Paid Medical Services in Public Healthcare Organizations: Policy Management and Prospects
https://doi.org/10.47619/2713-2617.zm.2023.v.4i3;59-71
Abstract
In Russia, healthcare facilities of any form of ownership provide paid medical services that are in high demand among all groups of Russian population. Due to the economic challenges and the high social significance of these services, specialists and healthcare public authorities pay close attention to this issue.
Changes in the regulations on paid medical services should eliminate existing difficulties and minimize the risk of issues in the future.
The author carried out a comparative analysis of the following documents: Rules for the provision of paid medical services by medical organizations (approved by the Decree of the Government of the Russian Federation No. 1006 dated 04.10.2012), and Rules on a similar topic developed by the Ministry of Health of the Russian Federation and amended during the preparation and publication of draft document at the platform regulation.gov.ru (approved by the Decree of the Government of the Russian Federation No. 736 dated 11.05.2023).
The author addressed the innovations introduced by the new regulations and evaluated their potential impact on the provision of paid medical services.
About the Author
E. V. Smirnova
Research Institute of Healthcare Organization and Medical Management of Moscow Healthcare Department
Russian Federation
Russian Federation
Elena V. Smirnova – Senior Researcher
9, Sharikopodshipnikovskaya ul., Moscow, 115088
References
1. Ob osnovakh okhrany zdorov’ya grazhdan v Rossijskoj Federatsii [On the basics of protecting the health of citizens in the Russian Federation], Federal Law of November 21, 2011 No. 323-FZ, URL: https://docs.cntd.ru/document/902312609 (date of the application: 24.06.2023) (in Russian).
2. Korobko K. I. The profit of a medical organization from the implementation of medical activities: an axiom or a basis for discussion? Finance and management, 2021, no. 1, pp. 53-65 (in Russian).
3. Ob utverzhdenii formy federal’nogo statisticheskogo nablyudeniya s ukazaniyami po ee zapolneniyu dlya organizatsii Ministerstvom zdravookhraneniya Rossijskoj Federatsii federal’nogo statisticheskogo nablyudeniya v sfere okhrany zdorov’ya [On approval of the form of federal statistical observation with instructions for filling it out for the organization by the Ministry of Health of the Russian Federation of federal statistical observation in the field of health care], Order of the Ministry of Economic Development and Federal State Statistics Service dated December 16, 2020 No. 800. ConsultantPlus Legal System (in Russian).
4. Grot A. V., Sazhina S. V., Shishkin S. V. Applicability for medical care in the public and private health sectors (according to sociological studies). Social aspects of public health, 2018, no. 5, pp. 1-18. doi: 10.21045/2071-5021-2018-63-5-1 (in Russian).
5. Tumusov F. S., Kosenkov D. A. Sovremennye tendentsii v sisteme zdravookhraneniya Rossijskoj Federatsii [Modern trends in the healthcare system of the Russian Federation], Materials of the State Duma of the Federal Assembly of the Russian Federation, Moscow, Publication of the State Duma, 2019, 80 p. (in Russian).
6. The Ministry of Health clarified how it will change the order of paid services and what restrictions it will set. Zdravookhranenie, 2019, no. 5, URL: https://e.zdravohrana.ru/725354 (date of the application: 24.11.2022) (in Russian).
7. Khokhlova V. V., Zinoviev O. A., Tuinova L. M. Sociological study of the choice of services of medical centers. Education and problems of society development, 2020, no. 3 (12), pp. 168-174 (in Russian).
8. Voskolovich N. A. Availability of health care services as a basis for social security of the population. Population, 2021, vol. 24, no. 2, pp. 87-96. doi: 10.19181/population.2021.24.2.8 (in Russian).
9. IV Forum organizatorov zdravookhraneniya – 2022 “Investitsiya v zdorov’e: meditsinskaya nauka dlya cheloveka” [IV Forum of healthcare organizers – 2022 “Investment in health: medical science for people”], URL: https://niioz.ru/organizatsionno-metodicheskaya-deyatelnost/forum-organizatorovzdravookhraneniya2022.php (date of the application: 24.06.2023) (in Russian).
10. Ledenev A. G. Legal regulation of paid medical services in the Russian Federation. International Journal of the Humanities and Natural Sciences, 2021, no. 11-4, pp. 25-27 (in Russian).
11. Budarin S. S., Smirnova E. V., Elbek Yu. V., Volkova A. Rezul’taty sotsiologicheskogo issledovaniya po otsenke kachestva i dostupnosti PMSP [Results of a sociological study on assessing the quality and accessibility of PSMP]. Sotsiologiya zdorov’ya: uroki pandemii i kontury budushchego zdravookhraneniya [Sociology of health: lessons from a pandemic and contours of the future healthcare: proceedings of the III Forum with international participation (Moscow, November 23, 2021)], Moscow, GBU “NIIOZMM DZM”, 2021, pp. 51–54 (in Russian).
