Actual normative document
  • 2015 № 8 Actual normative document

    Abstarct. First time ever working hours standards were introduced to the health care system. In light of an increasing role of labour rate setting this order has significant, and yet uncertain perspectives. The passing of the order, that set standard labour regulations, has complex history and clearly demonstrates aspiration of Russian Ministry of Health Care to support the primary network of health care professionals.

    Authors: Kadyrov F. N. [54]

    Tags: core working hours1 norms for population1 staff provision1 standard work hours regulations1 time management standards1 workload standards1

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  • Focus of the issue
  • 2015 № 8 Forum of All-Russian People’s Front on the issues of health care: problems are identified, however, the analysis of reasons underpinning them is missing

    Authors: Kadyrov F. N. [54]

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  • Focus of the problem
  • 2015 № 1 Reforms in the sphere of healthcare: problems with implementation

    The protests of medical aid workers, which spread across the country last year amid a growth in their wages level, demonstrate that the dissatisfaction unlike in previous times is not linked to the poor financing, low salaries, but rather to disappointment with the reforms, which failed to deliver the results expected by many. Given that overall reform strategy is relatively rarely criticized it is evident that dissatisfaction is caused by the way these reforms are implemented in various concrete cases.

    Authors: Kadyrov F. N. [54]

    Tags: effective contract9 health care system1 reforms1 reorganization1 state (municipal) institutions of healthcare1 wages2

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  • Management in health care
  • 2014 № 6 Process approach - innovative technology of organization of medical examinations (FSBI <Central scientific research institute of the organization and information of public health services Ministry of HealthCare of the Russian Federation>, Moscow, Russia; Higher School of Economics, Moscow, Russia; Medical-sanitary health clinic, Astrakhan, Russia)

    The article describes algorithms and results of integration of process approach for medical examinations.

    Authors: Kadyrov F. N. [54] Yugay M. T. [1] Rybalchenko I. E. [2]

    Tags: increase of throughput1 modeling3 process approach3 processes1 quality management1

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  • 2014 № 1 The problem targeted use of funds CHI (Ltd. CDC «The Dobryi Doctor», Altayskiy State Medical University; ANO «Medicine and Law» NP «Medstandart», Barnaul, Russia; Federal Research Institute for Health Care Organization and Information of the Ministry of Health and Social Development of Russian Federation, Moscow, Russia)

    Annotation. Transition to a single channel funding, a variety of legal forms of medical organizations involved in the delivery of medical care within the compulsory health insurance, expanding the powers of state ( municipal) institutions, etc. raise the question of the need to reform the rights of medical organizations independent of funds. The article examines the legality of preserving the concept of «improper use of funds» in the current conditions and appropriate sanctions.

    Authors: Kadyrov F. N. [54] Bogdanov S. V. Trofimov A. B. [1] Bouyanov E. N. [1]

    Tags: channel funding1 compulsory health insurance10 health care financing organizational legal forms1 proper use of funds1 the responsibility of medical organizations1

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  • 2013 № 11 Effective ways to pay for health care of the government guarantee program (Federal Public Health Institute for Health Care Organization and Information of the Ministry of Public Health of Russian Federation, Moscow, Russia)

    Annotation: The question which discussed in this article are evidence-based selection impeding effective ways to pay for health care provided by health care organizations within the regional programs of state guarantees of free medical care under different conditions of its provision. Recommendations on the use of existing materials for development of a methodology for calculating tariffs on effective methods of payment for medical care, resultoriented activities of the medical organization are given.

    Authors: Kadyrov F. N. [54] Obuhova O. V. [5]

    Tags: effective ways to pay for medical care1 pay per patient treated1 per capita funding2 treatment1

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  • 2013 № 3 Efficient contract in health care: opportunities and risks (Central Research Institute for Health Organization and Informatization, Ministry of Healthcare, Moscow, Russia)

    Article is dedicated to problems of implementing efficient contract into health care. Currently, there are created descent conditions for implementing efficient contract into health care, what provides circumstances for its future successful realization. But, on the other hand, there is required a flexible policy not only towards terms, included in labor contracts with employees but towards the process of implementing efficient contract itself. Especially, when health care is characterized by great diversity: not everywhere the same approaches for stimulation are acceptable and reasonable. In the article there is given an analysis of opportunities and threats, related to implementing efficient contract, there are suggested measures countering these threats.

