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.
2013 № 9 Investment strategy to economic efficacy assessment of medical intervention (coronary artery bypass graft surgery) (Almazov Federal Heart, Blood and Endocrinology Centre, Saint-Petersburg State University of Service and Economics, Saint-Petersburg, Russia)
The studies of investment strategy as one of the methods of economic efficacy assessment of high-tech medical care (coronary artery bypass surgery, CABG), when medical care is considered to be an investment project (capital investment — is a high-tech medical care at the cost of R — into patient quality of life improvement) made possible future treatment cost reduction. The research has shown, that CABG is not only high clinical, but also cost effective economic medical intervention. Parameters of investment project efficacy were used to assess medical care cost-effectiveness. The result correlates with medical care value and patient life expectancy.
2016 № 9 New mechanism for financing high-tech medical care in 2017: characteristics and risks
Federal hospitals will receive state funds to provide high-tech medical aid from the Federal mandatory medical insurance Fund directly, and not from the budget of its founder or of insurance companies in 2017. Thus, in relation to Federal clinics it is planned to implement the mechanism of financing expensive medical interventions, which, according to the authors, is neither the budget nor the insurance. The authors have shown that legislative innovations and their associated risks will require from the Ministry of health of Russia and the Federal mandatory medical insurance Fund serious work to ensure the necessary accessibility for citizens is costly, but most effective methods of medical care.
2015 № 9 Upgrading of organizational technologies for improvement of availability of high-tech medical care to cardiosurgical patients by the example of the Moscow Region
Annotation. The paper describes the mechanism for upgrading of organizational technologies for improvement of availability of high-tech medical care to cardiosurgical patients, based on regional vascular centers and primary vascular departments in medical organizations in the Moscow Region, as well as on Vascular Center of MONIKI and availability of the leading Federal clinics of MoH RF and RAS. Positive trends in decreasing cardiovascular mortality among population of the Moscow regions are presented with compatible parameters.
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.