scholarly journals The evaluation of the balance of standard rates within the program on state guarantees to deliver free medical care to the citizens of the Russian Federation

2020 ◽  
Vol 13 (3) ◽  
pp. 283-290
Author(s):  
D. V. Fedyaev ◽  
S. A. Kovaleva ◽  
K. V. Gerasimova
Keyword(s):  
Medical Care ◽  
Russian Federation ◽  
Relative Difference ◽  
Inpatient Service ◽  
Method Of Calculation ◽  
Financial Costs ◽  
Mathematic Modeling ◽  
The Russian Federation ◽  
The Absolute ◽  
The Government

Aim. The evaluation of absolute and relative difference in the growth of standard rates and financing of medical help based on the calculation for Program on State Guarantees to Deliver Free Medical Care to the Citizens of the Russian Federation (PSG) by the parameters approved by the Decree of the Government for 2019 and 2020.Materials and methods. The evaluation was performed by the methods of mathematic modeling. Mathematic modeling of the calculation of the volumes of medical help (MH) and financial costs in the subjects of the RF was based on the Decrees of the Government for 2019 and 2020 and the method of calculation of the standard rates specified in the Letter on the economic grounds for territorial PSG. Modeling for each region was used to compare the absolute and relative difference in the growth of standard rates for the obtained values in the absolute and relative expression of the calculated planned parameters of PSG for 2019 and 2020 according to the described method in terms of types, conditions, and profiles of medical help.Results. It was revealed that the existing standard rates for financial costs did not provide a uniform growth of costs by all the conditions and types of MH. The growth of financing by types and conditions varied from 1.43 to 9.59% of the 2019 baseline in the RF. Certain “specialized” (profile) standard rates within the conditions of MH showed a significant growth at a slower growth of financing of the rest of MH types (3.86% for all-day inpatient service and -0.6% (decrease in financing) for day-time inpatient service). The calculation of the model for the subjects of the RF showed even greater fluctuations: from –0.11% to –3.03% for day-time inpatient service and from 1.35% to 7.27% for all-day inpatients service.Conclusion. Despite the annual growth of the financing of PSG, redistribution of the budget within the conditions of medical service provision is uneven. This situation provides background for the improvement of the mechanisms of planning of MH within PSG using obligatory modeling and balanced standard rates for the subjects of the RF.

scholarly journals Directions of wage optimization in construction

2021 ◽  
Vol 296 ◽  
pp. 06006
Author(s):  
I.V. Yamshchikovа ◽  
T.G. Doroshenko ◽  
N.B. Mikheeva
Keyword(s):  
Russian Federation ◽  
Subsistence Level ◽  
Median Salary ◽  
Irkutsk Region ◽  
Calculation Methodology ◽  
The Russian Federation ◽  
The Absolute ◽  
The Government

The article analyses the method proposed by the Government of the Russian Federation for adjusting the principle of determining the minimum subsistence level, based on the median salary. The article shows the result of the analysis of changes in wages in construction when calculating, using the median salary in relation to the “absolute” principle of calculating the minimum subsistence level, the calculation of the size of the minimum subsistence level in Russia as a whole, and on the territory of the Irkutsk region is analysed. It is shown that the transition to the calculation of the median salary in the Irkutsk region will decrease the subsistence level in relation to the existing one. Based on our analysis, the conclusion is made that in order to calculate the minimum subsistence level for medial salary, it is necessary to revise the calculation methodology.

Elderly Patients as a Vulnerable Category of the Population Requiring Special Legal Protection With Respect to the Provision of Medical Care

2007 ◽  
Vol 14 (4) ◽  
pp. 349-354
Author(s):  
Keyword(s):  
Elderly Patients ◽  
Medical Care ◽  
Russian Federation ◽  
Legal Protection ◽  
Mental Condition ◽  
Special Treatment ◽  
Federal Law ◽  
Protection Mechanisms ◽  
The Russian Federation ◽  
The Government