    Authors: Kadyrov F. N. [54] Starodubov V. I. [20]

    Tags: efficient contract9 evaluation of employee's activity1 financial stimulation2 labor compensation4 stimulation payouts1

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  • 2013 № 2 Transformation problems of existing labor payment system in aim of implementing efficient contract into the health care (Federal Research Institute for Health Organization and Informatics of Ministry of Health of the Russian Federation, Moscow, Russia)

    The article is dedicated to problems of implementing efficient contract into the health care. Despite the presence of definite normative base, all necessary conditions for implementing efficient contract are not yet created. Moreover, approved and planned for approval normative acts do not consider a number of important issues, related to efficiency of material stimulation measures in such specific field as health care. Therefore, this article is dedicated to its analysis, as well as proposals for increase of productivity while implementing efficient contract in the field.

    Authors: Kadyrov F. N. [54] Starodubov V. I. [20]

    Tags: efficient contract9 evaluation of employees performance1 incentive type of payments1 material stimulation2 payment for labor1

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  • Manager of health care consults
  • 2017 № 9 Practical aspects of regulation of labor in the state (municipal) institutions health

    Labor regulation is a major work in the initial stages and requires systematic monitoring of compliance, assessment of their validity, need to review them in the future. With sufficient elaboration of the regulatory framework, methodological issues of labor regulation at the level of medical organizations covered clearly enough. «Guidelines for the development of systems of rationing of work in the state (municipal) institutions», approved by the Ministry of labour and social protection of the Russian Federation dated 30 September 2013 N504, do not give detailed algorithms for the valuation. The orders of Ministry of health of Russia approving the model time norms relate only to certain aspects of the practical application of labour standards. So there is a need to assess the capabilities and limitations of different techniques of work measurement-level medical associations to offer «step-by-step algorithms» implementation of labor standards, to develop practical recommendations. The tasks and focus of this publication

    Authors: Kadyrov F. N. [54]

    Tags: effective contract9 labor law1 labor regulation1 labor standards1 the model rules state (municipal) agencies1

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  • 2017 № 7 The issues of creation and functioning of centralized laboratories in the system of compulsory medical insurance

    Centralization of laboratory diagnostics is a time commitment associated with the benefits it provides. However, the appeal to this topic is also connected with the new factors that are considered in the article. The difference in the regional features of the organization of health care, the availability of various sources of financial support for medical organizations, etc., suggest a distinction between specific models of centralization, the system of financial relationships, etc. In addition, the centralization of the laboratory service, having undoubted merits, also carries certain risks and threats that must be taken into account. This article addresses these and other issues related to the practical aspects of the centralization of the laboratory service.

    Authors: Kadyrov F. N. [54]

    Tags: centralized laboratories1 compulsory health insurance10 efficiency8 healthcare management2 laboratory diagnostics1 outsourcing2 paying for medical care1

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  • 2017 № 4 Paradoxes of law: the guarantee of free medical aid often limit the rights of patients to improve quality

    The legislation of the Russian Federation, recognizing the rights of citizens on free medical aid and paid medical services, however, makes clear the roll the side free of charge. At the same time guarantee free of charge formulated in such a way that often limit the rights of citizens to receive medical care with the use of drugs, medical devices, etc., not provided for in the programme of state guarantees of free rendering to citizens of medical aid. Moreover, if the rights of citizens to receive paid medical services directly spelled out in the law, the right of citizens to self-purchase of medicines, medical devices, etc. did not say anything. There is no outright bans, which in practice leads to numerous conflict situations. The article provides specific suggestions for improving the legislation in this field.

    Authors: Kadyrov F. N. [54] Starodubov V. I. [20]

    Tags: accessibility of care1 free medical care2 guarantees in the health sector2 medical products2 medications3 paid medical services5 quality of care4 standards of care4 the legislation in the sphere of health care1

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  • 2017 № 3 The paid services in the field of family planning

    The paid services in the field of family planning (including in the form of a voluntary medical insurance) are perceived as a violation, although legally they are not prohibited. But the legislation provides specific protection in this area, which is quite legitimate. Sometimes the guarantee is worded in such a way that in practice, healthcare organizations can easily get around them. The analysis of these problems addressed in this article.

    Authors: Kadyrov F. N. [54]

    Tags: birth certificates1 childbirth1 paid medical services5 protection of the family1 voluntary medical insurance1

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  • 2017 № 2 The ways to counter the "consumer (patient) extremism" in the provision of paid medical services

    The medical organization in the provision of paid medical services are faced not only with a large number of inspectors, with unreasonable restrictions (which usually applies to state and municipal institutions), the discontent of the population by the fact of payment for medical care, etc., but with the incorrect behavior of patients seeking unreasonably to obtain the benefits that they are not guaranteed. We are talking about the phenomenon called «patient extremism». The position of the regulators is often in almost unconditional support for patients. The current mentality is based on the incorrect position of «the patient is always right». Meanwhile, the provision of paid medical services is a sphere of civil relations where there should rule the law. In recent years adopted laws (including amending the Civil code) allow healthcare organizations to more successfully assert their legal rights when lawful execution and performance of contracts for the provision of paid medical services to patient and resist extremism. The analysis of the legislation addressed in this article.

