Financial management
  • 2016 № 5 Overview of the implementation of a policy to provide neurosurgery medical care for adult population in Ryasan region

    The quality and accessibility of medical care affect improving health, social and economic efficiency and directly dependent on the optimal organization of medical care on the basis of developed and approved procedures of medical care. The number of beds and neuro-surgical profile doctors-neuro-surgeons in the Ryazan region, are lower than the national average. In General, in the Ryazan region observed the procedure of rendering of medical aid to adult population the profile of «neurosurgery». To improve the quality and efficiency of neurosurgical care is necessary to conduct a number of organizational measures.

    Authors: Kosolapov A. A. [2] Geht I. A. [17] Artemieva G. B. [12]

    Tags: neurosurgical assistance1 orders of rendering medical care1 staffing4 the number of beds1

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  • 2016 № 1 On particular issues of defining the demand for hospital beds (according to data from Samara region)

    The task to define the real demand for hospital beds has become one of the most relevant ones in the recent times. There are suggested several options to estimate demand, out which the most attractive are those based on the audits of the population’s morbidity.

    Authors: Geht I. A. [17] Artemieva G. B. [12]

    Tags: demand for hospital beds1 morbidity of population2

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  • 2015 № 8 On certain questions relating to interterritorial accounting in the system of compulsory medical insurance

    Issues of interterritorial accounting for provided care to citizens registered with a compulsory medical insurance plan yet outside of the insurance territory is relevant and needs further and deeper analysis. It is safe to conclude that insurance medical organizations should participate in interritorial accounting process along with conducting control check of volumes and conditions at which medical care is provided and completing a medical aid quality check.

    Authors: Geht I. A. [17] Аrtemjeva G. B. [2]

    Tags: interterritorial accounting1 medical insurance organizations3 residents of other cities1

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  • 2015 № 3 Regarding certain issues on payment for medical aid with the usage of clinical-static groups in the system of mandatory medical insurance

    Russian Ministry of Health Care and Federal Fund of Mandatory Medical Insurance system completed an important project on implementing paid medical services, delivered in conditions of in-patient facilities, on the basis of for medclinic-static groups. It is necessary to continue the work on enhancing the proposed system with consideration of raised issues and proposals, coming from the regions.

    Authors: Geht I. A. [17] Аrtemjeva G. B. [2]

    Tags: clinic-static groups1 levels of medical aid provision1 modifying factors1

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  • 2015 № 2 On certain issues occurring in medical insurance organizations functioning in the mandatory medical insurance system

    Modernization of mandatory medical insurance system should imply a broader usage of reserves from medical insurance organizations (MIO). These reserves are interlinked with changes in the legislation, regulating the responsibilities and obligations of insured citizens, commitment of MIO in covering expenses for medical aid, provided outside of the region, the order of utilizing assets of MIO.

    Authors: Geht I. A. [17]

    Tags: mandatory medical insurance7 medical insurance organizations3 responsibilities and obligations of insured citizens1

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  • 2015 № 1 Characteristics of financing the joint practice: Case study of Samara region

    There was conducted an analysis of general practioner's average wages level, working in an outpatientambulatory unit in Samara region in the first quarter of 2013 and 2014 years in order to compare them with per capita financing normative and shares of external services. It was demonstrated that outpatient-ambulatory practitioner's wage does not depend on the per capita normative while optimizing the level of external services. There has been emphasized the importance of advancing efficient contract as a main tool for stimulating enhancement of labour quality and increasing its renumeration level in the health care system.

    Authors: Geht I. A. [17] Gridasov G. N. [2] Kupaev V. I. [1]

    Tags: fund holding2 joint practice1 labour renumeration1 per capita method of financing1

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  • 2014 № 10 When fund holding is essential (Samara State Medical University, Samara, Russia; Ryazan State I.V. Pavlov Medical University, Ryazan, Russia).

    Annotation. In recent time, there has been actively discussed the efficiency of various payment methods for medical care within the system of mandatory medical insurance, however, more attention is dedicated to implementation of fund holding elements. This method along with its beneficial sides, represents a lot of risks, which complicates it's widespread usage. However, there are situations, when fund holding might neutralize the problems, which a rise while managing work in hospital organizations.

    Authors: Geht I. A. [17] Artemieva G. B. [12]

    Tags: diagnostic research1 fund holding2 patient's self-referrals1 percapita funding method1

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  • 2013 № 5 Regarding the problem of fund's spending effectiveness in the system of mandatory medical insurance (Samara State Medical University, Samara, Russia; Territorial Fund of Mandatory Medical Insurance System of Ryazan region, Ryazan, Russia).

    Annotation: Effective spending of funds for mandatory medical insurance system depends on many factors. In this article there is considered a dependency of economic effectiveness from management of medical aid. There are presented examples of when errors in managing medical aid result into serious economic losses.

    Authors: Geht I. A. [17] Artemieva G. B. [12]

    Tags: completing volumes of medical aid tasks1 effectiveness of using funds of mandatory medical insurance system1 optimal hospital bed fund1

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  • 2013 № 1 Regarding several methodological approaches to pricing and payment process for medical services in regional system of Mandatory Medical Insurance (Samara State Medical University, Samara, Russia; TFOMS of Ryazan region, Ryazan, Russia)

    Reforming the system of mandatory insurance coverage in Russia is impossible without integration of progressive directions in defining tariffs for medical services and their approaches. It is proposed to process payment for stationary aid according to formed clinic-statistic groups depending on the stage of medical care and outpatient care — with the help of combined method, consisting of capita funding and payment coverage of visits and particular medical services.

