Articles with tag: «medical organizations»

    Technological management
  • 2013 № 7 Emergency (acute) disinfection of air and living surfaces in a complex system of infection security of medical organizations (JSC «Publishing House «Manager of Health Care», Moscow, Russia Россия)

    Annotation: In the article there are considered organizational-methodical aspects of processing events on emergency (acute) disinfection of air and living surfaces which is the core part of complex program on infection security in medical-prevention organizations.

    Authors: Golubtsov A. A. [1]

    Tags: complex plan1 emergency and acute disinfection1 medical organizations21 program on infection security disinfection1

    Read more >

  • Special opinion
  • 2020 № 7 Legal regulation of involuntary hospitalization of persons with coronavirus infection what needs to be done

    The article presents an analysis of legal acts regulating the procedure for hospitalization and / or isolation in cases of
    coronavirus infection. It is shown that currently, in accordance with the law, medical intervention is allowed without the consent of a citizen in respect of persons suffering from diseases that pose a danger to others. At the same time, the authors prove that the concepts of “medical intervention” and “hospitalization” are not identical. In turn, the legislation does not provide for involuntary hospitalization and involuntary isolation of persons suffering from diseases that pose a danger to others. The lack of clear legal regulation of these issues makes it difficult to implement effective measures to prevent the spread of coronavirus infection. The article proposes to define and legislate the procedure for involuntary hospitalization and involuntary isolation in cases of diseases that pose a danger to others.

    Authors: Piven D. V. [50] Kitsul I. S. [50] Ivanov I. V. [25]

    Tags: citizens‘rights1 coronavirus  infection5 diseases that pose a danger to others1 involuntary hospitalization1 isolation1 medical intervention1 medical organizations21 quality and safety of medical activities9

    Read more >

  • Sociology of healthcare
  • 2022 № 2 Adaptation and initial reliability testing of the Russian-language version of the safety attitudes questionnaire for medical organizations

    The article presents the results of adaptation and initial reliability testing of the Russian version of the safety attitudes questionnaire (SAQ) for medical organizations. The reliability of using the questionnaire has been proven: all scales have high internal consistency and correlate with original factors. Using exploratory and confirmatory factor analysis, the features of the seven-factor structure of the Russian version of the questionnaire are shown: 1. teamwork climate; 2. safety climate; 3. job satisfaction; 4. stress recognition; 5. perceptions of management (department level); 6. perceptions of management (hospital level); 7. working conditions.

    Authors: Khayrullin I. I. [7] Tsaranov K. N. [5] Tarbastaev A. G. [5] Klimova E. M. [3] Protsenko D. N. [2] Rakhmatullin R. E. [2] Kononov A. N. [1]

    Tags: adaptation of the questionnaire1 approbation of the questionnaire1 confirmatory and factor analysis1 medical organizations21 safety attitude1

    Read more >

  • Personnel management
  • 2013 № 12 The directions to improve the admission office staffing in the medical institutions of the Moscow region (Moscow Regional Clinical and Research Institute (MONIKI) M.F. Vladimirsky, Moscow, Russia)

    Improvement of the admission office staffing in the Moscow Regional medical institutions like in the whole Russian Federation should be based on the principle of 1 physician per 215 patient beds used for planned hospitalization and 260 beds for urgent cases but no less than 1 daily post per medical department. Medical aid should correspond to these principles which should be differentiated according to the patient stream to admission offices working in planned, urgent regimes or with outpatients without further hospitalization.

    Authors: Gurov A. N. [15] Plutnitsky A. N. [4] Kupeyeva I. A. [1] Frolova Yu. V. [1]

    Tags: emergency rooms1 medical organizations21 normatives2 personnel4

    Read more >

  • Manager of heath care consults
  • 2021 № 10 ACCOUNTS PAYABLE OF MEDICAL ORGANIZATIONS OPERATING IN THE COMPULSORY HEALTH INSURANCE SYSTEM

    Among the indicators used to assess the financial condition of medical organizations, one of the most important is accounts payable, which characterizes the risks to their normal activities.
    In this article, this problem is considered in relation to the system of compulsory medical insurance from the point of view of factors that do not depend on the medical organizations themselves.

