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  • 2017 № 9 About standards of medical care again: who needs them?

    Recently, the standards of care are constantly subjected to criticism from clinicians, but are protected by the professionals working in the enforcement agencies, insurance medical institutions, funds of CMI. The article pro- vides additional arguments about the voluntary application of standards. These arguments will help leaders of health organizations and practitioners to understand the complex conflict

    Authors: Perkhov V. I. [16] Yankevich D. S. [3]

    Tags: clinical guidelines4 standards of care4

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  • International experience
  • 2013 № 7 Analysis of international experience of funding and managing research and development in healthcare (Federal Research Institute for Health Care Organization and Information of the Ministry of Health of Russian Federation, Moscow, Russia; Research center of neurology Russian academy of medical science, Moscow, Russia; Research-Practical Center of Medical Radiology, Moscow Department of Health care, Moscow, Russia)

    Healthcare in developed countries becomes the most productive and cited field of the world science. However little is known about innovative processes in the non-market oriented areas including medicine. This article deals with funding and managing research and development in medicine in foreign countries. The authors show that innovations in healthcare are the major focus of interest of foreign governments seeking for balance between cost-containment, quality and access to health care. Healthcare innovations assessment is necessarily accompanied with the expert evaluation of efficacy and safety of health technologies delivered by designated institutions. International policy analysis confirms that the search for the most effective management in organization and funding of healthcare research is of high priority in the world.

    Authors: Perkhov V. I. [16] Stebunova R. V. [1] Yankevich D. S. [3] Yurkin Y. Y. [1]

    Tags: healthcare4 innovations2 research and development2

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  • Problem statement
  • 2018 № 7 Strategies and conditions for provision of state guarantees for free medical assistance

    Guarantees of free medical care are important constitutional guarantees that provide material benefits and the most specific type of public debt to the citizen. It is shown that in modern Russia, implemented a version of the strategy of providing state guarantees of free medical care, based on a combination of resource reduction and attempts to improve the efficiency of their use. There is no paradigm of transformation and development of the industry, which has a strategic focus and covers all levels and components of the national health system. The authors believe that due to the traditional conservatism of the health care system, it is difficult, but possible, to solve this problem by the internal forces of the industry. To do this, it is necessary to create conditions in which the circle of strategic decision-makers in health care will be separated from the circle of persons developing and implementing tactical tools.

    Authors: Perkhov V. I. [16] Yankevich D. S. [3] Grechko A. V. [2]

    Tags: efficiency and effectiveness of health care1 state guarantees of free medical care1 strategic health management1

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