scholarly journals Attitude of Ophthalmologists to the Problems of Organizing Corneal Transplantation in Russia

2020 ◽  
Vol 22 (2) ◽  
pp. 146-148
Author(s):  
P. I. Konstantinova
Keyword(s):  
Medical Care ◽  
Russian Federation ◽  
Waiting Times ◽  
Corneal Transplantation ◽  
Tissue Bank ◽  
Legal Framework ◽  
Tissue Banks ◽  
Medical Organization ◽  
Donor Material ◽  
The Russian Federation

Currently, much attention is paid to the preservation of vision in the Russian Federation. Of particular importance are corneal diseases requiring surgical treatment (keratoplasty). In this regard, the identification of problems in the organization of specialized ophthalmic care for patients in need of keratoplasty is extremely relevant, and their solution will ensure the proper level of quality and accessibility of medical care provided to them. A survey of 840 ophthalmologists from different regions of the Russian Federation was conducted. Problems with obtaining donor material (53,6 per 100 respondents), inaccessibility of keratoplasty in the region (28,6 per 100 respondents), imperfection of the legal framework for corneal transplantation (26,2 per 100 respondents), long waiting times for the operation were identified patients (22,6 per 100 respondents), the lack of equipping a medical organization with modern medical equipment (20,2 per 100 respondents) and an insufficient number of quotas for operations (20,2 per 100 respondents). The absence of a donor tissue bank significantly affects the availability and quality of specialized ophthalmic medical care and requires the adoption of appropriate organizational measures. Experts note the need to provide medical organizations with an adequate amount of donor material. In this case, the improvement of the regulatory framework governing the issues of donation and corneal transplantation is of great importance. The creation of tissue banks in various constituent entities of the Russian Federation will shorten the waiting time for keratoplasty by patients and increase the degree of satisfaction rendered to them by medical care.

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.

Analysis of the existing system of personal development of the head nurse

2020 ◽  
pp. 16-25
Author(s):  
Larisa Karaseva
Keyword(s):  
Medical Care ◽  
Russian Federation ◽  
Personal Development ◽  
Lean Production ◽  
Quality And Safety ◽  
Medical Organization ◽  
Head Nurse ◽  
The Russian Federation ◽  
Role Of Nursing

The article presents the stages of implementation of the principles of lean production in the healthcare of the Russian Federation, outlines the goals and prospects of projects to optimize the quality and safety of medical care, emphasizes the role of nursing specialists in improving the ideology of a patient-oriented medical organization.

Legislation regulating medical care for children with rheumatic diseases in the Russian Federation

2020 ◽  
Vol 15 (5) ◽  
pp. 126-133
Author(s):  
V.K. Sevostyanov ◽  
◽  
Yu.Yu. Razumov ◽  
I.A. Petrova ◽  
E.P. Kakorina ◽  
...  
Keyword(s):  
Medical Care ◽  
Rheumatic Diseases ◽  
Russian Federation ◽  
Systemic Vasculitis ◽  
Health Care Organization ◽  
Legal Framework ◽  
Care Organization ◽  
Legal Documents ◽  
Regulatory Documents ◽  
The Russian Federation

Objective. To analyze legislation regulating medical care for children with rheumatic diseases in the Russian Federation. Materials and methods. We analyzed regulatory documents of the Ministry of Health of Russia, including the rules of medical care for children with rheumatic diseases, the resolution regulating the distribution of medicines at a discount or for free, and regional legal acts regulating routing of children with rheumatic diseases. Results. The legislation regulating medical care for children with rheumatic diseases is imperfect and needs to be updated. We identified shortcomings in the system regulating preferential provision of certain groups of patients with medicines. The results of our analysis can be used as a rationale for changes and amendments to existing regulatory legal acts and for the development of new regulatory documents. Conclusion. This analysis of legal documents allows us to suggest amendments to the existing legal framework in order to reduce tensions (including legal tensions) associated with distribution of preferential medicines, reconsider establishment of disability in patients with juvenile idiopathic arthritis, expand opportunities to prescribe biologicals for non-disabled patients with systemic scleroderma, juvenile dermatomyositis, and systemic vasculitis in regions. We justified detailed description of regional legal documents regulating distribution of preferential medicines among patients with rheumatic diseases. Key words: rheumatic diseases in children, regulatory framework, health care organization, drug provision

scholarly journals Legal regulation of telemedicine in the health care system of the Russian Federation: state and prospects for improvement.

