2019 № 3 Historical background the scientific organization of labour in health care: the experience of the early twentieth century
The active introduction of lean production technologies in the activities of medical organizations, conducted in recent years, was the occasion to study the history of the origin and formation of management science in Russia, as well as the study and rethinking of the Russian and Soviet experience of health care organization. Analysis of documents and literature related to 20–30 years of the last century, a period when the rapid pace of construction and development of the national economy of the USSR makes rethink the place and role of the Soviet experience of production management, which was at one time called “scientific organization of labor and production”, and later – “rationalization”. The universality of technologies and methods of scientific organization of labor (SOL) allows to use them both in production and non-production spheres, including health care. Note that the Soviet experience, as a rule, is not reflected in Western textbooks on management, or only mentioned, although the achievements of Soviet scientists 20-ies of the last century anticipated many areas of modern management and remain relevant even after almost a hundred years.
2013 № 7 Special interest groups in the Russian health care system (The Graduate School of Management, Saint-Petersburg State University, Russia)
The article deals with the role of special interest groups in the health sector. The attention is focused on classification of special interest groups, the approaches to the analysis of the motives of collective action and the formation of special interest groups. The activit ies of special interest groups in the Russian system of health insurance are analysed.
2016 № 2 Structure and challenges of the medical division of the new programme of fundamental scientific research of state science academies
The article considers the questions of planning and financing the scientific-research activity in the field of medical science, realized at the cost of the state budget. Authors demonstrate that disintegration of scientific processes leads to a decrease of intensity of scientific search and implementation of achievements in medical sciences in the health care practice. Authors conclude that it is necessary to increase the effectiveness of the management of scientific research and more clearly define the priorities of the medical sciences development.
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.
2018 № 4 The sources of financial provision of rendering emergency medical care
Free provision of emergency medical care is provided by the legislation. This requires a clear definition of the source of cost recovery for medical organizations that provide this assistance, In a particular situation, how¬ever, there are often situations where law enforcement officials refuse to pay for emergency assistance provided to their employees, referring to the above-mentioned legislative requirement. Many problems in the provision of emergency arises in the system of compulsory health insurance. Payment for emergency medical care rendered in excess of the approved amounts remains an unresolved problem. The problem of compensation for emergency assistance to uninsured citizens is not settled either. These problems are especially urgent for private medical organizations
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.
2017 № 2 The ways to counter the "consumer (patient) extremism" in the provision of paid medical services
The medical organization in the provision of paid medical services are faced not only with a large number of inspectors, with unreasonable restrictions (which usually applies to state and municipal institutions), the discontent of the population by the fact of payment for medical care, etc., but with the incorrect behavior of patients seeking unreasonably to obtain the benefits that they are not guaranteed. We are talking about the phenomenon called «patient extremism». The position of the regulators is often in almost unconditional support for patients. The current mentality is based on the incorrect position of «the patient is always right». Meanwhile, the provision of paid medical services is a sphere of civil relations where there should rule the law. In recent years adopted laws (including amending the Civil code) allow healthcare organizations to more successfully assert their legal rights when lawful execution and performance of contracts for the provision of paid medical services to patient and resist extremism. The analysis of the legislation addressed in this article.
2019 № 1 Financing health care in 2019: new priorities and channels for the movement of funds
Analysis of the future financing of health care shows that in 2019–2021, despite the difficult financial situation, the volume of financial support for the industry will continue to grow. Thus, the size of health care spending from the Federal budget is growing not only in absolute terms, but also occupies all a large share in the structure of Federal budget expenditures. The increase in expenses in the system of compulsory health insurance (CHI) in absolute terms is still quite large. Among the priorities of 2019 are the increase in funding for cancer care, as well as high-tech medical care, which directly follows from the provisions of the Decree of the President of the Russian Federation May 7, 2018 № 204 "The national goals and strategic objectives of the Russian Federation for the period up to 2024" (presidential Decree № 204). The distribution of funds to the compulsory medical insurance system is based on these priorities, and based on the results of implementation of decrees of the President 2012 for leveling a series of problems, such as unreasonable reductions in personnel. All this should have a positive impact on the further development of health care.
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.
