REVISITING THE QUESTION OF COMPLIANCE WITH DEPARTMENTAL REGULATORY LEGAL ACTS OF THE PENAL SYSTEM OF RUSSIA, REGULATING THE PROCEDURE OF RENDERING AND QUALITY OF MEDICAL ASSISTANCE TO PENAL STAFF AND THE REQUIREMENTS OF FEDERAL LEGISLATION

2020 ◽  
pp. 77-84
Author(s):  
Олег Алексеевич Свидерский
Keyword(s):  
Medical Care ◽  
Russian Federation ◽  
Medical Service ◽  
Legal Regulation ◽  
High Tech ◽  
Medical Assistance ◽  
Quality Of Medical Care ◽  
The Russian Federation ◽  
Correction System

В статье поднимаются отдельные вопросы правового характера оказания медицинской помощи сотрудникам УИС в лечебно-профилактических учреждениях ФСИН России, МВД России, Минобороны России, а также в учреждениях государственной или муниципальной систем здравоохранения. Проведен анализ нормативных баз Минздрава России и Минюста России, в которых осуществляется регламентирование вопросов оказания медицинской помощи. Показано, что в федеральных и ведомственных нормативно-правовых актах Минюста России законодательно не закреплен порядок оказания высокотехнологичной медицинской помощи по перечню видов, которые не включены в базовую программу ОМС. В целях устранения пробела в законодательстве предлагается медицинской службе ФСИН России разработать соответствующий регламент, в котором прописать перечень необходимых документов и порядок направления на лечение нуждающихся сотрудников. Проведенный опрос сотрудников УИС показал, что более 2/3 респондентов недовольны не только условиями, в которых оказываются медицинские услуги, но и качеством оказанной им медицинской помощи. Рассмотрены права и возможности сотрудников УИС по предъявлению претензий к лечебному учреждению в случае неудовлетворенности качеством оказанной медицинской услуги (помощи). Анализируются проблемы правового регулирования и практического решения вопроса, оценки качества оказанной медицинской услуги (помощи). Предлагается сформировать в системе ФСИН России институт экспертов по оценке качества медицинской помощи. The article raises certain issues of the legal nature of the provision of medical assistance to the penal correction system in medical institutions of the Federal Penitentiary Service of Russia, the Ministry of Internal Affairs of the Russian Federation, the Ministry of Defense of the Russian Federation, as well as institutions of the state or municipal health systems. The analysis of the regulatory framework of the Ministry of Health and the Ministry of Justice, which regulates the provision of medical care. It is shown that the federal and departmental regulatory legal acts of the Ministry of Justice do not legislatively regulate the procedure for providing high-tech medical care according to the list of species that are not included in the basic program of compulsory medical insurance. In order to fill the gap in the legislation, it is proposed that the medical service of the Federal Penitentiary Service of Russia develop an appropriate regulation in which a list of necessary documents and the procedure for referring treatment to needy employees are prescribed. A survey of employees of the penal correction system showed that more than 2/3 of respondents are dissatisfied not only with the conditions in which medical services are provided, but also with the quality of medical care provided to them. The rights and possibilities of the penitentiary system staff to make claims to a medical institution in case of dissatisfaction with the quality of the medical service (assistance) provided are examined. The problems of legal regulation and practical solution of the issue, assessing the quality of the medical service (assistance) provided are analyzed. It is proposed to form an institute of experts in the FSIN system for assessing the quality of medical care.

scholarly journals Assessment of organization of medical care and drug provision for patients with rheumatic diseases, and the socioeconomic burden of these diseases in the Russian Federation

2018 ◽  
Vol 12 (3) ◽  
pp. 112-119 ◽  
Author(s):  
A. M. Lila ◽  
R. О. Dreval ◽  
V. V. Shipitsyn
Keyword(s):  
Medical Care ◽  
Russian Federation ◽  
Legal Regulation ◽  
Drug Supply ◽  
Quality Of Medical Care ◽  
The Russian Federation ◽  
Socioeconomic Burden ◽  
Drug Provision ◽  
Local Levels

