Articles with tag: «clinical guidelines»
-
2019 № 2 The social significance of chronic hepatitis C drug treatment
The article presents epidemiological data on viral hepatitis, the burden of disease of this pathology and outlines the policy of the World Health Organization (WHO) to control it. A comparison of clinical recommendations on the pharmacotherapy of chronic hepatitis C (CHC) published by the WHO and some other international organizations, as well as adopted in Russia, were carried out. The main vector in the treatment of CHC currently is use of direct-acting antiviral medicines, providing the possibility of almost complete cure of this disease. Provision of the access to the modern pharmacotherapy for all patients in need is the priority in most countries, including Russia. The opportunity to eliminate CHC could have significant positive economic and social effects.
-
2023 № 7 Comparative analysis of the standards of medical care for adults in the oncology profile approved before and after 2019 for the possibility of planning a program of state guarantees.
In the healthcare system in Russian Federation, in recent decades, standards of medical care have been formed, which are tabular forms indicating medical services, medicines, medical devices implanted in the human body, blood components and clinical nutrition (components), indicating average frequency indicators.
P u r p o s e – a comparative analysis of the standards of medical care for adults in the oncology profile, approved by orders of the Ministry of Health of Russia in the period from 2012 to 2018, and the standards developed on the basis of clinical guidelines and approved in the period from 2019 to 2022, with a view to the possibility of planning a state guarantee program based on them.
M a t e r i a l s a n d m e t h o d s . The comparison was performed by comparing the standards of medical care in the context of types of medical care, the conditions for providing medical care, localizations and nosological forms according to ICD‑10 blocks, types of medical interventions and assessing consistency with planning units of the state guarantees program.
R e s u l t s . The standards of medical care in the oncology profile, approved in the period from 2012 to 2018, were developed in the context of the types of medical interventions and were not coordinated either with the planning units of the state guarantees program or with the methods of payment by diagnosis-related group. The introduction of a methodology for the formation of standards of medical care based on clinical guidelines using standardized modules of medical care made it possible to revise the principle of the formation of standards for the oncology profile and harmonize them with the planning units of the state guarantees program and methods of payment
by diagnosis-related group.
F i n d i n g s . Structuring the process of developing medical care standards based on clinical guidelines and developing a methodology for their formation makes it possible to realize the economic function of medical care standards. -
2019 № 4 Amendments to the Federal law “On the basics of public health in the Russian Federation” on matters of clinical guidelines: what to do and what to expect medical organizations
The article deals with an analysis of certain provisions of the legislation on health care in connection with the changes made to the Federal law “on the basics of public health in the Russian Federation” on clinical guidelines.” In the context of the adopted changes, the authors consistently and clearly justify the obligation of medical organizations to comply with both the standards of medical care and the current clinical recommendations (treatment protocols). The sig- nificantly increased role of criteria for assessing the quality of medical care, approved by the Ministry of health of Russia, is emphasized and justified.
-
2017 № 9 About standards of medical care again: who needs them?
Recently, the standards of care are constantly subjected to criticism from clinicians, but are protected by the professionals working in the enforcement agencies, insurance medical institutions, funds of CMI. The article pro- vides additional arguments about the voluntary application of standards. These arguments will help leaders of health organizations and practitioners to understand the complex conflict
-
2017 № 9 The discussion about mandatory compliance with medical organizations standards of medical care
The authors in the order of discussion into details justify and prove that currently approved and put into effect in the prescribed manner the standards of medical care mandatory for medical organizations and doctors