2018 № 2 Development and implementation of a standard for the organization of work of registries medical organizations: the project «Entrance group»
Regional project “Front-office” was set up and implemented in Tomsk oblast (Siberia, Russia). The aim of the project was launch a front-office of out-patients departments standard for improvement patients satisfaction in medical institutes. There are five directions in the project: providing affordable telephone service, front-office infrastructure, staff training, medical documents logistic, corporative style creation. Using of holistic project approach has led to significant improvement of availability and quality of health care in Tomsk oblast
2019 № 8 Public Health Management in the Context of the Implementation of Preventive Health Programs
In civil society, the features of which are manifested in the country, state bodies and society are increasingly paying attention to the problems of formation, preservation and promotion of health of healthy people of different age groups. The purpose of the study is to determine the role of the nurse of General practice (family medicine), hereinafter – OPSM, in the public administration of the formation of public health of residents of family-territorial areas receiving medical services in OPSM institutions. The objectives of this study is to study the role of nurses OPSM as partners of family doctors to provide medical care to patients on the basis of etiotropic, pathogenetic and sanogenetic therapy of various diseases; implementation of medical care of patients and healthy people of different age groups, in relation to biological, psychological, social and emotional spheres of man; prevent the impact of inadequate behavior of patients or healthy people not only on their health, but also the health of the territorial community.
2019 № 5 Modern aspects of marking of medicinal products: organization model introduction marking «DataМatrix» drug
The introduction of an automated system for monitoring the movement of drugs from the manufacturer to the end user is one of the priorities of the “Health”, which in the future will provide full protection of the population from counterfeit drugs and prompt removal from circulation of counterfeit and substandard drugs. Many participants in the commodity distribution chain are not fully aware of the peculiarities of registration in the system of monitoring the movement of medicines, the purchase of equipment for their labeling and subsequent inclusion in the life cycle of the goods. The aim of the study is to develop an organizational model for the introduction of “DataMatrix” labeling on the drug, which is a modern element of the system for monitoring the movement of the drug from the manufacturer to the end user and contributes to the proper step-by-step inclusion of “DataMatrix” marking at each stage of the commodity chain.
In the course of the research the methods of analysis and synthesis, the method of observation were used, the monitoring of legal documentation in the current edition was carried out, the algorithm was compiled using logical modeling.
As a result of the work, an organizational model for the implementation of a system for monitoring the movement of medicines was created, which provides preventive measures for the entry into circulation and simultaneous withdrawal from circulation in an automated mode of counterfeit, substandard and counterfeit medicines at any stage of their circulation; control of the targeting of the movement of drugs purchased from the budget, the cost of their acquisition; monitoring of pricing and maximum retail prices for medicines from the list of vital and essential medicines.
2013 № 4 Self-regulation in the health care sphere (Penza State University, Penza, Russia)
In the article prospects of transition of the sphere of health care on self-regulation principles are considered. The principle of a professional autonomy of the doctor is analyzed. Distinctions in the maintenance of some models of reform of public administration in the medicine sphere are carried out.
2014 № 8 Work ethics of physicians, entering the labor force after internship training and clinical studies (Bashkirskiy State Medical University, Ufa, Russia)
There has been a survey conducted on work ethics of physicians, prepared in the system of postgraduate education towards their chosen profession and organization of professional activity. There were validated opinions of physicians on such topics as fulfilling their professional goals, perspectives of career growth in regards to migration and change of work place.
2013 № 12 Social-demographic processes and health care (Federal state budgetary establishment of a science Institute for socio-economic studies population RAS, (ISESP RAS), Moscow, Russia)
Questions of a social inequality concerning health are considered. The importance of problems of maintenance in the Russian Federation validity of a financial payment on public health services is discussed. It is offered to fix legislatively principles of formation of a ratio of the basic parameters of the State expenditure on public health services depending on public revenues at federal, regional levels.
2013 № 12 Some problems of implementation of the Federal law of the Russian Federation dated November 21, 2011 № 323-FZ «On fundamentals of protection of the health of citizens in the Russian Federation » (Irkutsk State Medical Academy of Continuing Education, Irkutsk, Russia)
Annotation. The article proves the necessity to introduce amendments to the Federal law of the Russian Federation dated November 21, 2011 № 323-FZ «On fundamentals of protection of the health of citizens in the Russian Federation». These amendments relate both to clarify used in the law of the conceptual apparatus and concretization of the mechanisms for the implementation of patients rights in receiving medical care.
2013 № 11 Legal representatives in the health care (Penza State University, Penza, Russia)
This article analyzes the legal status of a legal representative in the various models of legal relations in the sphere of health care (with the consent to medical intervention prior to admittance to the patient). The basic challenges that may face a medical professional when determining the authority of the legal representative patient. Particular attention is paid to the guardianship authorities, as well as various organizations authorized to represent citizens under the law.