2019 ◽  
Vol 21 (3) ◽  
pp. 15-22
Author(s):  
N V Allamyarova ◽  
E G Sanakoeva
Keyword(s):  
Health Care ◽  
Medical Care ◽  
Health Care System ◽  
Russian Federation ◽  
Legal Framework ◽  
Legal Regulation ◽  
Legal Documents ◽  
Current State ◽  
The Russian Federation ◽  
Care System

The legislation in the field of e-health, adopted in 2017, opens fundamentally new opportunities in the development of medical care using telemedicine technologies. The article provides an analysis of regulatory legal documents that establish the legal framework for the provision of medical care using telemedicine technologies. An assessment is made of the current state of telemedicine legal regulation in Russia. The law on telemedicine requires adjustment and refinement of existing regulations, procedures, standards of medical care with a detailed regulation of tools and situations of their application.

scholarly journals Medico-social study of the opinions of parents (legal representatives) on the medical care for children with cancer in the Russian Federation

2021 ◽  
Vol 66 (1) ◽  
pp. 87-93
Author(s):  
M. Yu. Rykov ◽  
O. A. Manerova ◽  
I. A. Turabov ◽  
V. V. Kozlov ◽  
V. A. Reshetnikov
Keyword(s):  
Medical Care ◽  
Russian Federation ◽  
Treatment Success ◽  
Social Study ◽  
Medical Personnel ◽  
Medical Organization ◽  
Children With Cancer ◽  
Oncological Diseases ◽  
The Russian Federation ◽  
To Receive

.Objective. To study the opinion of parents (legal representatives) on the problems of medical care for children with oncological diseases.Methods. The study was based on the Questionnaire for parents (legal representatives) on medical care children with cancer. The questionnaire consisted of 27 questions, the respondents were asked to choose one or several answers or to enter their own option.Results. This medical and social study demonstrated that 81.1±1.9% of respondents are not satisfied with the attitude of doctors and nurses towards them and their children, 15.9±1.8% of respondents are partially satisfied and only 3±0.8% of respondents are fully satisfied. The reasons for dissatisfaction were as follows: rude communication (35.8±2.4%), inadequate attention of medical personnel (21.3±2.0%) and lack of interest in the treatment success (19.7±2.0%). The combination of these options was noted by 23.2±2.0% of the respondents. 63.7±2.4% of respondents would prefer to treat their children at a medical organization of federal subordination, 33.9±2.4% – at medical organization outside the territory of the Russian Federation, of which 57.4±2.4% would like to receive a patient-oriented service and simplified routing between medical organizations during treatment. 12.7±1.6% mistrust in the qualifications of medical personnel in the Russian Federation, 11.8±1.6% of respondents indicated the lack of comfortable conditions for examination and treatment, 5.3±1.1% of respondents indicated the lack of necessary diagnostic and treatment methods and 12.8 1.6% of respondents indicated a combination of the above options.Conclusion. The results obtained indicate the need to implement patient-oriented approaches and to improve the routing of children with cancer.

