All articles by Lositsky A. O.
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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. -
2020 № 1 Assessment of the demand of population with cataract for specialized medical care
The Study of the adequate demand of population in specialized medical care is one of the problematic issues in the process of planning of medical care. The aim of the study was to develop an indicator to assess the demand of population with cataract for specialized medical care. Information on the research topic was collected from books and electronic sources, including Internet sites in order to achieve the aim. A comparative analysis of ophthalmological data from the official statistical reporting forms (№ 12, № 14) of Orenburg, Samara, Penza and Perm regions was performed. As part of the study, significant spread in the values of indicators of general and primary morbidity of the population with eye diseases, both within the region and between regions, was defined. The values of the indicator for assessing the demand of population for specialized medical care for cataracts were obtained.