    Authors: Kadyrov F. N. [54]

    Tags: health care8 medical services2 patients extremism1 termination of the contract1 the contract on rendering of paid medical services1 the performance of the obligations1 transactions1

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  • 2017 № 1 Нealth care Funding in 2017 – another paradox: the means was less than planned for 2016, but the financial support for the industry has improved

    In recent years, the Federal budget is closely linked to the budget of the Federal mandatory medical insurance Fund – they cannot be analysed separately from each other. The Federal funding is reduced, but the budget of the Federal mandatory medical insurance Fund in 2017 favorably with previous: 2016 was suddenly executed with a surplus. Large carryovers for 2017 are not evaluated as a negative factor, as it was before, but as positive, as they relate to the refusal of the state from the withdrawal of the Federal budget planned amounts. Therefore, a sharp drop of healthcare financing from the Federal budget does not mean the deterioration in the financing industry – changing channels the movement of funds. This is due to the fact that the government became aware that the transformation of the budget of the Federal mandatory medical insurance Fund to source for other budgets will not ensure the implementation of presidential Decrees on raising wages. In addition, there have been major changes to the financing of high-tech medical care, which is not included in base program OMS –2017 it is almost completely financed by funds. In the article the analysis of dynamics and trends of health financing from different sources.

    Authors: Kadyrov F. N. [54] Obukhova O. V. [8] Brutovа A. S. [4]

    Tags: budget4 deficit2 expenses2 federal fund of compulsory medical insurance1 finance1 health2 income3 inflation2 obligatory medical insurance2 surplus1

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  • 2016 № 10 Practical aspects of implementation of the professional standard «Junior medical staff»

    The appearance of professional standards is a new stage in the development of professional competencies. Often this process is accompanied by difficulties of applying professional standards in practice. This is true for the professional standard «Junior medical staff». The standard requires nurses training in the appropriate positions. Previously, this requirement did not exist. The training system is not yet developed. This is one of the key problems of implementation considered the professional standard. Differences of professional standard «Junior medical staff» of qualifications «Nurse» associated with the need to implement the provisions of the Federal law of 21.11.2011 No. 323-FZ «About bases of health protection of citizens in the Russian Federation», defining the term «health worker».

    Authors: Kadyrov F. N. [54] Meshchankina E. V. [1]

    Tags: junior medical staff1 junior nurse on care1 nurse1 professional standard1 qualification4 vocational training1

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  • 2016 № 9 Prospects of implementation «May» Decrees of the President in the field of health

    2017 is key year in the implementation of the «May» Decrees of the President. Despite the difficult financial conditions, there are many ways to achieve the specified orders, the levels of remuneration. Planned real measures for financial support of these activities. However, more important is not how to provide the intended level of pay, and how to achieve the goals of the Decrees, which are not be reduced to a simple wage increase.

    Authors: Kadyrov F. N. [54]

    Tags: budget4 compulsory health insurance10 decrees of the president1 effective contract9 salaries3

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  • 2016 № 8 Features of the application of professional standards in the state (municipal) institutions health

    The government of the Russian Federation established a particular application of professional standards in terms of requirements, obligatory for the state (municipal) institutions. However, it does not mean that professional standards are required for the application at these institutions. The professional standards are implemented in stages, and the institution defines these stages itself.

    Authors: Kadyrov F. N. [54]

    Tags: job function1 professional standards3 qualifications2 state (municipal) institutions plans1

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  • 2016 № 7 The possibilities of use of OSDs funds financing for the drug supply in the provision of medical care for patients with rare diseases

    The article analyzes the possibilities of use of means of obligatory medical insurance for drug supply patients with rare (orphan) diseases in the provision of medical care in hospital and day hospital.

    Authors: Kadyrov F. N. [54] Sokolov A. A. [2] Aleksandrova O. Yu. [2] Kosyakova N. [1]

    Tags: mandatory medical insurance7 methods of payment for medical care2 orphan medicinal drug1 rare (orphan) diseases2

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  • 2016 № 6 High-tech medical care for patients with rare diseases problems of organization and financing

    The article analyzes the problem of providing high-tech medical care for patients with rare (orphan) diseases. The authors propose recommendations for improving organizational and financial mechanisms of the organization of medical care for patients with rare (orphan) diseases.

    Authors: Kadyrov F. N. [54] Sokolov A. A. [2] Aleksandrova O. Yu. [2]

    Tags: diseases1 high-tech medical care5 medications3 rare (orphan) diseases2

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  • 2016 № 5 Job Description in terms of the latest novelty in the field of health workers labor competencies

    Job descriptions, being a common document, however, does not have a clear legal regulation. A lot of questions are raised when the need arises to change them. Nowadays, there are rather a lot of reasons to job description changes. First of all, there are serious innovation in the field of professional competence of employees related to the development of professional standards, accreditation of health care workers, certification, effective contract administration, etc. The article considers the legal and organizational aspects of job descriptions development, approval and change in the light of the latest novelties in the regulatory framework and the field of professional competence.

