Economics of health care
  • 2017 № 8 The Results of a study of financing of TB control activities

    Tuberculosis control in the Russian Federation has a high national priority, confirmed a high level of funding for TB activities. The value of the costs per patient of tuberculosis is the highest in the world. The main economic burden of TB falls on the budgets of the constituent entities of the Russian Federation. The article presents the results of the analysis of volumes of financing on the main financial sources and areas of spending of budget funds for TB care in 2015. Presents cross-country comparative analysis of the financing of TB control in countries with high burdens of tuberculosis and tuberculosis, caused by the pathogen with multidrug resistance. The dynamics of the state of basic funds of TB of the medical organizations and the calculations of the financial requirements for their updating

    Authors: Obukhova O. V. [11] Sterlikov S. A. [6] Nechaeva O. B. [2] Belilovsky E. M. [1]

    Tags: anti-tuberculosis measures1 the basic foundations of healthcare organizations1 tuberculosis3

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  • Financial management
  • 2019 № 1 Methodology for estimating the costs of identifying, diagnosing and treating tuberculosis with multiple and extensive drug resistance

    Estimating the cost of treating patients with extensive drug-resistant Mycobacterium tuberculosis is useful both in planning financial resources for anti-tuberculosis activities and in determining the economic burden of this phenomenon. The article proposed the author’s methodology for estimating the costs of identifying, diagnosing and treating tuberculosis with multiple and extensive drug resistance, calculated estimates of the cost of combating the general drug resistance of mycobacteria tuberculosis.

    Authors: Obukhova O. V. [11] Sterlikov S. A. [6] Rusakova L. I. [1]

    Tags: anti-tuberculosis activity1 direct costs5 dr-tb1 mdr-tb1 multi-drug resistance of mycobacterium tuberculosis1

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  • 2016 № 9 Payment arrangements for interrupted case of medical care, including ultrashort course, in the system of compulsory medical insurance

    Annotation. According to the draft program of state guarantees of free medical care to citizens in the years 2017–2019, when paying for medical care provided in a hospital, as well as in the provision of medical rehabilitation services in specialized medical institutions (structural units) in the compulsory medical insurance system, used payment method for interrupted, including ultrashort, the case of medical care. Issues correct compensation for the medical organization with ultrashort or interrupt the event is dedicated to the treatment of the material costs.

    Authors: Obukhova O. V. [11] Brutovа A. S. [5] Bazarova I. N. [2]

    Tags: case of treatment1 interrupted case of treatment1 methods of payment medical care1 system of compulsory medical insurance1 ultrashort case of treatment1

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  • 2015 № 9 Influence on age and gender considerations costs while providing high-aid in profile «traumatology and orthopedics»

    Annotation. Relevance. One of the economic problems in health care in the shortage of funds is to find mechanisms of payment, the most adequate and reliable-specific medical care. This is especially true of the cost of such a species as a high-tech medical care. One of the most appropriate ways to pay for medical care provided in inpatient and day hospital is to pay as part of the clinical and statistical groups of diseases. When forming groups, in addition to such major criteria as the ICD-10 code or having surgery, apply additional criteria, taking into account the peculiarities of medical care to patients of different age and gender categories. Material presented in the article findings justify the need for such a differentiated approach to the formation of groups of high-tech expensive medical care

    Subject of research: the group of high-tech medical care, approved by RF Government Decree of 28.11.2014 №1273 in the framework of the provision of state guarantees of free medical care to citizens for 2015 and the planning period of 2016 and 2017.

    Objective: research to justify the use of a differentiated approach to the establishment of standards for the financial costs of groups of high-tech medical care, taking into account age and gender considerations. Methods of work: statistical, analytical.

    Results: for the first time carried out an in-depth analysis of the cost structure of the federal health care organizations in the provision of high-tech medical care, identified factors affecting the size of the cost of medical organizations in the profile «Traumatology and orthopedics», to justify proposals to optimize the standards of financial costs on the profile «traumatology and orthopedics.»

    Conclusions: the patient population, which is a high-tech medical care in the profile «Traumatology and Orthopaedics », consists mainly of older persons of working age, mainly women. The average standard of financial expenses higher in the older working age.

