Directions for improving the institutional system of regulation of the medical device market
- Authors: Shtanko A.Y.1
-
Affiliations:
- Ural Federal University named after the first President of Russia B.N. Yeltsin
- Issue: Vol 14, No 3 (2025)
- Pages: 116-133
- Section: Economic policy and public administration
- Published: 31.10.2025
- URL: https://journals.rcsi.science/2070-7568/article/view/378405
- DOI: https://doi.org/10.12731/3033-5973-2025-14-3-317
- EDN: https://elibrary.ru/MEAPIG
- ID: 378405
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Abstract
Background. The contemporary system governing the circulation of medical devices operates under conditions that combine stringent requirements for product quality and safety with the necessity to ensure the stable functioning of a strategically significant sector. The specific features of this segment are determined not only by economic but also by institutional factors that define the framework and logic of stakeholder interaction. This study is devoted to a comprehensive analysis of the institutional system of state regulation in the medical device market, applying the methodological principles of institutional theory, which emphasizes the role of formal norms, procedures, and enforcement mechanisms. Current approaches to managing this sector in the Russian Federation and in foreign jurisdictions are examined, and key institutional barriers that reduce investment and innovation activity are identified. The research substantiates the need for establishing a coherent and sustainable institutional system capable of minimizing transaction costs, enhancing the transparency of regulatory procedures, and stimulating the diversification of production capacities.
Purpose. To develop scientifically grounded proposals for improving the institutional system of state regulation in the strategic segment of the medical device market.
Methodology. The study employs institutional analysis, comparative legal analysis, systematization of legal acts, and a structural-functional approach.
Results. Key institutional shortcomings in the current regulatory system are identified, along with concrete mechanisms for addressing them.
Practical implications. The results can be used in the development of public policy in the healthcare sector, improvement of legal frameworks, and advancement of the institutional environment governing the medical device market.
About the authors
Alexey Yu. Shtanko
Ural Federal University named after the first President of Russia B.N. Yeltsin
Author for correspondence.
Email: ssshtanko@gmail.com
ORCID iD: 0009-0005-7746-0624
Post-Graduate Student of the Department of Regional Economics, Innovative Entrepreneurship and Security
Russian Federation, 19, Mira Str., 19, Yekaterinburg, Sverdlovsk region, 620002, Russian Federation
References
- Barkovskaya, E. V., Shalenkova, E. V., Ponomareva, A. A., & Mishchenko, E. S. (2021). Modern Aspects of Normative and Legal Regulation of Circulation of Medical Devices. Eurasian Scientific Union, 12-2(82), 183-186.
- Gertsik, Yu. G., Platutnitskiy, A. N., & Roshchin, D. O. (2020). Certain Issues of Regulation of Circulation of Medical Devices in the Markets of the Eurasian Economic Union. Manager of Healthcare, (7), 60-64.
- Djumaev, R., & Khodjamneddov, Ch. (2024). Institutional Economics: The Role of Institutions in Economic Development and Analysis of Institutional Changes. Symbol of Science: International Scientific Journal, 1(6-1), 26-27.
- Klimentova, E. A., & Pozdnyakova, T. N. (2021). Market Analysis of Medical Supplies. In Proceedings of the Second International Scientific and Practical Conference “Topical Issues of Biomedical Engineering” (Penza), pp. 172-177.
- Malukhina, T. Yu. (2019). Features and Trends in the Development of the Market for General Medical Goods. In Strategies for the Development of Social Communities, Institutions and Territories: Proceedings of the Fifth International Scientific and Practical Conference (Vol. 1, Ekaterinburg: Ural Federal University named after B.N. Yeltsin), pp. 310-314.
- Munassar, M. A., & Sosnilo, A. I. (2022). Trends and Prospects of the Global Market for Medical Instruments for Laboratory Diagnosis. Scientific Journal of ITMO University. Series: Economics and Environmental Management, (2), 94-104.
- Nureev, R. M., Latov, Yu. V., & Orekhovskiy, P. A. (2024). Ronald Coase and New Institutional Theory. Monograph. Moscow: KNORUS, 252 p.
