The article is devoted to the study of theoretical and applied aspects of formation of centralized and decentralized governance structures. On the basis of the analysis the author makes the case for centralization and concentration of medical organizations in order to increase the effectiveness of the treatment of socially significant diseases. For example, the tuberculosis control service of the Astrakhan region, the author argues that greater coordination of the activities of the organizations of the health care system.

The article is devoted to the study of theoretical and applied aspects of formation of centralized and decentralized governance structures. On the basis of the analysis the author makes the case for centralization and concentration of medical organizations in order to increase the effectiveness of the treatment of socially significant diseases. For example, the tuberculosis control service of the Astrakhan region, the author argues that greater coordination of the activities of the organizations of the health care system.