    Authors: Kadyrov F. N. [54] L. Yu. Kulbuzheva [1]

    Tags: accreditation2 certification1 effective contract9 employment contract1 job description1 labor/ job functions1 professional competence1 professional standards3 qualifications2

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  • 2016 № 4 Manager of Health Care consu lts Actual problems of the introduction of professional standards

    Professional standards – a major innovation in the field of professional competence. They are designed to solve a number of problems that were beyond the power of qualifying characteristics to be approved by the relevant qualification directories (ECTS, etc.). In particular this applies an integrated approach to the qualification requirements of their structuring, codification (in order to automate the search for workers, taking into account the in-depth expertise, etc.). Professional standards creates good preconditions for the formation of job descriptions by combining professional standards contained in the job functions and work activities.

    Authors: Kadyrov F. N. [54]

    Tags: job descriptions1 professional standards3 qualification4 qualification characteristics1 work activities1 work functions1

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  • 2016 № 3 New requirements to remuneration pay of executives in State and Municipal organisations (institutions)

    The Russian Ministry of Labour prepared a legislation bill on changing requirements for remuneration pay of executives of main types of state (municipal) organisations. Suggested changes in the labour legislation are essentially directed towards withholding remuneration and pay-outs to executives of state (municipal) organisations and institutions. They do not contain any principally new statements; however, toughen control over remuneration payouts to not only executives, but deputies, and chief finance officers (accountant). These measures are relevant to a whole plethora of other organisational-legal forms of state and municipal organisations, including state corporations, which paid their executives salaries that have raised a lot of questions among the public for a long time.

    Authors: Kadyrov F. N. [54]

    Tags: criteria for activity evaluation1 effective contract9 executives pay1 incentive system2 labour legislation3 remuneration pay1 state (municipal) healthcare organisations1

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  • 2016 № 2 The challenges, related to provision of paid medical services on anonymous basis

    Current legislation has quite clearly settled the questions regarding the provision of the medical aid on a paid basis. Medical organisations, participating in the realization of the programmes of state guarantees for delivering free medical aid and territorial programmes of state guarantees for providing free medical aid to the population have a right to provide patients with paid medical services anonymously exempt for the cases set forth by Russian legislation. However, the provision of medical aid on a paid basis requires conclusion of contracts. There is no special legislation or other normative regulation for contract conclusion on anonymous basis. Nevertheless, an analysis of the normative basis, related to the anonymous provision of medical aid allows finding solutions to the most frequently occurred problems.

    Authors: Kadyrov F. N. [54]

    Tags: anonymity1 health care state (municipal) institutions1 legal framework for medical aid provision1 paid medical services5 patient’s personal data1

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  • 2016 № 1 The paradoxes of health care funding in 2016: the system of mandatory health care insurance policies recorded extra funds, which will be withdrawn back into the federal budget

    With all complexity of current economic landscape in the country, health care remains to be one of the top priority spheres regarding financing. Despite the crisis, the volume of funds, allocated to the field is gradually increasing. However, the growth rates of spending on health care lag behind the rates of inflation. Furthermore, a significant part of the budget of Federal Fund of the mandatory medical insurance policy is not connected with the provision of medical aid in the medical mandatory insurance system. Expenditure of Mandatory Medical Insurance System is not oriented on President’s orders to increase the salaries. And despite the presence of crucial financial issues in the mandatory medical insurance system, substantial funds are withdrawn from the Federal budget of Mandatory Medical Insurance system into the federal budget.

    Authors: Kadyrov F. N. [54] Brutovа A. S. [4] Obuhova O. V. [5]

    Tags: budget4 compulsory health insurance policy1 deficit2 expenditure1 financing2 healthcare2 income3 inflation2 national fund of mandatory medical insurance1

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  • 2015 № 10 How the process of loosing real authority among directors of Federal (Municipal) institutions impact the efficiency of operations in organisations lead by them

    The market conditions in which health care and other social sphere industries operate, issues with financing and so forth prompted the need for reforms, directed on forming an optimal balance between rights and responsibilities of state (municipal) institutions and their leaders. This article looks into opportunities for executing legislatorial rights of Federal Municipal health care institutions from the perspective of matching the authority given to the directors with the responsibilities weighted on them.