    Authors: Kadyrov F. N. [106] Obukhova O. V. [24] Bazarova I. N. [12] Sychev Y. P. [1]

    Tags: accounts payable1 compulsory medical insurance13 expenses7 medical organizations21

    Read more >

  • 2021 № 5 New system of control measures in relation to medical organizations within the framework of compulsory health insurance

    One of the most serious innovations in the system of compulsory health insurance is the change in the procedure for conducting control measures. In accordance with the new version of Federal Law No. 326-FZ (in accordance with the provisions of the Federal Law of December 8, 2020 № 430-FZ On Amendments to the Federal Law "On Compulsory Medical Insurance in the Russian Federation"), the procedure for monitoring the volume, timing, quality and conditions of providing medical care for compulsory medical insurance to insured persons, as well as its financial support, is now established not by the Federal Fund for Compulsory Medical Insurance, but by the Ministry of Health of the Russian Federation. At the same time, both the participants of the CMI system who have the authority to conduct control measures, and the procedure for conducting control, are changing.

    Authors: Kadyrov F. N. [106] Obukhova O. V. [24] Bazarova I. N. [12] Starodubov V. I. [33] Kobyakova O. S. [10] Chililov A. M. [12] Endovitskaya  Yu.  V. [8] Mitroshin P. V. [1]

    Tags: compulsory medical insurance13 control of the volume and quality of medical care1 federal cmi fund1 insurance medical organizations4 medical organizations21 territorial cmi funds1

    Read more >

  • 2021 № 4 NEW SYSTEM OF CONTRACTS WITHIN THE FRAMEWORK OF COMPULSORY HEALTH INSURANCE

    The system of compulsory health insurance is regulated by a large number of regulatory legal acts. Nevertheless, many issues related to the relationship between the participants of the MHI system, and above all – financial, are determined by the content of the contracts concluded between them. This article analyzes the new system of contracts that has developed in the system of compulsory medical insurance in connection with the adoption of Federal Law No. 430-FZ of December 8, 2020 “On Amendments to the Federal Law “On Compulsory Medical Insurance in the Russian Federation”, as well as other related regulatory legal acts. There have been changes not only in the content of the contracts, but also in the composition of their participants. In addition, there is a new, previously absent type of contract. The purpose of the work is to analyze changes in contracts in the MHI system and their possible consequences.

    Authors: Kadyrov F. N. [106] Obukhova O. V. [24] Bazarova I. N. [12] Starodubov V. I. [33] Kobyakova O. S. [10] Chililov A. M. [12] Endovitskaya  Yu.  V. [8]

    Tags: compulsory medical insurance13 contracts in the mhi system1 federal chi fund2 medical insurance organizations5 medical organizations21 powers of mhi participants1 territorial chi funds1

    Read more >

  • 2020 № 8 Changes in the procedure for financial support of medical organizations in the system of compulsory medical insurance at the present stage of the spread of coronavirus infection

    In the context of the spread of coronavirus infection, the main problem of medical organizations is not an obvious increase in the cost of providing medical care associated with ensuring the sanitary and epidemiological regime (personal protective equipment, disinfection, etc.), but a decrease in income due to a drop in the volume of planned medical care, suspension of preventive measures, downtime (during the period of re-profiling, etc.).
    The state quickly responded to this situation by making changes to the relevant legislation and adopting a number of special regulatory legal acts. However, the implementation of these rather varied measures tied to a number of factors, such as the presence or absence of restrictive measures on the territory of the Russian Federation; participation or non-participation in the care of patients with coronavirus infection; periods within which the one or the other order advances, etc.
    All this causes difficulties in understanding what financial security mechanism is applied to this particular situation, what should be the actions of medical organizations.
    This article is devoted to the analysis of ways of financial support of medical organizations in the system of compulsory medical insurance at various stages of the fight against coronavirus infection.

    Authors: Kadyrov F. N. [106] Obukhova O. V. [24] Chililov A. M. [12]

    Tags: advance payment1 financial support1 mandatory medical insurance10 medical insurance organizations5 medical organizations21 payment for medical care4 volumes of medical care2

    Read more >

  • Manager of healthcare consults
  • 2019 № 3 Рayment for medical care provided in excess of the volumes of granting of medical aid in system of obligatory medical insurance

    Сurrently, health organizations are extremely important are the issues associated with excess of volumes of granting of medical aid in system of obligatory medical insurance. This is the so-called problem of "super-planned patients". The current legislation does not provide for payment of super-planned volumes of medical care.. But the incidence rate is difficult to predict with a high level of accuracy. Within the framework of the current regulatory framework, all financial risks in this situation are assigned to the medical organization, which does not correspond to the logic of insurance. However, there are some options to mitigate this problem. This is illustrated by the court practice in this area.
    сompulsory medical insurance, volumes of medical care, insurance medical organizations, medical organizations, sanctions, the Commission on development of the territorial judicial practice.