This article reviews data on the assessment of the incidence of rheumatoid arthritis (RA), ankylosing spondylitis (AS), and psoriatic arthritis (PsA, arthropathic psoriasis), as well as related disability and the economic burden of these nosological entities, including their therapy with biological agents. It considers the issues of organization and quality of medical care, drug supply, normative and legal regulation. The paper also shows the important epidemiological and socioeconomic importance of RA, AS, and PsA in Russia, points out the regional peculiarities of medical care and drug provision, and proposes solutions for their optimization at the federal and local levels. In preparing this investigation, the authors have taken into account the opinions of many specialists and experts in this field from different subjects of the Russian Federation.

scholarly journals Quality control of medical care in the compulsory health insurance system is an essential area of protection of citizens’ rights

2020 ◽  
Vol 23 (6) ◽  
pp. 378-382
Author(s):  
Nadezhda P. Kuprina ◽  
Svetlana S. Paunova ◽  
Svetlana A. Kosobutskaya
Keyword(s):  
Medical Care ◽  
Russian Federation ◽  
Legal Regulation ◽  
Health Protection ◽  
Health Insurance System ◽  
Quality Of Medical Care ◽  
Compulsory Health Insurance ◽  
The Russian Federation ◽  
Area Of Protection

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.

The problem of continuity in the provision of medical care as an element of a violation of the rights of the patient with trauma pathology

2019 ◽  
pp. 14-19
Author(s):  
E. V. Petrovskiy ◽  
L. Yu. Garin ◽  
E. E. Tonenkova
Keyword(s):  
Medical Care ◽  
Russian Federation ◽  
System Analysis ◽  
Legal Regulation ◽  
Health Protection ◽  
Medical Rehabilitation ◽  
Legal Rights ◽  
Quality Of Medical Care ◽  
The Russian Federation

This article is devoted to the disclosure of the key legislative problems in the implementation of the legal rights of certain categories of citizens – patients with traumatic pathology in obtaining qualified medical care. The choice of the category of patients in this work is not accidental and is due to the fact that today traumatism is one of the main causes of mortality. Disability associated with the consequences of traumatic injuries ranks third in the overall structure of the causes of persistent disability in the Russian Federation and is one of the most important indicators characterizing the quality of medical care to this population. The quality of medical care provided to the population, guaranteed by the Constitution of the Russian Federation, is affected by the observance and implementation of the rights of patients enshrined in the Federal law «on the basis of public health protection», first of all, the right to access to the required medical care. As a result of the study of this problem, a number of shortcomings of the current legal regulation of certain areas of domestic health care have been identified, which in our opinion significantly reduces the effectiveness of the state policy in the field of health protection of the population of Russia, including in ensuring the implementation of effective medical care for injuries, especially in terms of medical rehabilitation at the post-hospital stage of medical care. The methodological basis of this work was a set of methods of scientific knowledge, social processes and facts, dialectical method of knowledge, involving the study of legal and social phenomena, the method of system analysis, the method of analysis of literary, including st atistical data.

scholarly journals THE LEGISLATIVE FOUNDATION OF EXPERTISE OF MEDICAL CARE QUALITY ACCORDING CASES OF LETHAL OUTCOMES

2019 ◽  
Vol 62 (2) ◽  
pp. 95-102
Author(s):  
Konstantin V. Polyakov ◽  
N. M. Gayfullin ◽  
Zh. A. Akopyan ◽  
P. G. Mal'kov
Keyword(s):  
Medical Care ◽  
Russian Federation ◽  
Quality Evaluation ◽  
Evaluation Criteria ◽  
Care Quality ◽  
Icd 10 ◽  
Quality Of Medical Care ◽  
The Russian Federation ◽  
Care Support

The article presents analysis of national and foreign legislative documents concerning issues of expertise of quality of medical care according cases of lethal outcomes (Universal Declaration of Human Rights, the Constitution of the Russian Federation, ICD-10, Federal laws and sectoral orders). It is established that key elements of system of medical care quality control (levels of control, authorized authority, forms of control, sources of development of criteria of quality evaluation, criteria of quality evaluation) are determined legislatively and reflect main requirements of international documents. The criteria of medical care quality evaluation are developed by groups of diseases of conditions on the basis of corresponding of medical care support Procedures, medical care Standards, Rules of implementation of laboratory, instrumental, pathologico-anatomic and other forms diagnostic analysis and Clinical Recommendations (records of treatment) related to issues of medical care support. The shortcoming of the Russian Federation legislation is an inadequate reflection of sources of development of criteria of medical care quality evaluation and relevant incompleteness of the very criteria of medical care quality evaluation. Therefore, their application by experts to issues of evaluation of medical care quality is complicated that effects formation of expert conclusion and negatively affects detection and prevention of possible violations during medical care support. The outdated normative regulation of clinical pathologic anatomic conference is noted as an important form of control of medical care support according cases of lethal outcomes. The necessity of alterations and additions in particular currently in force documents concerning issues of expertise of medical care quality, including according cases of lethal outcomes.

