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 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 Internal Control Development in the Healthcare Area

Vestnik NSUEM ◽  
2020 ◽  
pp. 117-126
Author(s):  
K. A. Tatievskaya ◽  
V. V. Govdya
Keyword(s):  
Health Care ◽  
Russian Federation ◽  
Internal Control ◽  
Health Care Services ◽  
Cost Optimization ◽  
Dental Clinic ◽  
Care Services ◽  
Control Procedures ◽  
The Russian Federation ◽  
And Control

By using an example of the Krasnodar dental clinic «Dent-Real», this article describes the features of accounting and tax accounting for the purpose of organizing internal control in healthcare. The authors pay special attention to the main aspects of accounting and control procedures: accounting of provided health-care services, supplies, orthopedic constructions and forms of strict accountability.In this regard, we consider the importance of price list, develop the main areas of cost optimization, rate an accounting of work-inprogress, study cash discipline according to the new requirements of the legislation of the Russian Federation.

Controversy over the scope of the term “medical care” in the context of its exemption from value added tax

2021 ◽  
Vol 2(24) ◽  
pp. 403-417
Author(s):  
Małgorzata Czerwińska
Keyword(s):  
Health Care ◽  
Medical Care ◽  
Plastic Surgery ◽  
Health Care Services ◽  
Medical Service ◽  
Value Added ◽  
Case Law ◽  
Medical Advice ◽  
Care Services ◽  
Improve Health

Generally, health care services that are intended to prevent, save, restore, and improve health are exempt from VAT. However, not every activity meets the requirements set by EU or national law. The rules regarding VAT exemptions for medical services are not precise enough to avoid controversy. Case law and tax interpretations help determine whether a medical service is exempt. However, it is not consistent. It is problematic to assess whether comprehensive services, services related to plastic surgery, and recently also medical advice by phone or internet are eligible for VAT exemption. These problems were signaled in the article.

Review of clinical guidelines “Cystic fibrosis”, 2020

2021 ◽  
Vol 31 (2) ◽  
pp. 135-146
Author(s):  
E. I. Kondratyeva ◽  
E. L. Amelina ◽  
M. Yu. Chernukha ◽  
V. D. Sherman ◽  
S. A. Krasovskiy ◽  
...  
Keyword(s):  
Health Care ◽  
Cystic Fibrosis ◽  
Medical Care ◽  
Russian Federation ◽  
Clinical Guidelines ◽  
Health Care Services ◽  
Diagnostic Tools ◽  
Federal State ◽  
Diagnostic Strategy ◽  
The Russian Federation

The aim of the experts who provide health care for patients with cystic fibrosis (CF) has been to develop clinical guidelines on cystic fibrosis for children and adults.Methods. The 2020 Clinical Guidelines were based on the European consensus documents on cystic fibrosis and the national consensus “Cystic fibrosis: definition, diagnostic criteria, therapy” (2016, 2019). When creating clinical guidelines, the experts were guided by Article 2 of the Federal Law No.323-FL “On the basics of health care in the Russian Federation” as of November 21st, 2011, and the regulatory legal documents governing the development and approval of clinical guidelines (https://rosmedex.ru/kr/).Results. The clinical guidelines were approved by the Federal State Budgetary Institution “Centre for Expertise and Quality Control of Medical Care” of the Russian Ministry of Health in August 2020. Standards of medical care for children and adults with cystic fibrosis were prepared based on these guidelines. The diagnostic algorithms have been expanded with a three-stage DNA diagnostic strategy, functional assays of CFTR channel, laboratory and instrumental diagnostic tools for assessing disorders of respiratory and other systems, diagnosis of the microbial inflammatory process, microbiological monitoring, and therapeutic approaches. The antibiotic therapy with dosages and courses is described in detail. The updated document should describe a unified tactic for the management of Russian CF patients.Conclusion. Unified clinical guidelines for children and adults should develop unified tactics for the diagnosis, therapy, and follow-up of CF patients in the Russian Federation and ensure continuity between health care services for children and adults.

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.

Les Nouveaux Miserables: Modem Victims of Social Asphyxia

PEDIATRICS ◽  
1995 ◽  
Vol 96 (4) ◽  
pp. 851-857
Author(s):  
David R. Smith
Keyword(s):  
Health Care ◽  
Health Status ◽  
Medical Care ◽  
Health Care Costs ◽  
Health Care Services ◽  
Preventive Services ◽  
Medical Care System ◽  
Care Services ◽  
Care Costs ◽  
Care System

During the past 30 years, social and economic barriers to health care services have increased for many Americans, especially for the nation's most vulnerable populations. Health status actually has declined for certain populations during this time. Meanwhile, national attention has been focused primarily on containing health care costs and on devising strategies for reforming the financing of health care rather than strategies for achieving improvements in the health status of the population. Existing methods of financing health care services, health research priorities, the increasing centralization and compartmentalization of health care services, and the recent failure of national health reform all serve to hinder this nation's progress towards developing a comprehensive and accountable health care system focused on promoting and achieving improved health as well as treating sickness. Recent changes in the health care marketplace, however, including a growing movement toward measuring the outcomes of medical treatments and an emphasis on improving the quality of services, have increased interest among payers and providers of health care services in investing in preventive services. Health maintenance organizations and other integrated health care delivery systems are beginning to devise incentives for increasing preventive care as well as for containing costs. The transformation of the nation's current medical care system into a true health care system will require innovative strategies designed to merge the existing fragmented array of services into coordinated and comprehensive systems for delivering primary and preventive health care services in community settings. The community-Oriented Primary Care concept successfully blends these functions and has achieved measurable results in reducing health care costs and improving access to preventive services for identified populations. There is flexibility in existing funding sources to promote preventive services in various public and private health care settings and to assist in the transformation from a disease-oriented medical care system to one focused on health.

scholarly journals Prison Health as Public Health in Ontario Corrections

2020 ◽  
Vol 5 (1) ◽  
pp. 19
Author(s):  
Yoko Murphy ◽  
Howard Sapers
Keyword(s):  
Public Health ◽  
Health Care ◽  
Health Care Services ◽  
Care Needs ◽  
Term Care ◽  
Care Services ◽  
Prison Health ◽  
Independent Review ◽  
Recent Reform ◽  
The Government

The majority of incarcerated individuals in Canada, and especially in Ontario provincial correctional institutions, are released into the community after a short duration in custody. Adult correctional populations have generally poor health, including a heightened prevalence of mental health and substance use disorders. There are legal and ethical obligations to address health care needs of incarcerated individuals, and also public health benefits from ensuring adequate, appropriate, and accessible health services to individuals in custody. The Independent Review of Ontario Corrections recommended the transformation of health care in Ontario provincial corrections in 2017, including transferring health service responsibilities to the Ministry of Health and Long-Term Care. The Correctional Services and Reintegration Act, 2018, would affirm the provincial government’s obligation to provide patient-centred, equitable health care services for individuals in custody. We encourage the Government of Ontario to proclaim the Act and continue the momentum of recent reform efforts in Ontario.

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