AbstractRussia like other European countries is seeing a growing trend to increased life span of its population. This situation results in an urgent need to address problems not only those related to provision of qualified medical care but a special treatment to protection of rights and legal interests of elderly people. In accordance with effective legislation of the Russian Federation aging and elderly patients enjoy all rights and freedoms of capable citizens, but due to their physical and mental condition they are not always able to exercise their rights. Federal law "Legal basis of health care in the Russian Federation" does not provide for representatives of such group of patients to take part in medical care provision. It is necessary to ensure additional legitimate right protection mechanisms in the legislation for capable elderly patients in the sphere of medical care. The government should act as a guarantor of rights protection for such socially vulnerable group of population.

scholarly journals Regulatory framework of the oncological medical care provision

2020 ◽  
Vol 13 (3) ◽  
pp. 304-315
Author(s):  
S. N. Tishkina ◽  
V. E. Matskevich ◽  
Yu. A. Ledovskikh ◽  
E. V. Semakova ◽  
V. V. Omelyanovskiy
Keyword(s):  
Medical Care ◽  
Russian Federation ◽  
Clinical Guidelines ◽  
Financial Support ◽  
Legal Framework ◽  
Regulatory Documents ◽  
Analytical Review ◽  
The Russian Federation ◽  
The Government ◽  
Guidelines And Standards

Aim. To conduct an analytical review of the regulatory legal framework on the resources provision required in medical organizations for the provision of oncological medical care based on clinical guidelines.Materials and methods. Using Russian normative legal and regulative documents on the oncological medical care, the authors studied the normative regulation of the issues of both resources’ provision for medical organizations and resources’ demand assessment, including the need for financial support from various sources of the budgetary system of the Russian Federation. The analysis was carried out in two regulatory areas: financing and organization of the provision of medical care. The authors examined the main legislation acts relating to oncological medical care, including documents of the compulsory medical insurance, the annual decrees of the Government of the Russian Federation on the program of state guarantees of free provision of medical care to citizens for the coming year and the planned period, the decree of the Government of the Russian Federation regulating the provision of medicines and medical products, provisions on the organization of medical care by type of medical care, procedures for the provision of oncological medical care, regulatory documents on clinical guidelines and standards of medical care.Results. The content analysis of the studied materials showed that certain components of the resources’ provision, including the financial provision of oncological medical care, are regulated by various regulatory documents, and there is no methodology for assessing the resources’ demand based on clinical guidelines.Conclusion. New approaches to assessing the resources’ demand for the provision of medical care and the required financial support based on clinical guidelines need to be developed.

About the results of the inspections of medical organizations which provide a medical care in the area of “plastic surgery”

2019 ◽  
Vol 2019 (5) ◽  
pp. 45-50
Author(s):  
Анатолий Шаронов ◽  
Anatoliy Sharonov ◽  
Алексей Прыкин ◽  
Aleksey Prykin
Keyword(s):  
Health Care ◽  
Medical Care ◽  
Plastic Surgery ◽  
Russian Federation ◽  
Delivery Of Health Care ◽  
Health Care Services ◽  
Ministry Of Health ◽  
Care Services ◽  
The Russian Federation ◽  
The Government

In the second half of 2018, Federal Service for Surveillance in Healthcare, in accordance to the instruction of the government of the Russian Federation, conducted the unscheduled inspections of legal entities and individual entrepreneurs performing medical activities in the area of plastic surgery. The article presents the data on a number of medical organizations specialized in plastic surgery, as well as an analysis of reveled in the course of inspections improprieties of the Order of delivery of health care services in the area of “plastic surgery” approved by the order № 298n from 31.05.2018 of Ministry of Health of the Russian Federation.

scholarly journals Area of the territory and features of the health care system in the arctic zone of the republic of Sakha (Yakutia)

2019 ◽  
Vol 10 (4) ◽  
pp. 61-66
Author(s):  
Nikolai M. Gogolev ◽  
Tatiana E. Burtseva ◽  
Sergey L. Avrusin ◽  
Larisa N. Melnikova ◽  
Tatiana V. Batilova ◽  
...  
Keyword(s):  
Medical Care ◽  
Russian Federation ◽  
The Arctic ◽  
Technical Equipment ◽  
Arctic Zone ◽  
Arctic Regions ◽  
Medical Institutions ◽  
The Russian Federation ◽  
The Republic ◽  
The Government

