Articles with tag: «mandatory health insurance»

    Manager of healthcare consults
  • 2020 № 4 The effect of coronavirus Сovid-19 on the situation in Russian healthcare

    The relatively slow initial rate of spread of COVID-19 coronavirus in Russia has its own objective reasons related to the size of the territory, population density, tourist activity of the population, etc. They have played a positive role in making it possible to better prepare for the fight against it, taking into account, among other things, the experience of countries where the rate and scale of the spread of the coronavirus was much higher.
    Despite the serious damage to the economy, there are no global financial threats to health care yet. However, it is important that resources arrive in time to medical organizations in the context of large-scale conversion of beds, etc. Unavoidable periods of downtime during periods of re-profiling, being in standby mode, etc., lead to the fact that many medical organizations risk finding themselves in a difficult financial situation, even with sufficient resources in the industry. Therefore, at this stage, it is sometimes more important than serious financial infusions, and mechanisms aimed at com- pensating for the loss of income.

    Authors: F.  N.  Kadyrov [9] O.  V.  Obukhova [3] Yu. V. Endovitskaya [6] V.  I.  Starodubov [1] I.  N.  Bazarova [1] N. Ya.  Nesvetailo [2]

    Tags: coronavirus3 covid-197 crisis3 financing10 health care20 mandatory health insurance5 medical organizations15

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  • 2020 № 5 Russian Health Care in the background coronavirus COVID-19: Opportunities and Threats

    The effectiveness of any public system, including health care, is determined by the adequacy of its legal regulation. The situation with coronavirus exposed many problems in this area, a number of which were quickly resolved with varying degrees of success. However, there are still many unresolved issues and the need to further improve the legal regulation of health care. This applies, among other issues, to the remuneration of medical workers engaged in providing medical care to patients who have been diagnosed with COVID‑19 coronavirus infection. The article presents an analysis of the procedure for implementing incentive payments at the expense of Federal funds, and suggests measures to improve it. The article presents a SWOT analysis of the state of Russian healthcare against the background of the spread of COVID‑19 coronavirus.

    Authors: Kadyrov F. N. [95] Obukhova O. V. [18] Bazarova I. N. [6] Starodubov V. I. [30] Yu. V. Endovitskaya [6] N. Ya.  Nesvetailo [2]

    Tags: coronavirus3 covid-197 crisis3 financing10 health care20 mandatory health insurance5 medical organizations15

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  • Manager of health care consults
  • 2020 № 6 Assessment of public policy in relation to certain issues of healthcare functioning during the spread of COVID-19 Coronavirus 

    Health care, as a predominantly public system, is objectively subject to serious regulation in special operating conditions, which include the spread of COVID-19 coronavirus infection. It is also important that the private healthcare system is also subject to direct or indirect regulation. At the same time, public authorities are sometimes forced to resort to "manual management", the consequences of which are not always clear for both public and private health care.

    Authors: Kadyrov F. N. [95] Obukhova O. V. [18] Bazarova I. N. [6] Starodubov V. I. [30] Endovitskaya  Yu.  V. [3]

    Tags: coronavirus3 covid-197 crisis3 financing10 health care20 mandatory health insurance5 medical organizations15

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  • Management in health care
  • 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.

    Authors: Perkhov V. I. [18] Gorin S. G. [3] Kolesnikov S. I. [1]

    Tags: federal medical institutions1 funding1 high-tech medical care7 mandatory health insurance5

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  • Focus of problem
  • 2018 № 4 The role and importance of criteria for evaluating the quality of medical care, approved by order of ministry of health of Russia from 10.05.2017 n203n for healthcare organizations working in the mandatory health insurance system

    The article analyzes the regulatory framework governing the quality control of medical care in the system of mandatory health insurance (MHI) and the application of criteria for assessing the quality of medical care in a medical organization. It is noted that the criteria for assessing the quality of medical care are an integral tool for ensuring and controlling the quality of medical care for all medical organizations without exception, including those operating in the MHI system. The authors explain and emphasize that the legislation on compulsory medical insur¬ance in no way limits the use of these criteria medical organizations working in MHI. At the same time application of the specified criteria allows to prevent or reduce number of defects of medical care / violations at rendering medical care, and also number of defects of registration of primary medical documentation

    Authors: Piven D. V. [47] Kitsul I. S. [48] Ivanov I. V. [22]

    Tags: control of the quality of medical care1 examination of the quality of medical care2 mandatory health insurance5 medical care11 medical organization41 quality assessment criteria1

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