All articles by Grechko A. V.
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2017 № 6 Metamorphosis standardization of medical care
The article discusses a bill regulating the development and use of clinical guidelines in public health practice. The authors believe that the bill makes clinical recommendations to the regulatory option binding standards of сare. This approach only superficially converts the ways of ensuring the quality of medical care. From the point of view of the authors of the health care system fell into the organizational trap of technological regulation of the actions of the physicians, while the traditional values of the medical profession is gradually devalued. The authors propose to reconfigure relationships in the industry, not only by importing foreign countries, but in accordance with the usual Russian professional medical community’s leadership in the field of cultural, spiritual and intellectual development
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2018 № 7 Strategies and conditions for provision of state guarantees for free medical assistance
Guarantees of free medical care are important constitutional guarantees that provide material benefits and the most specific type of public debt to the citizen. It is shown that in modern Russia, implemented a version of the strategy of providing state guarantees of free medical care, based on a combination of resource reduction and attempts to improve the efficiency of their use. There is no paradigm of transformation and development of the industry, which has a strategic focus and covers all levels and components of the national health system. The authors believe that due to the traditional conservatism of the health care system, it is difficult, but possible, to solve this problem by the internal forces of the industry. To do this, it is necessary to create conditions in which the circle of strategic decision-makers in health care will be separated from the circle of persons developing and implementing tactical tools.