    Authors: Kadyrov F. N. [54]

    Tags: authority of organisation’s senior management1 efficiency8 management6 rights and responsibilities1 state (municipal) institutions3

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  • 2015 № 9 Provision of medical aid within a medical approbation

    Currently there are developed legal and methodological principals for medical aid provision within a clinical approbation of prevention methods, diagnostics, treatment and rehabillitation. Despite the imperfections of the developed system, it allows to eccelerate the process of implimenting new medical technologies into the health care system, having simultaneously provided financial support to federal clinics, experiencing serious economical burdens due to budget cuts for the most common types of medical care in circumstances of economical instability. The article analyses the issues and provides recommendations for improving organizational mechanisms of clinical approbation.

    Authors: Kadyrov F. N. [54] Obukhova O. V. [8] Perkhov V. I. [11] Starodubov V. I. [20]

    Tags: clinical approbation1 clinical experiments1 clinical research1 clinical-economical analysis1 effectiveness1 financial support of medical activity1 medical aid2

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  • 2015 № 8 Regulatory control of state-private (municipal-private) partne

    The article examines a legislation, related to the state-private partnership and municipal-private partnerships, specifics of its application in the state system. There is also analysis done of a possible impact of the new legislation on investment activity in circumstances of current economic crisis. There are demonstrated legislation opportunities and limitations for realizing state-private partnership projects with participation of state (municipal) institutions in health care.

    Authors: Kadyrov F. N. [54]

    Tags: compulsory medical insurance1 efficiency8 financing2 investments1 legislation2 municipal-private partnership1 state (municipal) institutions3 state-private partnership1

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  • 2015 № 7 Myths around an effective contract. Part 2 …

    Introduction of an effective contract exceeded the framework of a «concrete labor contract». It relates to a wide bredth of questions, such as how to increase salaries, at the cost of which resources, is it possible to cut renumeration within an effective contract and so on and so forth. Consequently, this gave birth to a lot of myths and wrong thinking around different aspects of an effective contract. This article is dedicated to the analysis of these wrong perceptions (myths).

    Authors: Kadyrov F. N. [54]

    Tags: effective contract9 incentives2 labor contract5 renumeration2

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  • 2015 № 6 Myths around an effective contract…

    Introduction of an effective contract exceeded the framework of a «concrete labor contract». It relates to a wide bredth of questions, such as how to increase salaries, at the cost of which resources, is it possible to cut renumeration within an effective contract and so on and so forth. Consequently, this gave birth to a lot of myths and wrong thinking around different aspects of an effective contract. This article is dedicated to the analysis of these wrong perceptions (myths).

    Authors: Kadyrov F. N. [54]

    Tags: effective contract9 incentives2 labor contract5 renumeration2

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  • 2015 № 5 Issues related to utilizing standards of medical aid in the mandatory medical insurance system

    The article is dedicated to analysis of legislation, other normative acts, related to application of regulations on providing medical aid and standards of medical aid, medical aid quality control and enforcement of penalty sanctions towards medical organizations in the system of mandatory medical insurance.

    Authors: Kadyrov F. N. [54] Starodubov V. I. [20]

    Tags: criteria for evaluating medical aid quality1 mandatory medical insurance7 medical-economic expertise1 penalty sanctions1 quality expertise of medical aid1 regulation on providing medical aid1 standards of medical aid3

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  • 2015 № 4 Administrative and legal principals for converting hospital nurses into cleaning personnel of manufacturing or office premises

    Requirements of «May» Orders issued by the Russian President force institutions not only search for additional funds but also optimize the structure of institutions and cut expenses. One of the possible solutions — is to convert nurses into a cleaning personnel. The article represents an analysis of labour legislation and other normative acts, related to the issue of converting hospital nurses into a cleaning personnel.

    Authors: Kadyrov F. N. [54] Sovpel А. А. [2]

    Tags: cleaning personnel of manufacturing and office premises1 efficient contract9 increase of staff pay1 job duties1 labour legislation3 nurses2 outsourcing2

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  • 2015 № 3 Forms of documents, deemed necessary for completing qualification evaluation of employees in the health care institutions

    There has not yet been adopted a standard for completing qualification evaluation procedure by the current normative and methodology documents. There is no uniformed documents, needed to complete the evaluation. The following article outlines forms of corresponding documents, developed on the basis of analysis of analogue forms, appliedbyvariousfederalauthoritiesaswellaswiththesupportofcurrentunifiedforms.

    Authors: Kadyrov F. N. [54]

    Tags: evaluation1 evaluation of qualification1 forms of documents1 personnel3 qualification4 redundancy2

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  • 2015 № 2 Regulations on how to assess professional competence of health employees and adequacy of their job titles

    In December 2013 President of Russian Federation, Vladimir Putin announced a task to complete an assessment of specialists with their further transfer onto effective contract basis. However, available normative documents do not describe the order on how to complete the assessment for job competence. The following article is dedicated to the issue of developing proposals and recommendations on competence assessment of state (municipal) health care specialists on the basis of analysis of current normative base, documents, related to certain aspects of assessment process and/or with consideration of the goals and targets of the assessment process.