REGULATORY LEGAL FRAMEWORK FOR PROVIDING PALLIATIVE MEDICAL CARE IN THE RUSSIAN FEDERATION

2021 ◽  
pp. 247-253
Author(s):  
Khabriev R.U. ◽  
Kolomiychenko M.E.
Keyword(s):  
Palliative Care ◽  
Medical Care ◽  
Russian Federation ◽  
Public Awareness ◽  
Action Plan ◽  
Medical Personnel ◽  
Legal Framework ◽  
Legal Regulation ◽  
Adults And Children ◽  
The Russian Federation

Palliative care as a separate type of medical care was enshrined in legislation 10 years ago. However, the law-making process is still ongoing. The guidelines for this type of medical care for adults and children have been approved twice. It must be noted amendments to the Federal Law in 2019 (which significantly expanded the definition and consolidated the "varieties" for the provision of palliative care), and the interdepartmental Regulation on the organization of the provision of this type of assistance was approved (which now includes not only the guidelines for this type of medical care for adults and children, but also provides for the guidelines for interdepartmental interaction). In addition, since 2019, regional programs for the development of palliative care in the constituent entities of the Russian Federation are being developed. Together with these documents, an action plan was approved for the implementation of the Strategy for the Development of Healthcare of the Russian Federation for the period up to 2025, in which the development of palliative care is designated as activities; action plan has been approved ("road map") "Improving the quality and availability of palliative care" until 2024 was approved, among the tasks of which: improving legal regulation, increasing the availability and quality of painkillers, developing infrastructure for providing palliative care in the constituent entities of constituent entities of the Russian Federation, training of specialists (medical personnel, clinical psychologists, social workers), public awareness about the provision of this type of medical care, the implementation of a multidisciplinary approach. This publication includes an overview of the legislation governing the functioning of the palliative care system in the Russian Federation.

scholarly journals SOME ASPECTS OF PATIENTS' RIGHTS TO RECEIVE INFORMATION ABOUT THEIR HEALTH STATUS UNDER THE LEGISLATION OF THE RUSSIAN FEDERATION

2019 ◽  
Vol 8 (6) ◽  
Author(s):  
Artur I. Khabirov ◽  
Gulnara M. Khamitova
Keyword(s):  
Medical Care ◽  
Russian Federation ◽  
Medical Records ◽  
Medical Intervention ◽  
Medical Organization ◽  
First Case ◽  
The Russian Federation ◽  
Main Components ◽  
The Right ◽  
Attending Physician

The relevance of the chosen topic is due to increased legal literacy of patients, the need to respect their rights and increase the responsibility of a medical institution in matters of observing the rights of patients. According to the current legislation of the Russian Federation in the field of health protection, the right of citizens to information about their state of health includes two main components: informing the patient by the attending physician and familiarization with medical documentation.In the first case, the attending physician or medical worker directly providing medical assistance to the citizen is obliged to inform the citizen or his legal representative of the information about the state of his health available in the medical organization, including: information on the results of a medical examination; the presence of disease; about the established diagnosis; on the prognosis of the development of the disease; methods of medical care related to their risk; possible types of medical intervention, its consequences; the results of medical care. The procedure for familiarizing patients with the originals of medical records is also regulated by law. This study touched upon the implementation of the patient’s rights to familiarize themselves with the patient’s medical records, obtain copies of medical documents, and introduce electronic medical records.

scholarly journals Medico-social study on the opinions of parents on the problems of organizing medical care for children with cancer in the Russian Federation

2020 ◽  
Vol 19 (1) ◽  
pp. 53-59
Author(s):  
Maxim Y. Rykov ◽  
Olga A. Manerova ◽  
Ivan A. Turabov ◽  
Vasily V. Kozlov ◽  
Vladimir A. Reshetnikov
Keyword(s):  
Medical Care ◽  
Russian Federation ◽  
Social Study ◽  
Medical Personnel ◽  
Medical Organization ◽  
Children With Cancer ◽  
Oncological Diseases ◽  
The Russian Federation ◽  
Success Of Treatment ◽  
Patient Centric

