Articles with tag: «insurance»

    Management in health care
  • 2020 № 8 Model of interaction between medical organizations based on the principles of Fund management – a way to improve the efficiency of primary health care

    The article analyzes the experience of per capita financing of primary health care based on the principles of
    stock provision in the system of compulsory health insurance (MHI). The article shows the features of practical implementation of Fund-forming models of per capita financing, their impact on the final results of the activities of medical organizations of Fund-holders. A unified scheme of interaction between the MHI participants (medical organizations, insurance medical organizations, territorial MHI Fund) (medical and economic model of business processes) is proposed for the implementation per capita financing of primary health care, with provision of decoding with partial filling of the Fund for the implementation of a patient-oriented model of medical care.

    Authors: Halfin R. A. [1] Avksentieva M. V. [1] Muravyov D. N. [1] Orlov S. A. [3]

    Tags: chi system1 efficiency of medical care1 fund maintenance1 insurance2 insurance event1 interaction of inpatient and outpatient care1 medical care12 per capita financing2

    Read more >

  • Healthcare and law
  • 2014 № 5 Responsibilities of medical organizations (Penza State University, Penza, Russia)

    Аbstract. In the article obligations of the medical organizations (article 79 of the Federal law of November 21, 2011 № 323-FZ «About bases of health protection of citizens in the Russian Federation») are analyzed. The subject of duties is defined. The maintenance of such duties as is opened: to inform law-enforcement bodies on arrival of patients concerning whom there are sufficient bases to believe that harm to their health is done as a result of illegal actions; to carry out insurance on a case of infliction of harm of life and (or) to health of the patient when rendering a medical care. In article the maintenance of obligations of the medical organizations fixed in other statutiry sources (for example, in the Federal law of November 29, 2010 № 326-FZ «About obligatory medical insurance in the Russian Federation») is considered.

    Authors: Romanovskaya O. V. [6]

    Tags: duties1 insurance2 medical care12 medical organization50 responsibility1

    Read more >