    Authors: Obukhova O. V. [11] Perkhov V. I. [16] Brutova A. C. [2]

    Tags: high-tech medical care in the profile «traumatology and orthopedics»1

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  • 2015 № 4 High-tech medical care in the system of compulsory health insurance

    Health care reform had an impact on the such expensive type of medical services as a high-tech medical care. Since in 2015, as planned new federal legislation, went into the system of compulsory health insurance. Answer to the question, what is the purpose of the transfer of high-tech health care insurance rails, whether all the volume of this type of medical care today is subordinate stringent requirements of the compulsory health insurance, and what kind of the medical organization involved in providing this type of care, to what extent and for the what funds are reimbursed which health organizations can get the volume of the entire high-tech medical care, dedicated to this material.

    Authors: Obukhova O. V. [11]

    Tags: compulsory health insurance13 high-tech medical care7 program of state guarantees2 tariffs in the public health insurance system1

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  • Management in health care
  • 2016 № 1 Organisation and outcomes of monitoring medical-economical factors of high-technology medical aid

    This article explores individual organisational-methodological approaches to constructing monitoring informational systems of high technology medical aid. Authors conclude that there is a necessity to create unique monitoring systems and databases, formed by personified audit of the most significant signs of surveillance subject. Article’s materials can be used while modelling information systems for practical implementation of high medical technology in circumstances of one stream financing.

    Authors: Obukhova O. V. [11] Perkhov V. I. [16] Bazarova I. N. [2] Gorin S. G. [3]

    Tags: high technology medical aid1 informatization of healthcare2 one channel financing1

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  • 2015 № 9 The condition and renovation of capital assets of TB-institutions in the Russian Federation (2012–2014)

    The state of capital assets of TB organizations in the Russian Federation: buildings and structures, machinery and equipment, motor vehicles evaluated. Discovered increased depreciation of capital assets, imbalance of wear, imbalances of renovation. The ways of harmonization of state assets offer.

    Authors: Son I. M. [34] Obukhova O. V. [11] Sterlikov S. A. [6]

    Tags: anti-tb institutions1 capital assets1 health economics1 tb care1

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  • Manager of health care consults
  • 2019 № 1 Financing health care in 2019: new priorities and channels for the movement of funds

    Analysis of the future financing of health care shows that in 2019–2021, despite the difficult financial situation, the volume of financial support for the industry will continue to grow. Thus, the size of health care spending from the Federal budget is growing not only in absolute terms, but also occupies all a large share in the structure of Federal budget expenditures. The increase in expenses in the system of compulsory health insurance (CHI) in absolute terms is still quite large. Among the priorities of 2019 are the increase in funding for cancer care, as well as high-tech medical care, which directly follows from the provisions of the Decree of the President of the Russian Federation May 7, 2018 № 204 "The national goals and strategic objectives of the Russian Federation for the period up to 2024" (presidential Decree № 204). The distribution of funds to the compulsory medical insurance system is based on these priorities, and based on the results of implementation of decrees of the President 2012 for leveling a series of problems, such as unreasonable reductions in personnel. All this should have a positive impact on the further development of health care.

    Authors: Kadyrov F. N. [79] Obukhova O. V. [11] Brutova A. C. [2]

    Tags: compulsory medical insurance8 deficit4 expenses4 federal budget3 federal fund of chi1 financing5 health care14 income5 insurance contributions1 inter-budgetary transfers1

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  • 2018 № 1 Prospects of health financing in 2018

    New 2018 in terms of funding health care will differ from the previous - it is expected a sharp increase in funding from all types of sources. However, this is due not only to increased revenues and the restructuring expenses. It becomes more rational - "saving" (for example, reducing expenditures on more costly inpatient care in the Federal budget). In the system of obligatory medical insurance is the refusal of a number of "non-core" expenditure. All of this should have a positive impact on the development of health care

    Authors: Kadyrov F. N. [79] Obukhova O. V. [11] Brutovа A. S. [5]

    Tags: compulsory health insurance13 deficit4 expenses4 federal budget3 federal the mandatory medical insurance fund1 financing5 healthcare4 income5 surplus2

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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. [79] Obukhova O. V. [11] Brutovа A. S. [5]

    Tags: budget4 deficit4 expenses4 federal fund of compulsory medical insurance1 finance1 health2 income5 inflation2 obligatory medical insurance3 surplus2

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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. [79] Obukhova O. V. [11] Perkhov V. I. [16] Starodubov V. I. [27]

    Tags: clinical approbation1 clinical experiments1 clinical research1 clinical-economical analysis1 effectiveness4 financial support of medical activity1 medical aid2

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