Implementing major projects for development of the Arctic regions of the Russian Federation and ensuring sustainable economic growth of these regions, the government pays a special attention to the social development and improvement of medical care in remote and hard-to-reach areas of the Russian Arctic. In recent years, research of the peoples health and influencing factors have intensified. The Ministry of Health of the Republic of Sakha (Yakutia) carried out large federal and republican programs to develop the material and technical equipment and ensure appropriate staffing of medical institutions in the Arctic and northern regions. The Republic of Sakha (Yakutia) is one of the most isolated and hard-to-reach regions of Russia, therefore, development of medical care in the Arctic zone is particularly important. The article presents the characteristics of the Arctic zone of the Republic of Sakha (Yakutia), population density 1 km2, distance of settlements from the center. The percent of remote and hard-to-reach settlements in the arctic regions ranges from 38 to 80%. The network of medical institutions with analysis of equipment and staffing is presented in detail. The article reflects the specifics of medical care in the Arctic zone in the context of the territory scale. The identified peculiarities make it necessary to develop differentiated regional mechanisms of implementing the state policy of healthcare development in the regions of the Far North of the Russian Federation. It would be reasonable to consider the possibility of developing a medical care sub-program taking into account the Arctic specifics.

The Results of the External Audit of Medical Care for Children with Cancer in one of the Regions of the Russian Federation

2016 ◽  
Vol 3 (2) ◽  
pp. 67-79
Author(s):  
M.Yu. Rykov ◽  
◽  
E.N. Baibarina ◽  
O.V. Chumakova ◽  
V.G. Polyakov ◽  
...  
Keyword(s):  
Medical Care ◽  
Russian Federation ◽  
External Audit ◽  
Children With Cancer ◽  
The Russian Federation

Regulatory Guillotine in the Field of Industrial Safety

2020 ◽  
pp. 22-28
Author(s):  
E.V. Klovach ◽  
◽  
A.S. Pecherkin ◽  
V.K. Shalaev ◽  
V.I. Sidorov ◽  
...  
Keyword(s):  
Russian Federation ◽  
Preventive Measures ◽  
Regulatory System ◽  
Industrial Safety ◽  
State Control ◽  
Regulatory Impact ◽  
The Russian Federation ◽  
The Law ◽  
The Government ◽  
Executive Body

In Russia, the reform of the regulatory guillotine is being implemented in the field of control and supervisory activity. It should result in a new regulatory system formed according to the principles specified in the key federal laws: «On state control (supervision) and municipal control in the Russian Federation» (Law on Control) and «On mandatory requirements in the Russian Federation» (Law on Mandatory Requirements) adopted in August 2020. In the field of industrial safety, this process was launched by the Decree of the Government of the Russian Federation № 1192, which will come into force on January 1, 2021. The main provisions are discussed in the article, which are related to the Law on Control and the Law on Mandatory Requirements. The Law on Control establishes the priority of preventive measures aimed at reducing the risk of causing harm in relation to the control activities, the grounds for carrying out control (supervisory) activities, the types of these activities in the forms of interaction with the controlled person and without such, the procedure for presentation of the results of control (supervisory) activity. The Law on Mandatory Requirements establishes that the provisions of regulatory legal acts should enter into force either from March 1 or September 1, but not earlier than 90 days after their official publication, and their validity period should not exceed 6 years. The drafts of regulatory legal acts developed by the federal executive bodies are subject to regulatory impact assessment. With a view to ensuring systematization of mandatory require ments, their register is kept. The federal executive body prepares a report on the achievement of the goals of mandatory requirements introduction. By January 1, 2021, 10 resolutions of the Government of the Russian Federation, 48 federal norms and rules in the field of industrial safety and 9 other regulatory legal acts of Rostechnadzor should be adopted. The drafts of all the documents are already prepared, some of the acts are completing the process of discussion and approval.

