Articles with tag: «state guarantee program»
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2023 № 3 Issues of payments for medicines in the provision of specialized medical care for compulsory medical insurance
In the article, on the basis of regulatory legal acts, the issues of the legality of the use of co-financing mechanisms (co-payments) in the system of compulsory medical insurance are considered.
The situations and conditions in which co-payments are legitimate are analyzed.
It is concluded that it is necessary not to combat this phenomenon, but to regulate cases of co-payments on the part of insured citizens. -
2019 № 5 Current organization of drug maintenance for certain patient groups. Role of drug lists
Nowadays there is established legal basis for drug maintenance of certain patient groups. Based on it there are several individual categories, diseases and drug lists. Despite the division on federal and regional levels, some rules and regulations are duplicated that lead to organizational problems and also influence the negative budget issues. In order to determine directions for improvement, one should analyze current legal basis in Russian healthcare.
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2020 № 6 Regulatory aspects of the organisation of medicine provision for welfare beneficiaries
A legal basis has been established to regulate the issue of pharmacological support of special patient groups. It consists of several individual categories, diseases and drug lists. Nowadays pharmacological support is divided into federal and regional levels. However, some rules and regulations are duplicated in both of them. This fact can lead to organizational problems and also influence the negative budget issues. The analysis of the current legal basis will allow to determine the directions for further improve- ment of pharmacological support legislation
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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.