2014 № 9 Problems associated with provision of paid medical services while using equipment purchased at the expense of state funds or funds from mandatory medical insurance system (FSHI «Health Organization and Informatics» Ministry of Health Care of Russia, Moscow, Russia)
One of the issues, that doesn't have a precise normative regulation, is usage of equipment, purchased at the expense of state budgets of different levels and funds from mandatory medical insurance system when delivering paid medical services. The policy of state and municipal institutions with regard to possibility and regulation on using equipment, purchased at the expense of state budget and funds of MMI (Mandatory Medical Insurance) in the course of a running a profitable activity, is quite controversial. It is not decided, where amortization of the equipment should be directed in such cases. The article is dedicated to possible solutions to this problem.
2017 № 5 Possible options of citizens' participation in the financial provision of rendering medical assistance using resources not provided by the program of state guarantees
Active search of new forms of co-financing of medical care is the answer to financial difficulties in the health sector. However, equally important is the streamlining of those forms of relations between medical organizations and patients about co-payments in the provision of medical care within program of state guarantees that exist. The analysis shows that the legalization of shadow payments, proper design of the acquisition at the expense of and at the request of the patient more quality of medicines, health care products, as expressly provided under the program of state guarantees, etc., can serve the interests of both patients and society as a whole. The article discusses specific payment options at the expense of patients, resources that are not provided under the program of state guarantees allowed under the current legislation
2016 № 2 The challenges, related to provision of paid medical services on anonymous basis
Current legislation has quite clearly settled the questions regarding the provision of the medical aid on a paid basis. Medical organisations, participating in the realization of the programmes of state guarantees for delivering free medical aid and territorial programmes of state guarantees for providing free medical aid to the population have a right to provide patients with paid medical services anonymously exempt for the cases set forth by Russian legislation. However, the provision of medical aid on a paid basis requires conclusion of contracts. There is no special legislation or other normative regulation for contract conclusion on anonymous basis. Nevertheless, an analysis of the normative basis, related to the anonymous provision of medical aid allows finding solutions to the most frequently occurred problems.
2017 № 4 Paradoxes of law: the guarantee of free medical aid often limit the rights of patients to improve quality
The legislation of the Russian Federation, recognizing the rights of citizens on free medical aid and paid medical services, however, makes clear the roll the side free of charge. At the same time guarantee free of charge formulated in such a way that often limit the rights of citizens to receive medical care with the use of drugs, medical devices, etc., not provided for in the programme of state guarantees of free rendering to citizens of medical aid. Moreover, if the rights of citizens to receive paid medical services directly spelled out in the law, the right of citizens to self-purchase of medicines, medical devices, etc. did not say anything. There is no outright bans, which in practice leads to numerous conflict situations. The article provides specific suggestions for improving the legislation in this field.
2017 № 3 The paid services in the field of family planning
The paid services in the field of family planning (including in the form of a voluntary medical insurance) are perceived as a violation, although legally they are not prohibited. But the legislation provides specific protection in this area, which is quite legitimate. Sometimes the guarantee is worded in such a way that in practice, healthcare organizations can easily get around them. The analysis of these problems addressed in this article.