    Authors: Geht I. A. [17] Artemieva G. B. [12]

    Tags: clinic-statistic groups1 payment for outpatient services1 stages of stationary treatment1

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  • Management in health care
  • 2014 № 1 Some methodological approaches to organization of medical care in municipal medical institutions in the Compulsory Health Insurance system (Samara State Medical University, Samara, Russia; Ryazan State I.V. Pavlov Medical University, Ryazan, Russia).

    Аnnotation. Organization of medical care in health care facilities in rural municipalities require special approaches to the implementation of medical standards, exploit opportunities of inter-municipal centers and optimization of payment methods of medical care.

    Authors: Geht I. A. [17] Artemieva G. B. [12]

    Tags: inter-municipal medical centers1 organization of medical care2

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  • 2013 № 9 Regarding several problems with evaluating salary income of medical employees (Samara State Medical University, Samara, Russia; TFOMS of Ryazan region, Ryazan, Russia)

    In 2013 it is planned to significantly increase amount of salary pays for medical employees. At the same time, there are a number of questions which are not resolved yet which relate to analysis of labor compensation in medical entities, as well as formation of payroll funds and salaries.

    Authors: Geht I. A. [17] Artemieva G. B. [12]

    Tags: payroll fund1 salaries3 salary pays for medical employees1

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  • 2013 № 7 Will the raker fly past? Across-the-board standard medical examination: declaration and reality (Samara State Medical University, Samara, Russia; TFOMS Ryazan region, Ryazan, Russia).

    In 2013 there has been started a across-the-board standard medical examination of population of Russian Federation which forced to solve a number of problems, part of which existed in other previous campaigns, therefore, it is important to consider their experience and results. First of all, it is necessary to avoid quantitate evaluation of the standard medical examination, and pay more attention towards long-term research on impact of standard medical examination on the health state of population. At the same time, the standard medical examination shouldn't affect the affordability of medical aid for ill people, applying to medical organizations.

    Authors: Geht I. A. [17] Artemieva G. B. [12]

    Tags: across-the-board standard medical examination of population1 false-negative results1 false-positive1

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  • 2013 № 3 Fundholding: overview in a quarter of century (Samara State Medical University, Russia; TFOMS Ryazan region, Russia)

    Reforming the system of mandatory medical assurance in Russia is impossible without implementing modern methods of medical services expenses coverage. Herewith it is important to consider all positive and negative aspects of various methods with regards of concrete situation examples. In the article there is investigated the introduction of per capita funding with elements of fundholding in Samara region together with the analysis of existing risks from the historic angle.

    Authors: Geht I. A. [17] Artemieva G. B. [12]

    Tags: fundholding1 per capita funding2

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  • 2013 № 2 Defining the need in hospital beds in Ryazan region (TFOMS Ryazan region, Ryazan; Russia, Samara State University, Samara, Russia)

    Annotation. Modernization of health care on regional level provides deployment of optimal amount of hospital beds, corresponding to real needs of population. With the help of differentiated normatives on provision of hospital beds (V.I. Starodubov and co-authors, 2011) there is calculated a need in 24/hour stationary beds in Ryazan region.

    Authors: Geht I. A. [17] Artemieva G. B. [12]

    Tags: need in hospital beds1 normatives of hospital beds provision1

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  • Quality of medical aid
  • 2014 № 5 Quality control of diagnostics research in privately owned medical organizations (Samara State Medical University, Samara, Russia; Ryazan State I.V. Pavlov Medical University, Ryazan, Russia).

    Annotation. In the recent time there is established an increasing number of privately owned diagnostics medical organizations. Part of them is included in the system of mandatory health insurance, others — operate only at the cost of public's expense. A great number of research, produced in such organizations, is conducted without physicians prescriptions which can lead to unwanted consequences.

    Authors: Geht I. A. [17] Artemieva G. B. [12]

    Tags: diagnostics research1 quality control of diagnostics research1 self diagnostics1

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  • Sociology of health care
  • 2014 № 4 On the question of study on public's satisfaction with health care system (Samara State Medical University, Samara, Russia; Ryazan State I.V. Pavlov Medical University, Ryazan, Russia).

    Satisfaction of public having accessibility and quality of medical care, as well as its organization became one of the main criteria of valuating the system of health care in the recent time. Conducting sociological research requires a scientific approach and high qualification from its organizers. Sociological valuation can become of the criteria of complex valuation of medical care quality.

    Authors: Geht I. A. [17] Artemieva G. B. [12]

    Tags: complex valuation of medical care quality1 satisfaction valuation of public by accessibility and quality of medical care1 sociological research2

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  • Standards of medical aid treatment
  • 2013 № 5 Regarding methodology approaches in forming clinical-statistic groups when heart attack occurs (State Health Care Entity of Samara regional clinical cardiologic dispensary, Samara, Russia)

    Annotation. This article presents a reasoning of clinical and technological criteria in forming clinic-statistic groups for treating acute coronary syndrome (heart attack). There is given a detailed explanation of a technical approach towards organizing treatment of this disease, as well as presented results of realized program on health care modernization in the department of implementing medical aid standards in treating heart attacks in Samara region.

    Authors: Geht I. A. [17] Gridasov G. N. [2] Mokshin V. N. [1] Hohlunov S. M. [1] Duplyakov D. V. [1] Rusov I. A. [1] Kuznetsov S. I. [1] Sirotko I. I. [1]

    Tags: acute coronary syndrome3 clinical-statistic groups1 heart attack1

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