About this Journal Publication ethics Editorial Board Editorial Council Editorial Office For the Authors Contacts
English

News feeds

Journal in Databases

eLIBRARY.RU - ═└ËÎ═└▀ Ţ╦┼╩Ďđ╬══└▀ ┴╚┴╦╚╬Ď┼╩└

Google Scholar

Google Scholar

For authors' attention

Publication is free of charge

In aims to provide interconnection of publications in international scientific journals using Digital Object Identification - DOI, our editorial office incorporated the journal "Social aspects of population health" into international reference system CrossRef.

Since 2016 DOI will be assigned to all scientific articles published in our journal free of charge.

Also DOI will be assigned to all articles published in 2014 and 2015 free of charge as well
Main arrow Archive of previous Issues arrow ╣4 2011 (20) arrow Differentiated standards of medical care level linked to the programs of state guarantees; their equivalent units calculated with consideration to accessibility through transport and density of population settlement
Differentiated standards of medical care level linked to the programs of state guarantees; their equivalent units calculated with consideration to accessibility through transport and density of population settlement Print
Thursday, 01 December 2011

S.A. Leonov1, V.I. Perkhov1, I.A. Titova2, Ed.N. Matveev1, Yu.A. Mirskov1, M.N. Banteva1
1Federal Research Institute for Public Health Organization and Information Promotion of Ministry of Health and Social Welfare of the Russian Federation, Moscow, RUSSIA
2Institute of supplemental vocational training of Ministry of education of the Russian Federation, Moscow, RUSSIA

Summary. Out techniques envisaged that principal directions and fully developed proportions between components of public health were to be extrapolated from Federal to Regional level - with regard to local demographic situation and medical organizational underlying structures. This procedure was meant to detect and then implement locally the main structural regularity of basic Federal standards of medical care level.

In calculating state funding needed to provide the realization of standards of medical care level under regional programs of state guarantees, it proved indispensable to implement normalized values of coefficient of transport accessibility of delivered medical care that were really related to local density of population settlement. These locally varying, yet case-to-case fixed coefficients were - when similar in magnitude ľ unitized in a modular adjusting coefficient for network standards of medical care. This coefficient was in turn derived in part from coefficient for the density of population settlement. The latter was used for 5-chain classification of 82 constituent territories of the Russian Federation, where 17 constituent territories presented high density, 28 constituent territories elevated density, 17 constituent territories ľ moderate, and 11 ľ diminished, 9 constituent territories - low density of population settlement.

It is considered inexpedient - when thus classifying the constituent territories - to confine to this adjusting coefficient, which had been directly related to transport accessibility of delivered medical care. Nevertheless, another three-chain classification of constituent territories was created to include 46 constituent territories with low value of adjusting coefficient, 25 constituent territories with moderate one, and 11 constituent territories with high value of adjusting coefficient.

This classification was developed with regard to ôregionally adjusted units of cost of medical servicesö delivered to the population. The purpose of rated equivalent units was purely for calculation and estimation, and the aim of their very introduction was comparative account of budget funding for the realization of standards of medical care level allocated to a set of medical establishments in a given region. Equivalent units do reflect regional distinctions as concerns financial expenses for an entry of one medical service, say, outpatient visit, hospitalization, or anything else of that kind.

Key words. Differential standards of medical care capacities, transport accessibility coefficients, population density coefficients, adjusting coefficient of net standards, equivalent units of medical care capacities.á

