Articles from rubric: «Healthcare economics»
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2023 № 7 Organization of preventive examinations of the adult population in the Healthy Moscow pavilions.
The value and originality of the new organizational approach implemented in the Healthy Moscow program lies in the fact that mobile pavilions have been set up as part of a large-scale preventive examination of the population in convenient location accessibility – park areas, squares and recreation areas, which makes it possible to identify not only diseases at an early stages, but also risk factors among population groups who consider themselves healthy, as well as organize targeted promotion of a healthy lifestyle. During the period of the Healthy Moscow program, more than a million citizens underwent preventive examinations in the pavilions, and to a greater extent the population that, for a number of reasons, rarely visits polyclinics and who do not have pronounced symptoms of diseases. However,
according to the results of the surveys, it was revealed that approximately 12% of the so-called healthy people have diseases. -
2023 № 7 Comparative analysis of the standards of medical care for adults in the oncology profile approved before and after 2019 for the possibility of planning a program of state guarantees.
In the healthcare system in Russian Federation, in recent decades, standards of medical care have been formed, which are tabular forms indicating medical services, medicines, medical devices implanted in the human body, blood components and clinical nutrition (components), indicating average frequency indicators.
P u r p o s e – a comparative analysis of the standards of medical care for adults in the oncology profile, approved by orders of the Ministry of Health of Russia in the period from 2012 to 2018, and the standards developed on the basis of clinical guidelines and approved in the period from 2019 to 2022, with a view to the possibility of planning a state guarantee program based on them.
M a t e r i a l s a n d m e t h o d s . The comparison was performed by comparing the standards of medical care in the context of types of medical care, the conditions for providing medical care, localizations and nosological forms according to ICD‑10 blocks, types of medical interventions and assessing consistency with planning units of the state guarantees program.
R e s u l t s . The standards of medical care in the oncology profile, approved in the period from 2012 to 2018, were developed in the context of the types of medical interventions and were not coordinated either with the planning units of the state guarantees program or with the methods of payment by diagnosis-related group. The introduction of a methodology for the formation of standards of medical care based on clinical guidelines using standardized modules of medical care made it possible to revise the principle of the formation of standards for the oncology profile and harmonize them with the planning units of the state guarantees program and methods of payment
by diagnosis-related group.
F i n d i n g s . Structuring the process of developing medical care standards based on clinical guidelines and developing a methodology for their formation makes it possible to realize the economic function of medical care standards. -
2023 № 7 The economic effect of providing medical care using simultaneous dental implantation by one specialist.
The economic effect of the introduction of a new organizational model “dentist-implantologist-orthopedist” is considered. Optimization of work, cost savings of the Ministry of Defense and an increase in the responsibility of a dentist who owns related specialties “Orthopedic Dentistry” and “Surgical Dentistry” were obtained.
Purpose: assessment of the economic effect in the provision of medical care using simultaneous dental implantation.
Materials and methods. The study was conducted in the dental polyclinic of the AUZ UR “RSP MZ UR” of Izhevsk, Udmurt Republic.
The economic effect was assessed by comparing two models of providing medical care in orthopedic dentistry using dental implantation: the first – medical service was provided by two separate teams (1 – surgical care; 2 – orthopedic care); the second – medical service was provided by one team entitled to provide this type of care.
Results. The economic effect of providing medical care using simultaneous dental implantation by one specialist allowed to reduce the use of the area of the medical organization, the number of full-time positions of nurses and reduced the costs of the medical organization for consultation.
Conclusion. With the introduction of a new organizational model “dentist-implantologist-orthopedist”, an economic effect was obtained by reducing staff positions, reducing wage costs and rational use of MO areas. All this contributes to the optimization of the work of a medical organization, saving the Ministry of Health without reducing the quality of services provided and increasing the responsibility of one specialist for the final result of the treatment at the moment and in the future, which is one of the main factors of a value-based approach in healthcare. -
2023 № 7 Rehabilitation and preventive measures for infectious and inflammatory diseases of the urinary system in children, considering the risk factors.
The article presents an analysis of the materials of domestic and foreign scientific articles on the issues of modern features of the prevalence of infectious and inflammatory diseases of the genitourinary system among children and rehabilitation and preventive measures, taking into account risk factors. Information on the so-called internal risk factors, such as congenital malformations of the genitourinary system and disorders of the immunological state of the body, leading to infectious and inflammatory diseases (pyelonephritis, urinary tract infections, cystitis, urethritis, asymptomatic bacteriuria, etc.) is considered in detail. The emergence, in particular, of pyelonephritis can be facilitated by late breastfeeding, early transfer to mixed and artificial feeding. The risk group also includes children born to mothers with pyelonephritis, which is associated with heredity and perinatal risk factors (complicated pregnancy in the mother, chronic intrauterine fetal hypoxia, intrauterine growth retardation). Taking into account the whole variety of risk factors will make it possible to build programs for medical and social prevention and rehabilitation for infectious and inflammatory diseases of the genitourinary system in children.