THE VALUE OF LOVE IN THE SYSTEM OF FORMATION OF THE PROFESSIONAL MATURITY OF THE EDUCATOR

2020 ◽  
Vol 1 (10(79)) ◽  
pp. 12-18
Author(s):  
G. Bubyreva
Keyword(s):  
Russian Federation ◽  
The State ◽  
Educational Process ◽  
Wide Range ◽  
The Family ◽  
The Russian Federation ◽  
The Government ◽  
The Individual ◽  
The Right

The existing legislation determines the education as "an integral and focused process of teaching and upbringing, which represents a socially important value and shall be implemented so as to meet the interests of the individual, the family, the society and the state". However, even in this part, the meaning of the notion ‘socially significant benefit is not specified and allows for a wide range of interpretation [2]. Yet the more inconcrete is the answer to the question – "who and how should determine the interests of the individual, the family and even the state?" The national doctrine of education in the Russian Federation, which determined the goals of teaching and upbringing, the ways to attain them by means of the state policy regulating the field of education, the target achievements of the development of the educational system for the period up to 2025, approved by the Decree of the Government of the Russian Federation of October 4, 2000 #751, was abrogated by the Decree of the Government of the Russian Federation of March 29, 2014 #245 [7]. The new doctrine has not been developed so far. The RAE Academician A.B. Khutorsky believes that the absence of the national doctrine of education presents a threat to national security and a violation of the right of citizens to quality education. Accordingly, the teacher has to solve the problem of achieving the harmony of interests of the individual, the family, the society and the government on their own, which, however, judging by the officially published results, is the task that exceeds the abilities of the participants of the educational process.  The particular concern about the results of the patriotic upbringing served as a basis for the legislative initiative of the RF President V. V. Putin, who introduced the project of an amendment to the Law of RF "About Education of the Russian Federation" to the State Duma in 2020, regarding the quality of patriotic upbringing [3]. Patriotism, considered by the President of RF V. V. Putin as the only possible idea to unite the nation is "THE FEELING OF LOVE OF THE MOTHERLAND" and the readiness for every sacrifice and heroic deed for the sake of the interests of your Motherland. However, the practicing educators experience shortfalls in efficient methodologies of patriotic upbringing, which should let them bring up citizens, loving their Motherland more than themselves. The article is dedicated to solution to this problem based on the Value-sense paradigm of upbringing educational dynasty of the Kurbatovs [15].

Recommendations of the Ministry of Health of the Russian Federation on the formation of a temporary staff table of a medical organization providing medical care to citizens with coronavirus infection COVID-19

2020 ◽  
pp. 5-12
Author(s):  
Olga Shinkareva
Keyword(s):  
Medical Care ◽  
Russian Federation ◽  
Medical Organization ◽  
Ministry Of Health ◽  
Organization Of Work ◽  
Coronavirus Infection ◽  
The Russian Federation

Article is devoted to the analysis of the Order of the Russian Ministry of Health of 19.03.2020 № 198n (an edition of 29.04.2020) “About a temporary order of the organization of work of the medical organizations for implementation of measures for prevention and reduction of risk of spread of a new koronavirusny infection of COVID19” regarding formation of the temporary staff list of the division of the medical organization providing medical care to citizens with a koronavirusny infection of COVID-19 and also the requirement with the staff of this division. The criteria recommended by the Ministry of Health of the Russian Federation for determining the number of rates of medical workers in these divisions, requirements for medical workers of the division have been considered, a practical example of calculation of rates has been given.

BUDGET POLICY IN 2020–2022: REALITIES AND FORECASTS

2020 ◽  
Vol 2 (5) ◽  
pp. 93-107
Author(s):  
L. I. PRONINA ◽  
Keyword(s):  
Russian Federation ◽  
Public Authority ◽  
National Plan ◽  
Economic Support ◽  
Budget Policy ◽  
The Russian Federation ◽  
The Government ◽  
Local Levels

The article discusses the realities of budget policy in 2020-2022. The article analyzes the anti-crisis programs of the government of the Russian Federation in connection with the 2020 pandemic and measures of social and economic support for the population and business at the Federal, regional and local levels of public authority. The structure and main content of the national plan for restoring employment and the economy in conjunction with the implementation of national projects are proposed.

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