Articles with tag: «financial support»

    POPULATION HEALTH
  • 2023 № 1 Planning medical care for patients with cancer in the constituent entities of the Russian Federation.

    National project “Fight against oncological diseases 2019 - 2024” implemented for the fourth year. During this time, experience has been gained in planning the volume of medical care, including diagnostic tests, and financial support in the system of compulsory medical insurance, but there is no systematic analysis of planning problems. The purpose of this study was to study the planning by the subjects of the volume of medical care and their implementation of the target indicators of the territorial programs of state guarantees of free medical care (TPGG) and to identify planning problems. We analyzed the territorial programs of state guarantees of some subjects of the Russian Federation. Also, from the territorial CHI Funds (TFOMS) we received information on the performance of TPSG indicators: the
    volume of care in round-the-clock and day hospitals, planned and actually performed molecular genetic studies and cases of positron emission tomography combined with computed tomography in 2021 and the first half of 2022 of the year. We found significant problems, some of which have causes at the federal level, others are purely regional in nature, which lead to significant differences in planning the volume of medical care between the subjects of the Russian Federation. Conclusion. Planning the volume of medical care in the field of “Oncology” varies significantly between the subjects of the Russian Federation and has systemic difficulties, control over the effective use of funds is insufficient. We consider it necessary when planning medical care for the oncology profile in the Program of State Guarantees of
    Free Medical Care to take into account the standardized incidence rate per 100,000 population, and not the number of insured persons in the subject.

    Authors: Shelyakin V. A. [1] Linnik S. А. [3] Tretyakov D. A. [1] Khudyaev A. S. [1] Shvachko S. A. [2]

    Tags: financial support3 malignant neoplasms5 molecular genetic research1 planning of volumes of medical care1 program of state guarantees of free medical care2

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  • Manager of heath care consults
  • 2020 № 8 Changes in the procedure for financial support of medical organizations in the system of compulsory medical insurance at the present stage of the spread of coronavirus infection

    In the context of the spread of coronavirus infection, the main problem of medical organizations is not an obvious increase in the cost of providing medical care associated with ensuring the sanitary and epidemiological regime (personal protective equipment, disinfection, etc.), but a decrease in income due to a drop in the volume of planned medical care, suspension of preventive measures, downtime (during the period of re-profiling, etc.).
    The state quickly responded to this situation by making changes to the relevant legislation and adopting a number of special regulatory legal acts. However, the implementation of these rather varied measures tied to a number of factors, such as the presence or absence of restrictive measures on the territory of the Russian Federation; participation or non-participation in the care of patients with coronavirus infection; periods within which the one or the other order advances, etc.
    All this causes difficulties in understanding what financial security mechanism is applied to this particular situation, what should be the actions of medical organizations.
    This article is devoted to the analysis of ways of financial support of medical organizations in the system of compulsory medical insurance at various stages of the fight against coronavirus infection.

    Authors: Kadyrov F. N. [123] Obukhova O. V. [28] Chililov A. M. [24]

    Tags: advance payment1 financial support3 mandatory medical insurance10 medical insurance organizations6 medical organizations23 payment for medical care4 volumes of medical care2

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  • Management in healthcare
  • 2022 № 7 Topical issues of organization and financial support of high-tech medical care

    The article provides a historical overview of changes in approaches to the financial provision of high-tech assistance, analyzes the causes of these changes, shows the system that has developed at the moment.
    Comments are given on the most relevant changes concerning the financial provision of high-tech medical care.

    Authors: Chililov A. M. [24]

    Tags: compulsory medical insurance18 federal budget9 financial support3 high-tech medical care11 subsidies1 subventions2

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