12. Kapustina L. M., Beloborodova O. G. Marketing research of consumers of paid medical services. Practical marketing, 2020, vol. 10, no. 284, pp. 3-9 (in Russian).
13. Kuznetsov M. A. Consumer preferences as a factor influencing the choice of paid medical services. Creative Economy, 2021, no. 5, pp. 1963-1976 (in Russian).
14. Alsynbaeva E. M., Zadina A. M. Problems of providing paid medical services by state and municipal health care institutions. International Journal of Humanities and Natural Sciences, 2020, no. 11-4, pp. 9-12 (in Russian).
15. Smirnova E. V., Volkova O. A., Cherkasov S. N. On the need to standardize the organization of accounting and quality control of medical care in the provision of paid medical services. Problems of standardization in health care, 2019, no. 5-6, pp. 3-16 (in Russian).
16. Poyasnitel’naya zapiska k proektu Postanovleniya Pravitel’stva Rossijskoj Federatsii “Ob utverzhdenii Pravil predostavleniya meditsinskimi organizatsiyami platnykh meditsinskikh uslug” [Explanatory note to the draft Decree of the Government of the Russian Federation “On approval of the Rules for the provision of paid medical services by medical organizations”], URL: https://regulation.gov.ru/projects#npa=122182 (date of the application: 24.06.2023) (in Russian).
17. Ob utverzhdenii Pravil predostavleniya meditsinskimi organizatsiyami platnykh meditsinskikh uslug [On approval of the Rules for the provision of paid medical services by medical organizations], Decree of the Government of the Russian Federation dated 04.10.2012 No. 1006, URL: https://base.garant.ru/70237118/ (date of the application: 24.06.2023) (in Russian).
18. Yeghiazaryan K. A., Attaeva L. Zh. Normative and legal regulation of the provision of paid medical services in state and municipal health care institutions. Medical Almanac, 2013, vol. 2, no. 26, pp. 24-26 (in Russian).
19. Grishina N.K., Perepelova O.V., Solovieva N.B. Implementation of a set of measures aimed at ensuring the principle of patient orientation in the organization of paid medical services. Problems of social hygiene, health care and the history of medicine, 2021, vol. 29, no. 1, pp. 120-124. doi: 10.32687/0869-866X-2021-29-1-120-124 (in Russian).
20. Proekt Postanovleniya Pravitel'stva Rossijskoj Federatsii ot “___”___________2022 g. № ________ “Ob utverzhdenii Pravil predostavleniya meditsinskimi organizatsiyami platnykh meditsinskikh uslug” [Draft Decree of the Government of the Russian Federation dated “___” ___________ 2022 No. ________ “On approval of the Rules for the provision of paid medical services by medical organizations”], URL: https://regulation.gov.ru/projects#npa=11389 (date of the application: 24.06.2023) (in Russian).
21. Ob utverzhdenii Pravil predostavleniya meditsinskimi organizatsiyami platnykh meditsinskikh uslug, vnesenii izmenenij v nekotorye akty Pravitel'stva Rossijskoj Federatsii i priznanii utrativshim silu postanovleniya Pravitel'stva Rossijskoj Federatsii ot 4 oktyabrya 2012 g. № 1006 [On approval of the Rules for the provision of paid medical services by medical organizations, amendments to some acts of the Government of the Russian Federation and invalidation of the Decree of the Government of the Russian Federation of October 4, 2012 No. 1006], Decree of the Government of the Russian Federation of May 11, 2023 No. 736, URL: https://www.garant.ru/products/ipo/prime/doc/406770186/ (date of the application: 24.06.2023) (in Russian).
22. Svodka predlozhenij i zamechanij k proektu Postanovleniya “Ob utverzhdenii Pravil predostavleniya meditsinskimi organizatsiyami platnykh meditsinskikh uslug” s kommentariyami Minzdrava Rossii [Summary of proposals and comments to the draft Resolution "On approval of the Rules for the provision of paid medical services by medical organizations" with comments from the Ministry of Health of Russia], URL: https://regulation.gov.ru/projects#npa=122182 (date of the application: 24.06.2023) (in Russian).
23. O zashchite prav potrebitelej [On the protection of consumer rights], Law of the Russian Federation dated February 7, 1992 No. 2300-1, URL: https://base.garant.ru/10106035/ (date of the application: 24.06.2023) (in Russian).
Review
For citations:
Smirnova E.V. Paid Medical Services in Public Healthcare Organizations: Policy Management and Prospects. City Healthcare. 2023;4(3):59-71. (In Russ.) https://doi.org/10.47619/2713-2617.zm.2023.v.4i3;59-71
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