    Authors: Kadyrov F. N. [54]

    Tags: assessment1 effective contract9 job competence assessment1 personnel3 qualification4 redundancy2

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  • 2014 № 12 Independent assessment of services provided by medical organizations (Federal Research Institute for Health Care Organization and Information of the Ministry of Health and Social Development of Russian Federation, Moscow, Russia)

    In the framework of the events, related to introduction of the efficient contract, there is planned an independent assessment of provided state (municipal) services. In relation to this, there were adopted a lot of normative legal acts. With big potential opportunities, such system, however, is associated with a number of risks, which is important to factor in order to avoid the decrease of subjectiveness, real dependency and efficiency of introducing the independent quality assessment.

    Authors: Kadyrov F. N. [54]

    Tags: clarity and accessibility of information1 independent quality assessment1 medical organizations5 quality of medical aid2 recommendations of the public1

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  • 2014 № 11 Federal recommendations on regional and municipal remuneration systems in the health care (Federal Research Institute for Health Care Organization and Information of the Ministry of Health and Social Development of Russian Federation, Moscow)

    Letter of Russian Ministry of Healthcare dated on 04.09.2014 № 16-3/10/2-6752 «On improving regional and municipal systems of renumeration of medical employees» suggests a significant increase of salaries shares in total amount of renumeration (up to 55–60%). There goings analyzed current situation with salaries and concluded, that there are difficulties associated with execution of proposals of Russian Ministry of HealthCare. The risks, related to formal implementation of these proposals are described in this article.

    Authors: Kadyrov F. N. [54]

    Tags: incentive payouts2 renumeration payouts1 salaries3 state (municipal) medical institutions1 structure of salaries1

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  • 2014 № 10 Number of problems in enhancing the system of labor remuneration in health care (Federal Research Institute for Health Organization and Informatics of Ministry of Health of the Russian Federation, Moscow, Russia)

    Annotation. The Russian Ministry of Health Care conducts work on enhancing the systems of labor remuneration for employees of federal health care organizations, attracting regional authorities to this activity as well. The main focus is made on re-consideration of incentive pay outs list in the frame of introducing an efficient contract. Another important objective is to amend the relative share of wages in the total amount of labor remuneration — at current stage, the wages share is groundlessly low, what causes a number of problems. There are other reforms that need to be implemented in the system of labor remuneration.

    Authors: Kadyrov F. N. [54]

    Tags: compensation type of pay outs1 efficient contract9 incentive pay outs2 indexes and criteria on evaluating employees activity efficiency1 labor remuneration1 state (municipal) organizations1 wages2

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  • 2014 № 9 The order for developing the regulation on labour system norms in a state (municipal) healthcare institution (FSHI «Health Organization and Informatics» Ministry of Health Care of Russia, Moscow, Russia)

    Annotation. Questions with regards to the labour norming standards are becoming gradually relevant due to the necessity of establishing indexes and criteria for evaluating employees activity efficiency in the frames of introducing an efficient contract. Logically speaking, norming of the labour should come first before introducing the efficient contract. However, norming the labour — is a complex and time-consuming process, which has to run consistently on an ongoing basis. Therefore, these processes, to a large extent, develop parallel one to another. The starting document for institutions (along with the recommendations of state (municipal) bodies has to become a local normative act — Resolution regarding the system of norming the labour in institution.

    Authors: Kadyrov F. N. [54]

    Tags: efficient contract9 indexes and criteria of evaluation1 labour norms1 local normative act1 norming of the labor1 state (municipal) institutions3

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  • 2014 № 8 An analysis of possible consequences from introduction of co-payments from unemployed population into the system of mandatory medical insurance (Federal Research Institute for Health Care Organization and Information of the Ministry of Health Care and Social Development of Russian Federation, Moscow)

    In accordance with the current legislation, employers are obligated to cover expenses for mandatory medical insurance system. Constituent territories of Russian Federation are responsible for making payments to support unemployed population (children and elderly and as such). Ministry of Finance of Russia suggested to introduce a mechanism in accordance to which the unemployed population (with exceptance of certain categories) would be responsible for covering expenses for mandatory medical insurance system themselves. The article is dedicated to an analysis of consequences of establishing proposals of Russian Ministry of Finance with regards to introducing co-payments into the system of mandatory medical insurance.

