scholarly journals The theory and practice of indicative planning in health care

2019 ◽  
Vol 60 (2) ◽  
pp. 60-65
Author(s):  
V. G. Kudrina ◽  
Dzeynap O. Sapralieva
Keyword(s):  
Health Care ◽  
Infant Mortality ◽  
Medical Care ◽  
Health Care System ◽  
Russian Federation ◽  
Social Economic ◽  
Ministry Of Health ◽  
The Russian Federation ◽  
The Republic ◽  
Care System

The planning as a key function of management in health care system is focused on target indicators of population health and development of health care sector. The focusing on social economic values of target indicators and setting them as indicators of appropriateness and effectiveness of implementing activities is actual standard ofplanning. For all that, the technique of indicative planning in health care still requires to be putted to level of its theoretical substantiation (prerequisites of becoming, conceptual foundations, terms, requirements to evaluation) and implementation in practice. The example of the Republic of Ingushetia, one of the regions of the Russian Federation, was used to demonstrate becoming of indicative planning and its development with the purpose of effective management. The emphasis is made on terms system, approaches of choosing and monitoring of target indicators for indicative planning. To present the technique of indicative planning scientifically the monograph method (analysis of reports, statistical data of Rosstat, Ministry of Health of the Russian Federation and Ministry of Health of the Republic of Ingushetia) was applied. The SWOT analysis of the situation in health care of the region was applied. The infant mortality indicator became the reference point of evaluation of effectiveness of functioning of health care system and social economic reforming in the region. The level and dynamics of infant mortality indicator reflects shortcomings of medical care organization in the region and first of all absence of the three-level system of its rendering, routing according standards of medical care support of patients on main pathology profiles, including pregnant women, women in labor, newborns and children. According to situation, the investment decisions were made on the federal level. To what extent they will be effective i.e. what will be the reaction of values of target indicators of social economic development of the region, primarily indicators of infant mortality, the «road map» should demonstrate.

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 Analysis of personnel resources of doctors according to «dentistry» profile in units providing medical care in outpatient and inpatient conditions

2020 ◽  
Vol 24 (1) ◽  
pp. 55-60
Author(s):  
L. E. Smirnova ◽  
V. G. Butova
Keyword(s):  
Health Care ◽  
Medical Care ◽  
Health Care System ◽  
Russian Federation ◽  
Dental Care ◽  
Health Workers ◽  
Dental Hygienists ◽  
The Russian Federation ◽  
Care System

In the health-care system in the Russian Federation, the units providing medical care in outpatient and inpatient conditions employ more than 55,000 individuals of dental doctors of various specialties, dental doctors and dental hygienists every year from 2014 to 2018. The availability of dentistry by doctors tends to decline from 4.20 (2014) to 3.75 (2018). By 2018, 99.45% of dentistry doctors and 99.3% of dental doctors have a specialist certificate and accreditation certificate. 38.16% of dentistry doctors and 54.88% of dental doctors confirmed their qualification category. In dynamics there is a tendency to decrease the passing of certification for obtaining qualification category by these specialists. These facts show a decrease in the availability and quality of dental care, as it is ensured by the availability of the necessary number of health workers and their level of qualification.

scholarly journals STAGES AND WAYS OF REDUCING INFANT MORTALITY IN THE RUSSIAN FEDERATION: THE EXPERIENCE OF THE LAST 30 YEARS

2019 ◽  
Vol 20 (5) ◽  
pp. 311-315
Author(s):  
Aleksandr A. Baranov
Keyword(s):  
Health Care ◽  
Infant Mortality ◽  
Health Care System ◽  
Russian Federation ◽  
Protection System ◽  
Seasonal Fluctuations ◽  
Central Asian ◽  
Effective Reduction ◽  
The Russian Federation ◽  
Central Asian Republics