scholarly journals JUSTIFICATION FOR ESTABLISHING THE PRIMARY AND CLINICAL DIAGNOSIS IN THE GROUP OF DISEASES – ACUTE PSYCHOTROPIC DRUG POISONING

2020 ◽  
Vol 26 (4) ◽  
pp. 10-15
Author(s):  
Pavel Pavlovich Gavrikov ◽  
◽  
Boris Borisovich Yatsinyuk ◽  
Vyacheslav Aleksandrovich Zhidkov ◽  
Ekaterina Alekseevna Barats ◽  
...  
Keyword(s):  
Medical Care ◽  
Russian Federation ◽  
Psychotropic Drugs ◽  
Clinical Symptoms ◽  
Acute Poisoning ◽  
Clinical Observations ◽  
Clinical Diagnoses ◽  
Quality Of Medical Care ◽  
The Russian Federation

The study, based on clinical observations of a group of specialists (toxicologists, anesthesiologists, resuscitators), reflects the course of clinical symptoms that occur in acute poisoning with new psychotropic drugs (alpha-pyrrolidinopentiophenone). The article provides a rationale for establishing primary and clinical diagnoses that reflect the quality of medical care in patients in this nosological group of diseases, evaluated on the basis of Federal clinical recommendations and orders of the Ministry of health of the Russian Federation.

The achievements of pulmonology and the main directions of further improvement of medical care in the Russian Federation

2021 ◽  
Vol 31 (6) ◽  
pp. 782-791
Author(s):  
Tatiana N. Bilichenko ◽  
Alexey A. Shutov
Keyword(s):  
Medical Care ◽  
Russian Federation ◽  
Primary Care Physicians ◽  
Scientific Research ◽  
Scientific School ◽  
Treatment And Prevention ◽  
Quality Of Medical Care ◽  
The Russian Federation ◽  
Research Institute

The development of pulmonology in Russia is linked with the creative activity of the Scientific Research Institute of Pulmonology of the Federal Medico-Biological Agency (Research Institute of Pulmonology of the FMBA) and its scientific school.The aim of the analytical review was to assess the role and contribution of the research team of the Research Institute of Pulmonology in improving the quality of medical care to the population of Russia.Methods. The data of medical statistics of the Ministry of Health of the Russian Federation on morbidity and mortality of the population due to respiratory diseases (RD) from 2004 - 2018 are analyzed. The publications on scientific research conducted with the participation of employees of the Research Institute of Pulmonology for the period from 2005 to 2020 were studied.Results. Over the past 30 years in Russia, with the participation of the staff of the Research Institute of Pulmonology, the state task of creating a system for organizing medical care for the population with RD has been successfully solved. The study and implementation of modern innovative approaches in the diagnosis, treatment and prevention of RD, the training of primary care physicians allowed to improve the quality of medical care to patients to the level of world standards. For the period from 2004 - 2018 the mortality of the population from RD 35.6% decrease was registered. During the pandemic of a new coronavirus infection, the use of pulmonology achievements in clinical practice contributed to a decrease in the frequency of deaths in people with COVID-19.Conclusion. Currently, the Research Institute of Pulmonology of the FMBA of Russia retains a leading position in the country in the field of fundamental scientific research, innovative methods of diagnosis and treatment of RD, educational activities and training of specialists in the field of pulmonology.

scholarly journals Justification of regional programs for the control and prevention of malignant neoplasms of the digestive system based on an international comparison of morbidity, mortality and survival rates (research based on materials from CI5 and Concord 3)

2021 ◽  
Vol 67 (1) ◽  
pp. 51-58
Author(s):  
Alla Egorova ◽  
Andrey Orlov ◽  
Sergey Suslin
Keyword(s):  
Medical Care ◽  
Russian Federation ◽  
Digestive System ◽  
Survival Rates ◽  
Malignant Neoplasm ◽  
Malignant Neoplasms ◽  
Control And Prevention ◽  
Quality Of Medical Care ◽  
The Russian Federation