    Authors: Kadyrov F. N. [54]

    Tags: co-payments2 federal fund of mandatory medical insurance1 insurance payouts1 mandatory medical insurance7 unemployed citizens1

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  • 2014 № 7 Medical duty of medical staff at home within the frame of new legislation (FSBI «Central scientific research institute of the organization and information of public health services Ministry of HealthCare of the Russian Federation», Moscow, Russia)

    Annotation. Medical duties at home were always considered as a rational form of organizing medical staff's labour, primarily in rural areas. However, within the new labour legislation they turned to be «above the law». One of yet another modification made to Labour codex returned the right to introduce medical duties at home. The article is dedicated to analysis of labour legislation, other normative acts related to medical duties at homes.

    Authors: Kadyrov F. N. [54] Obuhova O. V. [5]

    Tags: accounting of working hours1 labour legislation3 labour salary compensation1 medical duties at homes1 norm of working hours1 work hours1

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  • 2014 № 6 Way of including salaries and other payouts of compensational character in the labor contract, concluded in the frames of efficient contract introduction (FSBI <Central scientific research institute of the organization and information of public health services Ministry of HealthCare of the Russian Federation>, Moscow, Russia)

    The article is dedicated to analysis of labor legislation, related to compensation payouts for workers. The core aspects of studied problem are the order of their determination and paying out process, reflection in labor contracts, concluded in the frames of an efficient contract introduction.

    Authors: Kadyrov F. N. [54]

    Tags: compensation payouts1 compensations1 dangerous work conditions1 efficient contract9 labor compensation4 labor contract5 payouts of compensation character1

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  • 2014 № 5 Challenges with labor compensation at the time of providing medical services within main working hours schedule (FSBI «Central scientific research institute of the organization and information of public health services Ministry of HealthCare of the Russian Federation», Moscow, Russia)

    Wide spread opinion on in admissibility of fee based medical services provision instate (municipal) organizations is not confirmed by requirements of normative documents. Moreover, in the number of cases, medical staff was obliged to provide fee based medical services within main working hours schedule. However, this sphere encounters objective normative which is necessary to take in to consideration. Simultaneously, it is important to follow strict rules on labor compensation of employees when they provide fee based medical services within the main hours schedule. Many of them are accurately written down in the Labor Codex.

    Authors: Kadyrov F. N. [54]

    Tags: additional payments1 combining professions (titles)1 fee based medical services1 incentive payouts2 increase of workflow volume1 labor compensation4 staff schedule2 working hours1

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  • 2014 № 4 Legal and practical aspects of decreasing amount of labor compensation (including the amounts of incentive pay outs) in the frames of introducing an efficient contract (Federal research institute for health organization and informatics of ministry of health of the Russian Federation, Moscow, Russia)

    Introduction of efficient contract suggests further close-bodied dependency of labor compensation from its outcome. It also considers not only raise of salaries as far as reaching best results, but a decrease of salaries in case of decline of corresponding indexes. However, there are legislative limitations directed on decrease of labor compensation amount. The study also considers problems of decreasing labor compensation amounts while not reaching foreseen indexes with meeting requirements of active legislation.

    Authors: Kadyrov F. N. [54]

    Tags: collective contract1 efficient contract9 incentive pay outs2 income3 labor compensation fund1 labor contract5 material stimulation2

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  • 2014 № 3 Problems of combining requirements on concretization of labor conditions compensation while concluding a labor contract with the necessity to consider real outcome of the work (Federal Research Institute for HealthCare Organization and Information of the Ministry of Health and Social Development of Russian Federation, Moscow)

    Annotation. Introduction of efficient contract suggests concretization of the content of labor contracts with employees, including the point of labor compensation conditions. However, the compensation should depend from the work outcome, which is impossible to evaluate beforehand. How should the combination of these two requirements be guaranteed? Should there always be indicated an exact amount of compensation in the labor contract? This material is dedicated to possible ways of solving this problem.

    Authors: Kadyrov F. N. [54]

    Tags: collective agreement1 efficient contract9 financial stimulation2 incentive payments1 labor compensation4 labor contract5 salary2

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  • 2014 № 2 Problems of financial provision of high-tech medical aid (Federal Research Institute for Health Care Organization and Information of the Ministry of Health and Social Development of Russian Federation, Moscow)

    Annotation: In accordance with legislation the high tech medical aid is gradually transferred into the system of mandatory medical insurance. However, the mechanism of organizing the high tech medical aid in the system of mandatory medical insurance, as well as the order of financial provision and etc. remain till now unclear. This material is dedicated to the analysis of problems related to the issues above and to a review of suggested approaches in solving them.