To study the opinions of parents (legal representatives) on the problems of organizing medical care for children with oncological diseases, a medical and social study was conducted. This study aims to examine the opinions of parents on the problems of organizing medical care for children with oncological diseases. This study was conducted based on the developed questionnaire for recording the opinions of parents (legal representatives) on improving the organization of medical care for children with cancer. The questionnaire comprised 27 questions, in which the respondents were asked to choose one or more answer options for each of them. For objectivity, the questionnaires were filled in anonymously. This medical and social study showed that 81.1 1.9% of the respondents are not satisfied with the attitude of doctors and nursing staff toward them and their children, 15.9 1.8% are only partially satisfied, and 3 0.8% are fully satisfied (roughness in communication (35.8 2.4%), lack of sufficient attention from medical personnel (21.3 2.0%), and lack of interest in the success of treatment (19.7 2.0%)). The combination of these options was noted by 23.2 2.0% of respondents. As the preferred treatment site for their children, 63.7 2.4% of the respondents indicated a medical organization of federal subordination and 33.9 2.4% a medical organization located outside the territory of the Russian Federation, in which 57.4 2.4 % of the respondents mentioned the possibility of receiving a patient-oriented service and complex routing during treatment between the medical organizations in the Russian Federation as a reason for choosing. Furthermore, 12.7 1.6% of the respondents indicated a lack of confidence in the qualifications of medical personnel in the Russian Federation; 11.8 1.6%, the lack of comfortable conditions for examination and treatment; 5.3 1.1%, the lack of necessary diagnostic and treatment methods; and 12.8 1.6%, a combination of the listed options. Overall, the findings of this study indicate the need to further improve the organization of medical care for children with cancer: introducing patient-oriented approaches and improving patient routing to create a patient-centric health care system for organizing medical care for children with cancer are necessary.

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.

scholarly journals Organization of medical and economic control of the volume and cost of medical care in the system of compulsory health insurance in 2021

2021 ◽  
Vol 9 (4) ◽  
pp. 647-656
Author(s):  
Elena V. Manukhina ◽  
◽  
Svetlana V. Yurina ◽  
◽  
◽  
...  
Keyword(s):  
Health Insurance ◽  
Medical Care ◽  
Russian Federation ◽  
Insurance Fund ◽  
Federal Law ◽  
Medical Organization ◽  
Economic Control ◽  
The Subject ◽  
Compulsory Health Insurance ◽  
The Russian Federation

The article is devoted to the current problem of interaction in fulfilling the obligations of all participants of compulsory health insurance to pay for and provide medical care in accordance with the amendments made to Federal Law No. 326-FL of 29 November 2010 (as amended on 08 December 2020) «On Compulsory Health Insurance in the Russian Federation» and entered into force on January 1, 2021. The authors focus on the issue of granting of the territorial compulsory health insurance fund new powers to conduct medical and economic control and abolishing these powers from medical insurance organizations. According to the amendments, all volumes of medical care provided to the insured population of the subject of the Russian Federation, both on the territory of insurance and outside it, as well as medical care provided outside the territory of insurance, are the subject of medical and economic control by the territorial fund. Starting from 2021, the form of the contract for the provision and payment of medical care for compulsory health insurance, approved by Order of the Ministry of Health of the Russian Federation No. 1417n of 30 December 2020, has also changed. Unlike the previous form of contract concluded between an insurance medical organization and a medical organization, the current document provides for the participation of three parties in contractual relations: the territorial fund, insurance medical organizations, medical organizations. The agreement contains provisions providing for the obligation of the territorial fund to carry out medical and economic control of registers of accounts and accounts submitted by medical organizations to pay for medical care provided within the framework of the basic and territorial compulsory health insurance programs. The article presents the results of the control carried out with the analysis of the identified violations in the provision by medical organizations of the Ryazan region of invoices and registers of invoices for payment of medical care provided for January 2021, identifies problematic points in the information interaction between participants of compulsory insurance in the implementation of this function of the territorial fund.

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