Manager Zdravoochranenia 2017 #8

CONTENT OF THE ISSUE

Focus of problem

• Standards of medical care: whether they are mandatory for compliance with medical organizations?

  In the Federal legislation of public health has stated that «medical care is organized and is … on the basis of standards of medical care…». The phrase «on the basis of standards of medical care» is interpreted differently in medical institutions, in connection with which the question often arises: «do I have to perform the standards of care, or they are Advisory in nature?». In the article the authors substantiate and prove that is currently approved in the prescribed manner the standards of care mandatory for medical organizations and doctors

  Authors: Piven D. V. [59] Kitsul I. S. [59] Ivanov I. V. [30]

  Tags: inspections1 medical organization53 monitoring3 quality and safety of medical practice4 standards of medical care5

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Economics of health care

• Нigh technology medical care to residents of the Moscow region at the expense of means of obligatory medical insurance in 2016

  High-tech medical care is part of a specialized and is a combination of modern medical technology to solve complex and vital problems in providing medical care to patients. In the article the analysis of availability of high-technology medical care of residents of the Moscow region in the framework the territorial program of obligatory medical insurance

  Authors: Markov D. S. [2] Pirogov M. V. [1] Ogneva E. Y. [1]

  Tags: high tech medical aid2 high-tech medical aid tariffs1 obligatory medical insurance3 types and methods1

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• The Results of a study of financing of TB control activities

  Tuberculosis control in the Russian Federation has a high national priority, confirmed a high level of funding for TB activities. The value of the costs per patient of tuberculosis is the highest in the world. The main economic burden of TB falls on the budgets of the constituent entities of the Russian Federation. The article presents the results of the analysis of volumes of financing on the main financial sources and areas of spending of budget funds for TB care in 2015. Presents cross-country comparative analysis of the financing of TB control in countries with high burdens of tuberculosis and tuberculosis, caused by the pathogen with multidrug resistance. The dynamics of the state of basic funds of TB of the medical organizations and the calculations of the financial requirements for their updating

  Authors: Obukhova O. V. [28] Sterlikov S. A. [8] Nechaeva O. B. [2] Belilovsky E. M. [1]

  Tags: anti-tuberculosis measures1 the basic foundations of healthcare organizations1 tuberculosis4

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It management

• Assessment principles of informatization level of medical organization

  The article is about assessment principles of informatization level of the regional segment of The Unified State Health System. This approach is based on an assessment of informatization level of the healthcare organizations. Scale building is based on the calculation of indicators, combined into functional segments, which form an integral evaluation for the medical organization. In 2016, the developed scale in the questionnaire form was presented to experts of regional Medical Information and Analytical Centers of eight Russian constituent entities, the experts took a favourable view of 90% indicators. There was implemented a test survey of medical organizations of three pilot regions

  Authors: Starodubov V. I. [40] Sidorov K. V. [2] Zarubina T. V. [3] Shvyrev S. L. [1] Koroleva Y. I. [1] Rauzina S. E. [1]

  Tags: e-health3 efficiency of informatization1 medical information system8 result-oriented approach1

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Medical science

• The transition to a model of personalized medicine: barriers and possible solutions

  The transition of the national health system to the model of «personalized medicine» is highlighted in the Strategy of scientific and technological development of the Russian Federation as one of seven priorities (item 20 in"). Analyzed risks and possible barriers of the implementation of this priority. Attention is drawn to the need to assess economic viability, human and infrastructural support, adequacy of legal regulation of development of methods of personalized medicine in the Russian Federation in the format of full project life cycle

  Authors: Son I. M. [41] Kurakova N. G. [15] Petrov А. N. [2]

  Tags: design3 expertise4 personalized medicine1 priorities for research and technological development1 the implementation1 the projects 'full cycle'1

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Manager of healthcare consults

• Telemedicine: dreams and realities

  The adoption of the Federal law directly affecting telemedicine was expected for a long time. So the law has generated great interest in the medical community. However, a large number of evaluations of the new law is not accompanied by serious analysis. Meanwhile, despite the apparent «breakthrough» of the right regulation of telemedicine, the possibilities of practical use of telemedicine technologies remain very limited. This is due to the legal boundaries of the use of telemedicine technologies, and organizational and financial. This article discusses these and other issues related to the practical aspects of using telemedicine

  Authors: Kadyrov F. N. [123] Kurakova N. G. [15]

  Tags: consultation2 e-health3 informatization of healthcare3 medical help2 telemedicine12 unified state information system in healthcare1

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Questions and answers

• Questions answered by PhD of Economic F.N. Kadyrov

  Authors: Kadyrov F. N. [123]

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