    Authors: Kadyrov F. N. [54] Оbuchova О. V. [2] Sorokina U. A. [2]

    Tags: federal budget1 federal health care entities1 financial provision of medical aid1 high tech medical aid2 mandatory medical insurance7 specialized medical aid1

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  • Manager of healthcare consults
  • 2017 № 8 Telemedicine: dreams and realities

    The adoption of the Federal law directly affecting telemedicine was expected for a long time. So the law has generated great interest in the medical community. However, a large number of evaluations of the new law is not accompanied by serious analysis. Meanwhile, despite the apparent «breakthrough» of the right regulation of telemedicine, the possibilities of practical use of telemedicine technologies remain very limited. This is due to the legal boundaries of the use of telemedicine technologies, and organizational and financial. This article discusses these and other issues related to the practical aspects of using telemedicine

    Authors: Kadyrov F. N. [54] Kurakova N. G. [13]

    Tags: consultation1 e-health2 informatization of healthcare2 medical help2 telemedicine3 unified state information system in healthcare1

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  • 2017 № 6 Royalty revenues in medical organizations: types, account features and usage

    A potentially important additional source of financial support of medical organizations, particularly state and municipal systems are non-repayable receipts in the form of donation, donations, etc. In some cases, they can act as an alternative to this form of income-generating activities as the provision of paid medical and other services. However, we must not only learn how to attract these funds, but also the right of their issue and use. For example, to clearly understand how to put the contracts for the receipt of these funds, within the framework of the legislation to procure funds received from donations, etc. this article discusses these and other issues associated with the various types of gratuitous receipts.

    Authors: Kadyrov F. N. [54]

    Tags: charity1 donation income-generating activities of the state (municipal) procurement1 donations1 health funding1

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  • Manager of heath care consults
  • 2017 № 10 Financial reserves of the state (municipal) institutions health

    . The difficult economic situation makes to search for possible variants of optimization of resources and reserves in the state (municipal) institutions. Many heads of agencies believe that the reserves for salary increases in accordance with the «Мay» decrees of the President have been exhausted. However, they did not start the process of normalization, the introduction of professional standards and effective contracts. On the other hand, the legal environment in which agencies are often not allowed to implement the legislation provided for the possibility of attracting additional resources. These issues are discussed in this publication

    Authors: Kadyrov F. N. [54] Starodubov V. I. [20]

    Tags: human resources2 mandatory medical insurance7 optimization2 paid services1 promotion1 regulation1 saving resources1

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  • 2017 № 5 Possible options of citizens' participation in the financial provision of rendering medical assistance using resources not provided by the program of state guarantees

    Active search of new forms of co-financing of medical care is the answer to financial difficulties in the health sector. However, equally important is the streamlining of those forms of relations between medical organizations and patients about co-payments in the provision of medical care within program of state guarantees that exist. The analysis shows that the legalization of shadow payments, proper design of the acquisition at the expense of and at the request of the patient more quality of medicines, health care products, as expressly provided under the program of state guarantees, etc., can serve the interests of both patients and society as a whole. The article discusses specific payment options at the expense of patients, resources that are not provided under the program of state guarantees allowed under the current legislation

    Authors: Kadyrov F. N. [54]

    Tags: co-payments2 contracts1 free medical care2 guarantees in the health sector2 medical products2 medications3 paid medical services5 quality of care4 standards of care4 the legislation in the field of healthcare1

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  • Problem statement
  • 2016 № 1 The issues with payments for implants, not registered on the approved list of implants, used when providing medical aid within a state guarantees program

    Authors: Kadyrov F. N. [54]

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  • Questions and answers
  • 2017 № 9 Questions answered by PhD of Economic F.N. Kadyrov

    Authors: Kadyrov F. N. [54]

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  • 2017 № 8 Questions answered by PhD of Economic F.N. Kadyrov

    Authors: Kadyrov F. N. [54]

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  • 2017 № 7 Questions answered by PhD of Economic F.N. Kadyrov

    Authors: Kadyrov F. N. [54]

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  • 2017 № 6 Questions answered by PhD of Economic F.N. Kadyrov

    Authors: Kadyrov F. N. [54]

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  • Statement of the problem
  • 2014 № 9 Problems associated with provision of paid medical services while using equipment purchased at the expense of state funds or funds from mandatory medical insurance system (FSHI «Health Organization and Informatics» Ministry of Health Care of Russia, Moscow, Russia)

    One of the issues, that doesn't have a precise normative regulation, is usage of equipment, purchased at the expense of state budgets of different levels and funds from mandatory medical insurance system when delivering paid medical services. The policy of state and municipal institutions with regard to possibility and regulation on using equipment, purchased at the expense of state budget and funds of MMI (Mandatory Medical Insurance) in the course of a running a profitable activity, is quite controversial. It is not decided, where amortization of the equipment should be directed in such cases. The article is dedicated to possible solutions to this problem.

    Authors: Kadyrov F. N. [54]

    Tags: amortization1 budget4 equipment1 mandatory medical insurance system3 paid medical services5 resources of financing1

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