2013 № 7 Legal bases of medical care to the citizens having rare (orfanny) diseases (Penza State University, Penza, Russia)
Annotation: In the article the concept of a rare (orfanny) disease used in the Federal law «About bases of health protection of citizens in the Russian Federation» is analyzed. Shortcomings of legal regulation are noted. It is shown that patients with rare diseases — most socially the unprotected citizens needing additional social guarantees of the treatment and rehabilitation.
2019 № 2 How to arrange the provision of paid medical services anonymously
he article proposes specific mechanisms for the implementation of the right of patients to receive paid medical services anonymously. The authors propose and justify the use in the provision of paid medical services anonymously as the patient’s name alias (fictitious name), which should be reflected in the documentation – in the contract, the patient’s medical record, informed voluntary consent to medical intervention, etc. The Implementation of the proposals expressed by the authors of the article will allow to provide medical care anonymously in compliance with all the requirements of the law.
2019 № 7 Hospital replacement technologies in dermatovenereology
The Program of State Guarantees provided for a decrease of almost 20% in the volume of inpatient care due to the development of hospital-substituting forms. The efficiency of day hospitals is higher than hospitals by 1.5–3 times, which is associated with work in 2 shifts. The economic effect of the activity of DS according to the results of research works of a number of authors reaches 70%.
At the same time, the rate of introduction of day hospitals (DS) remains unreasonably low, and core day hospitals are not sufficiently developed, including in dermatology.
The disadvantage of the healthcare system in Russia and dermatovenerologic care in particular is the lack of economic incentives in favor of choosing less expensive technologies, their parameters are shifted towards hospital provision. Over the past decade, the numberof research papers on the activities of CPs has significantly decreased, an economic financing mechanismhas not been developed that stimulates the development of these forms of work.
2020 № 5 Analysis of the activities of a multidisciplinary day hospital in a city
In the article, based on literature sources, analysis of reporting data on the activities of medical organizations providing inpatient care (MOSU) and medical organizations providing outpatient care (MOAU), as well as studying work experience in a number of territories of the Russian Federation, the tasks are shown, organizational forms of work, medical and economic feasibility of organizing day hospitals. The experience and performance indicators of the patient care center based on the outpatient department of the city clinical hospital are presented. The medical and social efficiency of the work of the homestead and the possible economic effect of the organization of the homestead are estimated.
2020 № 2 The clinical significance of the relationship between doctor and patient (literature review)
This literature review collects research, laws, and various models of physician-patient interaction in the health
care system. The question of the patient’s adherence to treatment based on the level of trust in the doctor is considered in
detail, the analysis of the concepts of different models of interaction is carried out, and their specific conditions are defined,
presented in the scientific literature by the authors of the CIS and Europe. The purpose of the review was based on the
analysis of various options aimed at the development of the doctor-patient relationship in health care. Based on the data,
the authors suggested that it is necessary to search for new approaches to increase the legal, economic responsibility of
the patient, both for the performance of medical appointments and for their own health.
2013 № 11 Legal representatives in the health care (Penza State University, Penza, Russia)
This article analyzes the legal status of a legal representative in the various models of legal relations in the sphere of health care (with the consent to medical intervention prior to admittance to the patient). The basic challenges that may face a medical professional when determining the authority of the legal representative patient. Particular attention is paid to the guardianship authorities, as well as various organizations authorized to represent citizens under the law.
2017 № 5 Study of workload and working time costs of general practitioners in healthcare organizations in Kazakhstan
The article presents the results of a chronometric analysis of patients from the Karaganda policlinic, while analyzing and studying the costs of the doctor’s working hours for performing various labor operations. In addition, the main factors influencing the duration of admission of general practitioners of primary care organizations were identified, and we also compiled a forecast of the duration of GPs’ admission, depending on the treatment of some variables. Statistical analysis determined the main factors affecting the duration of admission of patients by GPs. These include the Communicative Factor or Component 1, Operating Procedures or Component 2, and Working with Documentation or Component 3
2020 № 1 Is the medical organization obliged to ask the patient for an identity document when applying for paid medical services?
The article shows and proves that when a patient applies for paid medical services, a medical organization is obliged to ask him for an identity document. First of all, this is enshrined in the requirements for the maintenance of accounting and reporting documentation established by the legislation of the Russian Federation. At the same time, the authors emphasize that even if the patient does not have an identity document, the refusal to conclude a contract for the provision of paid medical services is unacceptable. The issue of presentation of an identity document by a patient when applying for the provision of paid medical services became particularly relevant after the introduction of such a control tool as the control purchase of paid medical services.
2020 № 5 Is a medical organization required to provide medical documents of a deceased patient for review at the request of his / her spouse or close relatives
The article presents a detailed analysis of the legal situation related to issues of medical confidentiality after the death of a patient. The publication brought to the attention of the medical organizations, now in accordance with the Decision of the constitutional Court of the Russian Federation of January 13, 2020, № 1-P the denial of a spouse (wife), close relatives of a deceased patient access to his medical records may be considered valid only if during the life of the patient expressed prohibition on disclosure of information constituting a medical secret.