    Authors: Kadyrov F. N. [106]

    Tags: insurance medical organizations4 medical organizations21 sanctions3 the commission on development of the territorial judicial practice1 volumes of medical care2 сompulsory medical insurance1

    Read more >

  • 2020 № 4 The effect of coronavirus Сovid-19 on the situation in Russian healthcare

    The relatively slow initial rate of spread of COVID-19 coronavirus in Russia has its own objective reasons related to the size of the territory, population density, tourist activity of the population, etc. They have played a positive role in making it possible to better prepare for the fight against it, taking into account, among other things, the experience of countries where the rate and scale of the spread of the coronavirus was much higher.
    Despite the serious damage to the economy, there are no global financial threats to health care yet. However, it is important that resources arrive in time to medical organizations in the context of large-scale conversion of beds, etc. Unavoidable periods of downtime during periods of re-profiling, being in standby mode, etc., lead to the fact that many medical organizations risk finding themselves in a difficult financial situation, even with sufficient resources in the industry. Therefore, at this stage, it is sometimes more important than serious financial infusions, and mechanisms aimed at com- pensating for the loss of income.

    Authors: F.  N.  Kadyrov [9] O.  V.  Obukhova [3] Yu. V. Endovitskaya [6] V.  I.  Starodubov [1] I.  N.  Bazarova [1] N. Ya.  Nesvetailo [2]

    Tags: coronavirus3 covid-1913 crisis3 financing12 health care23 mandatory health insurance5 medical organizations21

    Read more >

  • 2020 № 5 Russian Health Care in the background coronavirus COVID-19: Opportunities and Threats

    The effectiveness of any public system, including health care, is determined by the adequacy of its legal regulation. The situation with coronavirus exposed many problems in this area, a number of which were quickly resolved with varying degrees of success. However, there are still many unresolved issues and the need to further improve the legal regulation of health care. This applies, among other issues, to the remuneration of medical workers engaged in providing medical care to patients who have been diagnosed with COVID‑19 coronavirus infection. The article presents an analysis of the procedure for implementing incentive payments at the expense of Federal funds, and suggests measures to improve it. The article presents a SWOT analysis of the state of Russian healthcare against the background of the spread of COVID‑19 coronavirus.

    Authors: Kadyrov F. N. [106] Obukhova O. V. [24] Bazarova I. N. [12] Starodubov V. I. [33] Yu. V. Endovitskaya [6] N. Ya.  Nesvetailo [2]

    Tags: coronavirus3 covid-1913 crisis3 financing12 health care23 mandatory health insurance5 medical organizations21

    Read more >

  • Manager of health care consults
  • 2022 № 1 Financing of the compulsory health insurance system in 2022

    The most important factor affecting the amount and methods of financial support of the compulsory medical insurance system, as in the last two years, continues to be the spread of coronavirus infection COVID‑19.
    In the proposed paper discusses not only the indicators of the budget of the Federal compulsory medical insurance Fund, but the dynamics of indicators, including, in comparison with the rate of inflation, and other factors.
    New directions of the use of compulsory medical insurance funds are identified, the reasons for their appearance are considered.

    Authors: Kadyrov F. N. [106] Obukhova O. V. [24] Bazarova I. N. [12] Endovitskaya  Yu.  V. [8]

    Tags: effective contract13 incentive payments5 medical organizations21 occupational examinations1 oncological diseases3

    Read more >

  • 2020 № 6 Assessment of public policy in relation to certain issues of healthcare functioning during the spread of COVID-19 Coronavirus 

    Health care, as a predominantly public system, is objectively subject to serious regulation in special operating conditions, which include the spread of COVID-19 coronavirus infection. It is also important that the private healthcare system is also subject to direct or indirect regulation. At the same time, public authorities are sometimes forced to resort to "manual management", the consequences of which are not always clear for both public and private health care.

