2017 № 6 Regulatory framework for providing high-technology ophthalmological medical care under outpatient treatment
The article analyzes the existing legal basis for providing high-technology ophthalmological medical care through a systematic review of regulatory enactments that directly regulate this type of activity (14 regulatory enactments, including 2 federal laws).
High-technology medical care is a separately licensed type of medical activity carried out by approved federal or regional medical organizations, financed by subsidy or directly from federal budget, provided for approved types of medical care in a hospital. The source of funding for healthcare determines essential conditions. The existing legal framework creates significant restrictions for providing high-technology ophthalmological medical care under outpatient treatment in the case of healthcare covered by Compulsory Health Insurance or an appropriate budget. The article outlines the ways of solving this problem proposed by the authors, including for a medical institution, without violating the current legislation. Healthcare covered by other sources of funding can be provided in any conditions, including outpatient
2016 № 10 State and tendencies of the organization of medical care by the patient with rheumatic diseases in the orenburg region
In the Orenburg region there are multidirectional and nonuniform tendencies of incidence of rheumatic diseases, the possibly bound to decrease in availability of the specialized rheumatological help to patients. Medical care by the patient with rheumatic diseases in the Orenburg region does not meet the modern expectations of necessary level to its organization and an operating order of rendering. Level of primary specialized rheumatological help is not provided with necessary quantity of positions, and territorial distribution of available, causes its transport inaccessibility. The specialized stationary help, including hi-tech turns out in one office at regional hospital what is also represented poor. The calculated quantity of necessary established posts of rheumatologists makes from 17 to 32 rates, depending on the applied calculation procedures. The number of necessary beds for rendering the specialized rheumatological help varies from 94 to 250. The organizational model of the rheumatological help to adult population of area developed on the basis of analytical and normative methods includes creation of interdistrict offices of rheumatologists for rendering primary specialized rheumatological help, two interdistrict rheumatological offices for rendering the specialized help taking into account preservation of the office in a regional hospital providing specialized and high-tech medical care to patients. This model is the first stage in development of the concept of development of the rheumatological help in area.