scholarly journals The costs of patients with chronic kidney disease for the compulsory health insurance system in the Russian Federation

Author(s):  
E.I. Rumyantseva ◽  
M.V. Avxentyeva
Vestnik ◽  
2021 ◽  
pp. 328-331
Author(s):  
С.К. Молдабаев ◽  
С.А. Мамырбекова ◽  
Д.Н. Маханбеткулова

Согласно Концепции Государственной программы улучшения здоровья населения на 2020-2025 годы в рамках дальнейшего внедрения системы ОСМС в РК одним из основных задач госудаства является повышение солидарной ответственности граждан за свое здоровье. Существующая солидарная ответственность должна побуждать пациентов развивать навыки самопомощи/самоменеджмента с целью лучшего управления собственным здоровьем. Цель исследования. Анализ роли самоменеджмента пациентов в системе солидарной ответственности за свое здоровье. Материал и методы. Данный обзор основывается на материалах ВОЗ и статей зарубежных и отечественных исследователей. Выводы. На сегодняшний день, в системе здравоохранения Казахстана одним из основных моментов является солидарная ответственность государства, пациента и работодателя. Ведь каждый гражданин должен принимать важные решения, которые оказывают существенное влияние на состояние его здоровья. Поэтому стратегии по повышению грамотности пациентов, их вовлеченность в процесс принятия решений и развитие самоменеджмента должны быть одними из фундаментальных стержней существующей системы ОСМС и политики здравоохранения. According to the Concept of the State Program for improving the health of the population for 2020-2025, as part of the further implementation of the compulsory health insurance system in the Republic of Kazakhstan, one of the main tasks of the state is to increase the joint responsibility of citizens for their health. The existing shared responsibility should encourage patients to develop self-help / self-management skills in order to better manage their own health. Purpose of the study. Analysis of the role of patients' self-management in the system of joint responsibility for their health. Material and methods. This review is based on WHO materials and articles of foreign and domestic researchers. Findings. Today, in the health care system of Kazakhstan, one of the main points is the joint responsibility of the state, the patient and the employer. After all, every citizen must make important decisions that have a significant impact on his health. Therefore, strategies to improve patient literacy, their involvement in the decision-making process and the development of self-management should be one of the fundamental pillars of the existing compulsory health insurance system and health policy.


Author(s):  
Igor M. Akulin ◽  
Lubov Yu. Zhiguleva

The RF health care reform is gaining momentum. A thorough consideration should be given to the discussion on the need to exclude health insurance companies from the compulsory health insurance system (CHI). Formation of the National Health Care System of Russia is the main problem of the national health care at this stage of reforms. Additional payment for medical services in the CHI by the general public is not advisable. Changes in the regulatory framework of the CHI system is deemed to be the basis for reforming the system of compulsory and voluntary health insurance in Russia.   


Author(s):  
M. V Zuev ◽  
Valentina Gavrilovna Butova ◽  
T. I Vlasova

The conducted comprehensive medical, economic and statistical analysis indicates the need to develop more effective management decisions aimed at monitoring, coordination and improvement of the provision of dental services and the activities of medical organizations in the implementation of the program of state guarantees. The fiscal deficit in the compulsory health insurance system in 2017, 1.36% of all expenditures allocated for the implementation of the CHI in the field of dentistry. This fact directly indicates that the stated guarantees of free medical care are implemented in insufficient volume and quality. Current scenarios of institutional changes in the CHI system are initiated at macro, meso and micro levels. And at each of them the priority is to create an appropriate regulatory framework.


2021 ◽  
pp. 590-609
Author(s):  
Julia Lynch ◽  
Christiaan Vermorken

This chapter offers an in-depth look at health politics and the mutualism-based compulsory health insurance system in Belgium. It traces the development of the Belgian healthcare system, characterized by its very generous coverage and few restrictions on patient choice. Since 1980, the process of federalization of the Belgian state—which has been propelled by the divide between the Flemish-speaking North and the French-speaking South—has increasingly challenged the national basis of the Belgian health insurance system. Other healthcare issues have been cost containment and the privileged position of the mutual aid societies in health insurance provision which was subject to a European Court of Justice challenge.


Author(s):  
Nadezhda P. Kuprina ◽  
Svetlana S. Paunova ◽  
Svetlana A. Kosobutskaya

The review reflects the priorities and main directions of development of compulsory medical insurance and legal regulation in the field of health care, as well as tasks aimed at preserving and strengthening the health of citizens of the Russian Federation based on increasing the availability and quality of medical care, respecting the rights of citizens in the field of health protection and ensuring state guarantees related to these rights, the priority of prevention in the field of health protection in the Russian Federation.


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