    Authors: Kadyrov F. N. [106] Obukhova O. V. [24] Bazarova I. N. [12] Starodubov V. I. [33] Endovitskaya  Yu.  V. [8]

    Tags: coronavirus3 covid-1913 crisis3 financing12 health care23 mandatory health insurance5 medical organizations21

    Read more >

  • 2020 № 3 The problems of paying for medical care provided to residents of other subjects of the Russian Federation within the framework of compulsory medical insurance

    The legislation guarantees citizens the right to receive medical care under a compulsory health insurance policy (CHI) throughout the Russian Federation. But in some cases, in accordance with current legislation, a referral is required to receive medical care. This also applies to situations where a citizen receives medical care outside of the subject of the Russian Federation where the citizen is insured. The system of such referrals to medical organizations located in another region is more or less regulated only when they are sent to Federal medical organizations. The situation is further compounded by the fact that the Supreme court contrary to law, making decisions, actually leveling a direction. At the same time, payment for medical care provided outside the region in which the MHI policy is issued depends on the payment of this assistance from the Territorial Fund of this region. This leads to numerous delays in payment and, as a result, reduces the interest of medical organizations in providing medical care to "nonresidents". Patients suffer as a result. All this raises the question of the need to improve the current mechanism for conducting inter-territorial settlements in the MHI system.

    Authors: F.  N.  Kadyrov [9] O.  V.  Obukhova [3] Yu. V. Endovitskaya [6]

    Tags: compulsory medical insurance13 federal  compulsory  medical  insurance  fund1 insurance medical organizations4 inter- territorial  settlements1 medical organizations21 payment for medical care4 standardized  insurance  stock.1 territorial  compulsory  medical   insurance  funds1

    Read more >

  • 2014 № 12 Independent assessment of services provided by medical organizations (Federal Research Institute for Health Care Organization and Information of the Ministry of Health and Social Development of Russian Federation, Moscow, Russia)

    In the framework of the events, related to introduction of the efficient contract, there is planned an independent assessment of provided state (municipal) services. In relation to this, there were adopted a lot of normative legal acts. With big potential opportunities, such system, however, is associated with a number of risks, which is important to factor in order to avoid the decrease of subjectiveness, real dependency and efficiency of introducing the independent quality assessment.

    Authors: Kadyrov F. N. [106]

    Tags: clarity and accessibility of information1 independent quality assessment3 medical organizations21 quality of medical aid2 recommendations of the public1

    Read more >

  • Management in healthcare
  • 2019 № 9 Restructuring of a regional system of rendering stationary medical care on the basis of means of tool benchmarking

    In work approach to justification of management decisions on restructuring of a regional system of rendering stationary medical care with use of means of tool benchmarking is considered. Results of activity of hospitals were measured by calculation of an indicator of technical efficiency on the basis of a method of the analysis of the environment of functioning. Specialization of hospitals was measured by means of the index of the theory of information constructed on the basis of data on the clinic-statistical groups used in hospitals. The dependence between the index of specialization of hospitals and efficiency of activity of hospitals when rendering medical services on the basis of which a set of scenarios of restructuring of a regional system of rendering stationary medical care is formulated is revealed.

    Authors: Danilov A. V. [2]

    Tags: diagnosis related group1 efficiency indicators2 information theory index1 medical organizations21 scenarios of restructuring1

    Read more >

  • 2018 № 4 Logistics of medicines as the point of optimization of costs of the medical organizations

    This article examines 3 main types of schemes for the supply of drugs in healthcare organizations. The advantages and disadvantages of each scheme are described. Based on practical experience of using various types of schemes in the Clinical center of the Federal STATE First MSMU n. a. I. M. Sechenov of the Russian Ministry of health shows the economic and organizational advantages of the centralized inventory management scheme

    Authors: Gaidukov [1] A. A. [1] Zhupanova D. B. [1] Rebrov E. L. [1] Kuznetsova S. G. [1]

    Tags: comparative analysis1 drug2 economic efficiency7 medical organizations21 support schemes1

    Read more >

  • Management in health care
  • 2022 № 1 Features of the state of the network and the provision of a bed fund of medical organizations in Russia