The causes and dynamics of the infant mortality (IM) in the USSR and the Russian Federation (1980-2012) are presented in the context of reforming the health care system. The stages of changes in the IM for this period were determined. One of the peculiarities of IM in the USSR is indicated to be seasonal fluctuations with peaks in July-September. At the same time, the Central Asian republics had the dominated influence on this peak. The experience of the organization of state and medical measures for effective reduction of IM in the USSR is described. The improvement of the maternity and childhood protection system in the Russian Federation allowed significantly reduce IM.

scholarly journals Legal Regulation of Payment for Labour of Medical Workers in the Organizations of Private Health-care System

2017 ◽  
pp. 93-96
Keyword(s):  
Health Care ◽  
Health Care System ◽  
Russian Federation ◽  
Legal Regulation ◽  
Time Limit ◽  
Private Health Care ◽  
Labour Contracts ◽  
The Russian Federation ◽  
The Government ◽  
Care System

The article considers the systems of remuneration in the organizations of the private health-care system in the Russian Federation on the basis of the analysis of works of modern scholars. A special attention is paid to medical workers having secondary jobs in organizations of the private health-care system. For such organizations in Russia, secondary-job employing is a common practice. The author substantiates the necessity of providing more freedom of parties of labour contracts without time limit determined by the Government of the Russian Federation and the Russian Ministry of Labour to prevent payments of illegal salary. Some changes to the Labor Code of the Russian Federation are proposed. In particular, the author suggests to introduce a rule under which parties of a secondary-job labour agreement may establish limits of working time by their consent and extend it.

scholarly journals ECONOMIC BURDEN OF HYPERCHOLESTEROLEMIA IN THE RUSSIAN FEDERATION

2018 ◽  
Vol 14 (3) ◽  
pp. 393-401 ◽  
Author(s):  
A. V. Kontsevaya ◽  
Yu. A. Balanova ◽  
A. E. Imaeva ◽  
M. B. Khudyakov ◽  
O. I. Karpov ◽  
...  
Keyword(s):  
Health Care ◽  
Economic Impact ◽  
Health Care System ◽  
Russian Federation ◽  
Russian Population ◽  
Medical Aid ◽  
Pharmaceutical Therapy ◽  
Premature Deaths ◽  
The Russian Federation ◽  
Care System

Background. The prevalence of hypercholesterolemia (HCE) is quite high in the Russian Federation (RF), and it is associated with clinical consequences and with potential economic impact. Impact includes not only cost of its correction, but also the cost of treatment of diseases and complications, as well as the deficiency of the gross domestic product (GDP).Aim. Evaluation of economic impact due to HCE in the Russian population, including direct expenditures of the Health Care System as well as nondirect impact in common economy.Material and methods. Prevalence of HCE in the RF was identified based on local published studies. Local statistical data (2016) on cardio-vascular diseases (CVDs), including Ischemic Heart Disease (IHD), Myocardial Infarction and cerebral-vascular disease were included in the analysis. Population Attributive Risk (PAR) of HCE in CVDs has been extrapolated on all Russian population. Official statistics, parameters of Govern Guarantees Program of Free Medical Aid were used for modelling of direct and non-direct components of economic impact. Total amount of premature deaths with calculation of years of potential life lost until life expectation at 72 years was calculated. Economic impact due to premature CVDs mortality in economic activity age with consideration on ratio of employment have included GDP lost. Calculation of GDP lost also included monetary impact based on number of disability CVDs patients multiplied on GDP per capita in disability group.Results.Visits to policlinics of patients with CVDs and HCE had a first place among all calls for medical aid. In the same time, hospitalization required in higher expenditures (outpatients cost treatment expenditures were 2.43 billion RUR, in-patients treatment – 18.21 billion RUR). IHD with HCE was most expensive for direct expenditures in comparison with other CVD groups: more than 28.9 billion RUR per year, and with direct non-medical expenditures of 29.3 billion RUR in total. Years of potential life lost in economic active age were one million in total, 1.29 trillion RUR per year mostly due to indirect expenditures due to premature deaths in economy activity age (99% of impact). Total Economic impact due to HCE in the Russian population for all HCE are estimated as 1.295 trillion RUR.Conclusion. Total economic impact due to HCE in the RF is 1.5% of GDP (2016), 1.295 trillion RUR. Direct expenditures included Health Care System expenses; disability covering had 2.3% only. Main part of impact is economic lost due to premature mortality and decrease of labor productivity. HCE patients control at target levels with help of healthy lifestyle and adequate pharmaceutical therapy can decrease economic impact. 

