2017 № 2 The ways to counter the "consumer (patient) extremism" in the provision of paid medical services
The medical organization in the provision of paid medical services are faced not only with a large number of inspectors, with unreasonable restrictions (which usually applies to state and municipal institutions), the discontent of the population by the fact of payment for medical care, etc., but with the incorrect behavior of patients seeking unreasonably to obtain the benefits that they are not guaranteed. We are talking about the phenomenon called «patient extremism». The position of the regulators is often in almost unconditional support for patients. The current mentality is based on the incorrect position of «the patient is always right». Meanwhile, the provision of paid medical services is a sphere of civil relations where there should rule the law. In recent years adopted laws (including amending the Civil code) allow healthcare organizations to more successfully assert their legal rights when lawful execution and performance of contracts for the provision of paid medical services to patient and resist extremism. The analysis of the legislation addressed in this article.
2015 № 4 Supply of general practitioners and their activity in different federal districts of the country in the period from 2007 to 2013 biennium
In the Russian Federation from 2007 to 2013 biennium. indicator of the availability of general practitioners has steadily increased. The most pronounced positive trend registered in the southern federal district (53,9%), the lowest-in the Siberian federal district (2,6%), along with the indicators of the medical and the coefficients of its rejection had considerable variability (maximum in the North Caucasus federal district: +40,6%, minimum-VLS: +14,6%) Also decreased the number of specialists, particularly in the Northwest and Vls, which contributed to the growth in health care ISSUES for the country as a whole, over the period from 2007 to 2013 biennium. was +31,4%. Increased proportion of patients and GPS at home, especially rural people. The overwhelming number of visits to doctors in that specialty was about diseases. This situation requires re-evaluation of the primary health care for the population in order to increase the availability of care provided by general practitioners, and the basis of the positive experience of a number of constituent entities of the Russian Federation.