Articles with tag: «cost of medical services»

  • 2023 № 7 Review of the regulatory framework regarding the use of multifocal IOLs for cataract surgery.

    Considering the increasing requirements for the quality of postoperative vision, the number of requests from patients for the implantation of a multifocal IOL is increasing, which makes it relevant to analyze the existing regulatory framework for the possibility and obligation to use this medical device in the provision of specialized medical care – surgical treatment of cataract within the framework of the state guarantees program. An analysis of the current regulatory framework showed that the existing regulatory framework allows the use of multifocal IOLs in the provision of medical services under the state guarantees program, however, it does not give the patient the right to choose, and makes considering the patient’s desire to implant this particular type of medical device is not mandatory when planning
    surgery. Considering the requirements of mandatory informed voluntary consent when receiving a medical service, the patient must be informed about the implantation or refusal to implant this type of medical device when providing him with specialized medical care. Most of the analyzed medical devices – IOLs with multifocal properties – are registered in the Russian Federation as “Intraocular lens for the posterior chamber of the eye, pseudophakic”, and not “Intraocular lens for the posterior chamber of the eye, pseudophakic, with increased depth of focus”. There is both a clinical need for changes (Clinical guidelines), and an organizational need to identify a group of operations, including with the application of additional coefficients to the tariff as part of the payment for medical services included in the program of state guarantees.

    Authors: Chuprov A. D. [4] Lositsky A. O. [2] Zhediale N. A. [1]

    Tags: cataract treatment1 cost of medical services2 multifocal iols1 quality of life8 state  guarantee  program4 tariff setting1

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  • Healthcare economics
  • 2023 № 7 The economic effect of providing medical care using simultaneous dental implantation by one specialist.

    The economic effect of the introduction of a new organizational model “dentist-implantologist-orthopedist” is considered. Optimization of work, cost savings of the Ministry of Defense and an increase in the responsibility of a dentist who owns related specialties “Orthopedic Dentistry” and “Surgical Dentistry” were obtained.
    Purpose: assessment of the economic effect in the provision of medical care using simultaneous dental implantation.
    Materials and methods. The study was conducted in the dental polyclinic of the AUZ UR “RSP MZ UR” of Izhevsk, Udmurt Republic.
    The economic effect was assessed by comparing two models of providing medical care in orthopedic dentistry using dental implantation: the first – medical service was provided by two separate teams (1 – surgical care; 2 – orthopedic care); the second – medical service was provided by one team entitled to provide this type of care.
    Results. The economic effect of providing medical care using simultaneous dental implantation by one specialist allowed to reduce the use of the area of the medical organization, the number of full-time positions of nurses and reduced the costs of the medical organization for consultation.
    Conclusion. With the introduction of a new organizational model “dentist-implantologist-orthopedist”, an economic effect was obtained by reducing staff positions, reducing wage costs and rational use of MO areas. All this contributes to the optimization of the work of a medical organization, saving the Ministry of Health without reducing the quality of services provided and increasing the responsibility of one specialist for the final result of the treatment at the moment and in the future, which is one of the main factors of a value-based approach in healthcare.

    Authors: Liutsko V. V. [5] Stupak V. S. [3] Bezdetko G. I. [1] Shkatova E. Y. [1]

    Tags: cost of medical services2 economic effect3 models of medical care1 orthopedic treatment1 simultaneous dental implantation1

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