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Manager Zdravoochranenia 2013 #6
Published: 2013-06-01
1285
CONTENT OF THE ISSUE
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Territorial fund of obligatory medical insurance system of Saint-Petersburg celebrates 20th Anniversary!
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The experience of territorial health insurance fund in solution of certain issues connected with monitoring of target spending of funds by medical organizations (The Regional medical insurance fund of Saint-Petersburg, Saint-Petersburg, Russia)
Annotation: The article is devoted to consideration of problems controlling the use of funds of mandatory health insurance in medical organizations. At the present time due to «the provision of control the use of funds of mandatory health insurance by medical organizations» was put into practice, there are preconditions to increase the efficiency of inspection in medical organizations. On the other hand, it’s necessary to define the policy, based on using legal documents that available for medical organizations and for professionals, who implements monitoring activities. All labor costs are the main component of funds that are expended for Medicare payment. In this article were considered particular questions about infringements in the use of funds of mandatory health insurance when salary payments are implemented.
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The results of pilot sociological research of patient's satisfaction with ambulatory care at Saint-Petersburg (The Regional medical insurance fund of Saint-Petersburg, Saint-Petersburg, Russia)
The article presents the main results of pilot sociological research of patient's satisfaction with ambulatory care. The research was carried out at Saint-Petersburg in the year of 2012.
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The medical insurance organizations control of the inpatient health care conditions for the insured persons in Saint-Petersburg (The Regional medical insurance fund of Saint-Petersburg, Saint-Petersburg, Russia)
The article presents the results of analysis of current health legislation, which establishes the control obligations for medical insurance organizations.
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The problems of payment for medical care provided to the citizens of the Republic of Belarus, temporarily residing in the Russian Federation (The Regional medical insurance fund of Saint-Petersburg, Saint-Petersburg, Russia)
Delivery and payment of medical assistance to the citizens of the Republic of Belarus in the framework of the Agreement between the Russian Federation and the Republic of Belarus «On equal rights of citizens» is important for Russia. The paper examines existing at the moment the problem and suggests ways to address them in accordance with applicable law and the authority of government.
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Results of expert activities of insurance medical organizations in Saint-petersburg in 2012 (The Regional medical insurance fund of Saint-Petersburg, Saint-Petersburg, Russia)
This article presents the analysis of the activities of medical insurance companies for medico-economic expertise and expertise of the quality of medical care, including data on detection of medical care's defects and application of financial sanctions on the results of 2012 year, compared with 2011.
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Models of the optimal distribution of the planned volume of financial means in the sphere of compulsory health insurance of Saint-Petersburg (The territorial compulsory health insurance fund of Saint-Petersburg, Saint-Petersburg, Russia)
The article deals with the mathematic modeling of distribution of the planned volume of financial means in the compulsory health insurance and the results of modeling.
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Regarding experience of organizing issue of obligatory health insurance policies in multifunctional centers of public services of Saint-Petersburg (The Regional medical insurance fund of Saint-Petersburg, Saint-Petersburg, Russia)
In this article we discussed the experience of organization of issue policies of compulsory health insurance in the multifunctional centers of public services of Saint-Petersburg. Considered are the main organizational activities carried out to ensure the possibility of obtaining the policies of compulsory health insurance in multifunctional centers.
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Creation of conditions of optimization of the economic accessibility of medical care in the obligatory medical insurance system in St. Petersburg 2012 (The Regional medical insurance fund of Saint-Petersburg, Saint-Petersburg, Russia)
One of the most important problems of obligatory health insurance system is the restriction of availability of medical assistance. The article presents ways of the decision of this problem in Saint-Petersburg.
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Procedure of processing financial payouts to medical employees, financial provision of which was completed at the expense of federal budget reserves in 2012 year Consultant: Phd. of Economic F.N. Kadyrov
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Questions answered by PhD. of Economic F.N. Kadyrov
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Law regulations on relationship of physician — patient — medical organization
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INNOVATIONS AND MEDICINE
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HEALTH CARE IN 2013
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HEALTH CARE IN FIGURES
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Review of actual normative documents