In the Russian Federation, in comparison with the average European indicators, mortality with malignant neoplasm of the digestive system, even against the background of low morbidity, remains high. For the scientific substantiation and detailing of organizational measures to improve the control and prevention programs for malignant neoplasm of the digestive system, currently being carried out within the framework of the national project "Fight against cancer in 2019-2024", using the example of one of the typical regions of the Russian Federation - the Samara region, an international assessment was carried out the quality of medical care for this group of patients. At the same time, data on patients included in the database of the Samara population cancer registry in the period 2003-2017, data on cancer patients in the Samara region for the period 2008-2012, included in Cancer Incidence in Five Continents Vol.XI, as well as data on patients with malignant neoplasms registered in the Samara region in 2010-2014 and included in the Concord 3 study. The quality of medical care was assessed for all localizations of the digestive system based on the analysis of trends in morbidity, mortality and relative survival rates. An international study has shown that in the Samara region, in comparison with European countries, practically in all malignant neoplasms of the digestive system, with a low morbidity, high mortality and low survival are noted. Based on the data of a reliable onco-epidemiological study carried out in accordance with international standards, it was found that in the regions of the Russian Federation, when developing the financial, human and organizational resources of the national project to combat malignant neoplasms, special attention should be paid to primary prevention programs for colon cancer, liver cancer and gallbladder; organization of comprehensive colorectal cancer screening programs; as well as active implementation of programs for early diagnosis and effective treatment of stomach, pancreas, liver, esophagus and gallbladder cancer.

MEDIUM-TERM AND LONG-TERM PLANNING OF MEDICAL SUPPORT FOR TROOPS (FORCES) AND AFFECTED POPULATION AT ELIMINATION OF MEDICAL AND SANITARY CONSEQUENCES OF EMERGENCY SITUATIONS

2019 ◽  
pp. 12-23
Author(s):  
G. V. Dmitriev ◽  
R. N. Lemeshkin ◽  
I. F. Savchenko ◽  
A. V. Stepanov
Keyword(s):  
Medical Care ◽  
Russian Federation ◽  
Medical Service ◽  
Armed Forces ◽  
Legal Regulation ◽  
Regulation System ◽  
Health Consequences ◽  
Medical Support ◽  
Emergency Situations ◽  
The Russian Federation

Relevance. Currently, the solution to the problem of medical support for troops (forces) and the population during the liquidation of the health consequences of emergencies by forces and means of the medical service of the Armed Forces of the Russian Federation does not lose its relevance.Intention. The system-morphological method to create a multidimensional morphological matrix with the corresponding morphological features and develop solutions to the problem of medical support in responding to the health consequences of emergencies.Methodology. The methodology of system-morphological analysis is presented, which allows creating alternative solutions. Variants of medical support for troops (forces) and the population were developed during the liquidation of the health consequences of emergency situations of a natural, technogenic and social nature: “Departmental”, “Interdepartmental”, “International”. In relation to each option, 9 indicators (criteria) are proposed: normative legal regulation; system controllability; complexity of organizing the system; resource (material) cost; staffing; the adequacy of medical care; efficiency; experience and innovation; autonomy of action. To achieve the goal of the study, the original MPRIORITY 1.0 dialog system (MY PRIORITY) was used which implements a method for analyzing hierarchies through repetitions (iterations).Results and Discussion. The results characterize each of the considered alternative options with an appropriate weight priority, and their preference is determined. During the first iteration, priorities were identified for a system of indicators and criteria that are characteristic for achieving a result with an emphasis on normative legal regulation of activities with its organizational structure and management system. In the second one, the priorities for the system of indicators and criteria were changed with a focus on the organization of medical care with the existing system of material and technical support, medical supply, as well as the proper level of training of medical personnel.Conclusion Proposals have been developed for the medical service of the Armed Forces of the Russian Federation, in particular for the Service for Disaster Medicine of the Ministry of Defense of Russia, on the organization of a medical support system for troops (forces) and the population during mitigation of the health consequences of emergencies.

Sign in / Sign up

Export Citation Format

Share Document