2019 № 5 Providing income activities as a conscious necessary for functioning of the state (municipal) medical providers
Realization of the rights of citizens to health care and medical care free of charge, enshrined in the Constitution of the Russian Federation, carried out by state and municipal health care institutions «… at the expense of the relevant budget, insurance premiums and other income». Analysis of the dynamics of the volume of financial sources for 2014–2017 showed a significant increase in revenues of medical organizations, which are state budgetary institutions, funds from income-gener- ating activities.
The article describes the main financial sources that a medical organization – a state (municipal) institution may have for providing medical care, as well as for implementing the Program of state guarantees of free medical care to citizens. The rationale for the insufficiency of public funds to ensure the necessary level of wages for medical workers is given on the example of comparing tariffs of the compulsory health insurance system and prices (tariffs) of private medical organizations in the city of Moscow.
The regulatory and legislative conditions for obtaining funds from various financial sources by a public institution are con- sidered, the relevance of developing measures to attract additional financial sources, which include revenues from providing paid medical services to the population, including through voluntary medical insurance, is justified.
2018 № 8 Modern approaches to organization of care to persons of elderly and senile age: a review of international experience
The research is devoted to the study of international experience in organizing care for people of older age groups. The analysis of literature data has shown that the organization of care for patients of elderly and senile age varies considerably in different countries, reflecting their specific economic, social, cultural conditions. At the same time, the use of structured questionnaires for assessing the health status and social well-being of older people becomes a common approach, making it possible to organize targeted assistance to such patients in the most rational way.
2015 № 8 Adult population’s quality clinical examination management in outpatient organizations on the basis of the process approach
Aim of the study: Development of quality management system in health care organization in periodic health examination of target adult population groups. The developed materials could be exploited in similar institutions engaged in the periodic health examinations.
2018 № 7 Development of an integrated assessment tool health and social well-being of patients aged 60 years and over and their needs for different types of care
A tool for the comprehensive assessment of the condition of patients 60 years of age and over which allows to objectify patients’ demand for medical and social assistance, taking into account their individual characteristics has been developed and tested In the framework of this study. The suggested methodical tool is primarily focused on the use in the primary health care, makes it possible to form both a program of work with each patient at the age of 60 years and older, and an action plan to support the attached population of the given age category at the site or a specific medical organization level, and also assess the efficiency of the assistance provided
2019 № 3 Historical background the scientific organization of labour in health care: the experience of the early twentieth century
The active introduction of lean production technologies in the activities of medical organizations, conducted in recent years, was the occasion to study the history of the origin and formation of management science in Russia, as well as the study and rethinking of the Russian and Soviet experience of health care organization. Analysis of documents and literature related to 20–30 years of the last century, a period when the rapid pace of construction and development of the national economy of the USSR makes rethink the place and role of the Soviet experience of production management, which was at one time called “scientific organization of labor and production”, and later – “rationalization”. The universality of technologies and methods of scientific organization of labor (SOL) allows to use them both in production and non-production spheres, including health care. Note that the Soviet experience, as a rule, is not reflected in Western textbooks on management, or only mentioned, although the achievements of Soviet scientists 20-ies of the last century anticipated many areas of modern management and remain relevant even after almost a hundred years.