    The implementation of the healthcare development strategy, effective management of the healthcare system is impossible without monitoring and comprehensive comparative analysis at various levels of the state and development of the network, resources and activities of medical organizations, individual services and the healthcare system as a whole.
    P u r p o s e of the study is scientific assessment of the state of the network of medical organizations providing medical care in outpatient and inpatient settings, as well as analysis of the provision of beds for the population of the Russian Federation in 2012–2019.
    M a t e r i a l s a n d m e t h o d s . Within the framework of the conducted research, official statistics data were analyzed, modern trends and trends in the provision of beds and the state of the network of medical organizations in Russia at the regional level were determined. Statistical data processing was carried out using SPSS, Excel‑2007 packages. Such methods as analytical, statistical methods, study and generalization of experience, comparative analysis were used.
    R e s u l t s . The analysis has shown that the unevenness and the level of high differentiation of indicators of provision of beds by subjects of the Russian Federation remains. Thus, over the period 2012–2019, the provision of specialized beds for all the main profiles of beds is decreasing, the largest reduction affected socially significant beds – dermatovenerological – by 1,5 times, as well as therapeutic – by 32,5%, gastroenterological – by 28,2%, pediatric – by 24,4%, and infectious – by 20,3%.
    F i n d i n g s . The results of this study confirm the reduction in the number of beds of the main profiles, as well as the conversion of part of the bed stock, especially in the context of a pandemic of a new coronavirus infection, which showed the need for structural and functional transformations of health resources in general and the bed stock in particular.

    Authors: Zagoruychenko A. A. [5] Karpova O. B. [2]

    Tags: bed fund4 medical organizations21 provision of beds for the population1

    Read more >

  • 2015 № 7 The role of medical panel in providing medical aid: why is it not fulfilled in the total capacity and what the action plan should be

    The article demonstrates and proves that in most of the medical organizations today medical panels do not play a leading role in the activities aimed to enhance the provision of medical aid. Authors draw attention to the issues of incomplete development of panel’s responsabilities and functional described in the Federal Law dated 21 November 2011 N 323-FL «On the principals of Health Protection of citizens of Russian Federation» and in the Order on creation and conducting medical panels in a medical organization, certified by the Order of Russian Ministry of Health Care and Social Development dated 05.05.2012. № 502. Authors suggested and justified additions and changes, which these documents must include.

    Authors: Piven D. V. [50] Kitsul I. S. [50]

    Tags: medical organizations21 medical panel1 provision of medical aid1 quality and safety control of the medical activity1

    Read more >

  • 2016 № 3 Primary Health care. Medical Network organization features and staff provision

    Annotation. Changes of Medical organizations network, providing ambulatory treatment, were studied, for past 10 years. In addition, trends of manning tables formation in outpatient clinic were analyzed, as well as population provision by district doctors (uchastkoviy doctor) and general doctors. The analysis of main indicators of doctors’ activities in medical organizations, providing ambulatory treatment, is provided.

    Authors: Son I. M. [38] Senenko A. S. [4] Kupeeva I. A. [7] Starodubov V. I. [33] Skvirskaya G. P. [5] Gazheva A. V. [6]

    Tags: district doctor1 general doctor1 medical organizations21 outpatient clinic1 primary health care12 providing ambulatory treatment1 regular appointment1 visiting doctor1

    Read more >

  • Focus of problem
  • 2020 № 6 What checks are cancelled and which are retained for medical organizations of the country in terms of the situation with coronavirus infection

    The article contains a detailed analysis of the legal acts issued in April 2020 in connection with coronavirus infection and regulating the issues of state control (supervision) in relation to medical organizations until the end of 2020. In the publication, the authors present the main control and Supervisory measures that will be carried out in medical orga- nizations during 2020. A number of issues related to the legal regulation of control and Supervisory activities that require clarification are identified. In terms of the quality and safety of medical activities, the attention of medical organizations is drawn to the expediency of ensuring their own maximum readiness for various scenarios of carrying out certain control and Supervisory measures established before the end of 2020.

    Authors: Piven D. V. [50] Kitsul I. S. [50] Ivanov I. V. [25]

    Tags: coronavirus  infection5 license  control1 medical organizations21 on-site unscheduled  inspections1 quality and safety of medical activity10 remote  monitoring  tools1 scheduled  inspections1 unscheduled  inspections1

    Read more >