legally enforced by Russian Federal Law № 323. However following the other regulatory laws, such as State Program of guaranteed free medical care, acts that provide hospitalization and out-patient assistance as well as legislation in the field of procurement of medications and medical devices, in reality the FC are financially and legally equated to clinics of other levels (for example, polyclinics, regional and municipal hospitals) despite the complex patients' population and the requirements to their treatment results. The basic organization difficulties that face the federal centers are considered on the example of Dmitry Rogachev National Research Center of Pediatric Hematology, Oncology and Immunology.