scholarly journals Health Care Reform in the United States and the Russia Federation: 1990-2015

2016 ◽  
Vol 5 (2) ◽  
pp. 29
Author(s):  
Olga V. Filatova ◽  
David Andrew Schultz
Keyword(s):  
United States ◽  
Health Care ◽  
Health Care Reform ◽  
Health Care System ◽  
Russian Federation ◽  
Technological Development ◽  
Care Delivery ◽  
The United States ◽  
The Russian Federation ◽  
Care System

<p>What constitutes adequate medical care and how to deliver it is a problem states across the world confront as they face similar problems of rising costs, access, changing demographics, quality of service, and technological development. This article compares health care reform in the United States and the Russian Federation between 1990 and 2015. The Russian Federation begin this period with a process of rebuilding a health care system out of the previous centralized state-run Soviet system whereas the United States sought to change a health care system largely privately run and which separated health care delivery from health care insurance. Yet, despite differences these two countries and their health care systems have, they show interesting parallels, convergences, and lessons in terms of how reform occurs. In particular, this article demonstrates how both the American and Russian reforms have tried to use market incentives and the shifting to individuals some responsibility to contain costs, the use of government and non-governmental actors to provide health care and insurance, and various levels of centralization and decentralization of select services in order to address cost, quality, and access issues.</p>

scholarly journals Determination of a willingness-to-pay threshold and decision-making in financing the healthcare technologies

2018 ◽  
Vol 11 (3) ◽  
pp. 13-22 ◽  
Author(s):  
T. S. Teptsova ◽  
T. P. Bezdenezhnyh ◽  
V. K. Fedyaeva ◽  
N. Z Musina ◽  
G. R. Hachatryan ◽  
...  
Keyword(s):  
Health Care ◽  
Cost Effectiveness ◽  
Willingness To Pay ◽  
Health Care System ◽  
Russian Federation ◽  
Threshold Value ◽  
Medical Technologies ◽  
The Russian Federation ◽  
The Cost ◽  
Care System

The aim was to develop a methodology for determining the willingness to pay threshold (WTPT) and its upper limit value within the Russian health care system.Materials and methods. WTPT was calculated based on the shadow budget price (i. e. determining the WTPT by the suppling party). This method is an empirical assessment of the cost-effectiveness threshold that reflects the utmost productivity of the health care system, as determined from the relationship between changes in healthcare expenditure and health outcomes achieved. The state’s willingness to pay for improving their citizens’ healthcare was evaluated considering the population of the Russian Federation, mortality and life expectancy in different age and gender groups, as well as the volume of government spending. The cost of disability-adjusted life-year prevented (DALY) and the cost of quality-adjusted life-year saved (QALY) were determined by the suppling party, that is, they reflect the cost the state is willing to pay for improving the health of their population under conditions of limited budget. The described approach considers the performance of the country’s healthcare system over a certain period and the costs incurred in functioning of the system.Results. As part of this study, it was found that the cost of one additionally prevented DALY would be 313,878.21 rubles, and the cost of one additionally saved QALY – 365,060.31 rubles.Conclusion. The WTPT for medical technologies in the Russian Federation, determined by estimating the shadow budget price will amount to 313,878.21 rubles for one prevented DALY and 365 060,31 rubles for one saved QALY. With regard to clinical and economic analysis, medical technologies with the incremental cost-effectiveness indicator not exceeding the one calculated in this study can be seen as cost-effective. The obtained threshold value is a recommendation. A medical technology can be approved even with a WTPT higher than the recommended level, because this specific technology may have additional  advantages other than WTPT when compared with the reference technologies. 

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