Articles from rubric: «Economics of health»
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2017 № 9 Problems of rendering paid medical services from the position of heads of medical institutions
In accordance with the legislation in the field of health care, every citizen of the Russian Federation has the right to receive medical care, which is implemented by providing a guaranteed volume of free medical care and the possibility of obtaining paid medical services. Despite the legally established procedure and conditions for the provi- sion of paid medical services, medical institutions of state and non-state forms of ownership have a large number of problems when providing paid medical services. The object of this study was an expert evaluation of the organization of paid medical services at the level of the administrative center of the subject of the Russian Federation. The experts were the manager of medical institutions that have a certificate on the specialty «Public Health and Health Care». To eliminate the random nature of the comments, a study was conducted to determine the homogeneity of the sample using the nonparametric Cochran criterion. The results confirmed the existence of problems in the organization of paid medical services and allowed to identify the most significant problem areas
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2017 № 9 Versions of restructuring the standards of medical care in order to optimize the costs of continued high-tech treatment
An approach to restructuring of medical care standards is proposed. The example of the restructuring of standards for the provision of outpatient care to solid organs transplant recipients is considered. The structure of the standards is described in terms of mathematical model based on oriented graphs. The need of introduction of the changes in the system of Russian Federation medical standards is pointed out
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2017 № 9 Audit of the local programme of state guarantees implementation in the subject of the federation on the example of the Zabaykalsky krai
In order to evaluate healthcare accessibility under the Local Programme of State Guarantees in Zabaykalsky Krai in 2016, the analysis of the scope of provided medical services, their types and conditions of delivery was carried out. The comparison of actual data on the types of health services provided by healthcare institutions according to the standard indicators, recommended by the Federal authorities, revealed the structural and organizational disparities in the local health care system
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2017 № 9 Clinical and economic efficiency of carotid endarterectomy and stenting of carotid arteries in specialized surgical clinic
The article presents and justifies list of economic expenses for performance of this surgical methods. Also the article presents and justifies list of economic expenses for patient’s rehabilitation after surgical treatment to revascularization of brain. The article presents comparative analysis of this surgical methods with examination of clinical and economic efficiency. The article presents advantages of both methods of surgical treatment
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2017 № 9 Experience of the participation of the Clinical Diagnostic Laboratory in external systems for assessing the quality of laboratory research: Federal Center of Traumatology, Orthopedics and endoprosthesis replacement
The article presents the experience of participation of the Clinical Diagnostic Laboratory of the Federal State Budgetary Institution Federal Center of Traumatology, Orthopedics and endoprosthesis replacement of Ministry of Health of the Russian Federation (Cheboksary) in Russian and foreign external systems for assessing the quality of laboratory research
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2016 № 7 Analysis of mortality rates in the groups of regions with different levels of socio-economic development
The article compares the mortality rates in the 2 groups of Russian regions that differ in terms of socioeconomic development. Material and methods. The division of regions into 2 groups performed on the basis of the rating of socio-economic situation of the regions, developed by the Rating agency «RIA Rating», included in the media holding «Russia Today» (RIA Rating, 2015). We analyzed standardized mortality rates (the whole population, men, women), age-specific death rates in subgroups of 20–39 years, 40–59let, 60–69 years: a) from all causes; b) from causes related to alcohol and drugs; c) from external causes; g) from a group of non-communicable diseases (NCDs). The authors conclude that there are significant differences in mortality between the two groups of regions.