- Panikarova, S. V., & Zolotov, A. A. (2022). Institutional Constraints and Opportunities for Public-Private Partnership Development in Telemedicine. National Interests: Priorities and Security, 18(11), 2164-2186.
- Panikarova, S. V., & Chelokhsaeva, I. I. (2023). Cross-Country Analysis of Institutional Framework for Public-Private Partnership. National Interests: Priorities and Security, 18(4), 759-787.
- Polterovich, V. M. (2006). Strategies of Institutional Reform: Perspective Trajectories. Economics and Mathematical Methods, 42(1), 3-18.
- Samoilova, A. V., Pavlyukov, D. Yu., & Ivanov, I. V. (2023). Circulation of Medical Devices: Modern Challenges. Roszdravnadzor Bulletin, (5), 11-18.
- Skvortsova, V. A., Borisov, P. A., & Skvortsov, A. O. (2025). Institutional Environment in the System of Related Categories. Economy and Entrepreneurship, 4(177), 268-271.
- Trofimov, S. E. (2021). Theoretical Issues and Models of State Regulation of the Economy. University Proceedings. Investments. Construction. Real Estate, (4)(39), 588-600.
- Shvets, Yu. Yu. (2024). Establishing an Organizational-Institutional Structure for Monitoring Economic Security in the Healthcare System. Bulletin of Eurasian Science, 16(S5).
- Schheglov, Ya. I. (2025). Institutional Sustainability and Institutional Change: A Theoretical Overview. Sociology, (4), 126-131.
- Arnould, A., Hendricusdottir, R., & Bergmann, J. (2021). The Complexity of Medical Device Regulations Has Increased, as Assessed Through Data-Driven Techniques. Prosthesis, 3, 314-330. DOI: https://doi.org/10.3390/prosthesis3040029
- Bergmann, J. H. M. (2022). The Emerging Field of Medical Regulatory Technology and Data Science. Prosthesis, 4, 169-171. DOI: https://doi.org/10.3390/prosthesis4020017
- Daizadeh, I. (2023). The Impact of U.S. Medical Product Regulatory Complexity on Innovation: Preliminary Evidence of Interdependence, Early Acceleration, and Subsequent Inversion. Pharmaceutical Research, 40, 1541-1552. DOI: Dhruva, S. S., Darrow, J. J., Kesselheim, A. S., & Redberg, R. F. (2022). Experts’ Views on FDA Regulatory Standards for Drug and High-Risk Medical Devices: Implications for Patient Care. Journal of General Internal Medicine, 37, 4176-4182. DOI: https://doi.org/10.1007/s11606-021-07316-0
- Han, Y., Ceross, A., & Bergmann, J. (2024). More Than Red Tape: Exploring Complexity in Medical Device Regulatory Affairs. Frontiers in Medicine, 11, 1415319. DOI: https://doi.org/10.3389/fmed.2024.1415319
- Ozhgikhin, I., Rudskaya, I., & Abdulayeva, I. (2023). Analysis of the Medical Equipment Market of the Russian Federation: Features and Prospects of Its Development. Sustainable Development and Engineering Economics, (2)(8), 40-52.
- Silva, L. C., Macedo, I. M., & Thompson, M. (2023). Revisiting the Debate on Institutions, the State and Institutional Change: The Relevance of Institutional Theory to Public Administration Teaching. Teaching Public Administration, 42(1), 73-94. DOI: https://doi.org/10.1177/01447394231159985
- Golovkina, S. I., & Zhilikova, I. N. (2021). Cluster Organization Potential of the Pharmaceutical Industry in Russia. In Proceedings of the Conference “Management of Economic Systems Development” (St. Petersburg, Dec. 21-22, 2021), pp. 34-42. St. Petersburg: Publishing and Printing Association of Higher Educational Institutions.
- Kirillova, T. V., & Dorofeeva, M. D. (2021). Import Substitution in the Russian Pharmaceutical Industry. In Proceedings of the All-Russian Scientific and Practical and Educational Conference “Fundamental and Applied Research in Management, Economics and Trade” (St. Petersburg, June 1-4, 2021), Vol. 3, pp. 140-144. St. Petersburg: Polittech Press. EDN: https://elibrary.ru/UNWNTP
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