References

  1. Alekseev N.A. Analiz effektivnosti deyatelnosti lechebno-profilakticheskikh uchrezhdeniy [Analysis in efficiency of health care facilities]. Zdravookhranenie Rossiyskoy Federatsii 2004;(5):8-11.
  2. Vishnyakov N.I., Bukin V.E., Emelyanov O.V., Prokofeva A.A. Sravnitelnyy analiz pokazateley ispolzovaniya koechnogo fonda bolnits intensivnogo lecheniya i statsionarov vosstanovitelnogo lecheniya i mediko-sotsialnogo profilya [Comparative analysis of indicators for hospital bed usage in intensive treatment hospitals, rehabilitation treatment hospitals, and health social profile hospitals]. Problemy upravleniya zdravookhraneniem 2006;(1):49-57.
  3. Vyalkov A.I., Matveev E.N., Mikhaylova Yu.V. Mediko-organizatsionnye osnovy restrukturizatsii statsionarnoy i vnebolnichnoy pomoshchi na osnove progressivnykh modeley razvitiya na urovne regiona [Health and organization grounds for restructuring of hospital and outpatient care on the base of modern development models at a regional level]. Methodical recommendations. Moscow: 1998. 31 p.
  4. Gaydarov G.M., Kitsul I.S., Alekseevskaya T.I.., Kulesh D.V. Optimizatsiya planirovaniya statsionarnoy meditsinskoy pomoshchi naseleniyu munitsipalnogo obrazovaniya v sovremennykh sotsialno-ekonomicheskikh usloviyakh [Optimization of planning of hospital health care to population of a municipal formation in the present-day socioeconomic conditions]. Menedzher zdravookhraneniya 2004;(4):13-21.
  5. Dementev A.I. Nauchnoe obosnovanie effektivnosti ispolzovaniya koechnogo fonda tsentralnykh rayonnykh bolnits [Scientific grounds for efficiency of bed usage in central district hospitals] [PhD. Thesis]. Moscow; 2002. 24 p.
  6. Informatsionnoe pismo Ministerstva zdravookhraneniya i sotsialnogo razvitiya Rossiyskoy Federatsii i Federalnogo fonda OMS o formirovanii i realizatsii territorialnykh programm gosudarstvennykh garantiy okazaniya grazhdanam Rossiyskoy Federatsii besplatnoy meditsinskoy pomoshchi v 2009 godu. ╣ 10407-TG ot 31 dekabrya 2008 goda. [Information letter of the MoH&SD of the RF and the Federal MHI Fund ôOn formation and realization of the regional programs of state guarantees for delivery of free medical care to the citizens of the Russian Federation in 2009ö. ╣ 10407ľĎ├ of 2008, December 31] [Internet] 2008 [cited 2011 Apr 23]. Available from: http://base.consultant.ru/cons/cgi/online.cgi?req=doc;base=LAW;n=84075
  7. Kucherenko V.Z., Tatarnikov M.A., Shamshurina N.G. Osnovnye napravleniya reformirovaniya zdravookhraneniya na sovremennom etape [Basic direction of health care reforming at the present-day phase]. Ekonomika zdravookhraneniya 2005;(8):11-19.
  8. Kucherenko V.Z. Reformirovanie zdravookhraneniya v mire kak obshchestvennyy protsess [Health care reforming in the world as a public process]. Problemy upravleniya zdravookhraneniem 2005;23(4):5-10.
  9. Leonov S.A., Matveev E.N. Problemy normativnoy bazy Programmy gosudarstvennykh garantiy na sovremennom etape razvitiya zdravookhraneniya [Problems of a normative base of the Program of state guarantees at the present phase of health care development]. Zdravookhranenie Rossiyskoy Federatsii 2009;(3):14-16.
  10. Metodika opredeleniya normativnoy potrebnosti subektov Rossiyskoy Federatsii v obektakh zdravookhraneniya [Methods for determination of normative needs in health care facilities in subjects of the Russian Federation]. [Internet] [cited 2011 Apr 23]. Available from: http://iv.garant.ru/SESSION/PILOT/main.htm
  11. Programma źPovyshenie strukturnoy effektivnosti sistemy zdravookhraneniya RF na 2004-2010 gg.╗. Proekt [Program "Rising structure efficiency of the RF health care system for 2004-2010". Project]. Menedzher zdravookhraneniya 2004;(7):72-79.
  12. Postanovlenie Pravitelstva Rossiyskoy Federatsii ot 22 noyabrya 2004 g. N 670. źO raspredelenii dotatsiy iz Federalnogo fonda finansovoy podderzhki subektov Rossiyskoy Federatsii╗ [Regulation of the Government of the Russian Federation of 2004, November 22, N 670 ôOn allocation of grants from the Federal Fund for financial support of subjects of the Russian Federation]. [Internet] 2004 [cited 2011 Apr 23]. Available from: http://www.businesspravo.ru/Docum/DocumShow_DocumID_95128.html
  13. Postanovlenie Pravitelstva RF ╣ 322 ot 15 aprelya 2009 "O merakh po realizatsii Ukaza Prezidenta Rossiyskoy Federatsii ot 28 iyunya 2007g. ╣825 źOb otsenke effektivnosti deyatelnosti organov ispolnitelnoy vlasti subektov Rossiyskoy Federatsii╗ [Regulation of the RF Government ╣322 of 2009, April 15 "On measures for realization of the Decree of the President of the Russian Federation of 2007, June 28 ╣825 "On assessing efficiency in activity of executive bodies of the Russian Federation subjects"]. [Internet] 2007 [cited 2011 Apr 23]. Available from: http://www.businesspravo.ru/Docum/DocumShow_DocumID_151214.html
  14. Starodubov V.I., Kalininskaya A.A., Shlyafer S.I. Pervichnaya meditsinskaya pomoshch: sostoyanie i perspektivy razvitiya [Primary health care: present state and developmental prospects]. Moscow: Meditsina; 2007. 261 p.
  15. Starodubov V.I., Flek V.O., Son I.M., Leonov S.A., Matveev E.N., Banteva M.N. Sovershenstvovanie normativnoy bazy programmy gosudarstvennykh garantiy okazaniya naseleniyu besplatnoy meditsinskoy pomoshchi kak uslovie uspeshnogo resheniya problem zdravookhraneniya [Development of the normative base of the Program of state guarantees for delivery of free medical care to the citizens of the Russian Federation as a provision for successful solution of health care problems]. Menedzher zdravookhraneniya 2010;(1):9-19.
  16. Starodubov V.I., Flek V.O., Son I.M., Leonov S.A., Matveev E.N., Banteva M.N. Metodologicheskie predposylki postroeniya sovremennykh regionalnykh modeley meditsinskogo obespecheniya naseleniya [Methodological approaches for formation of modern regional models for healthcare provision of population]. Problemy sotsialnoy gigieny, zdravookhraneniya i istorii meditsiny 2010;(4):23-28.
  17. Flek V.O. Finansipovanie possiyskogo zdpavookhpaneniya: ppoblemy i pepspektivy [Financing of Russian health care: problems and prospects]. Moscow: Tetis Pablishn; 2005. 199 p.
  18. Shipova V.M. Osnovy normirovaniya truda v zdravookhranenii [The basis for labor regulations in healthcare]. Guidelines. Moscow: GRANT; 1998. 320 p.

Views: 13049

Be first to comment this article

Write Comment
  • Please keep the topic of messages relevant to the subject of the article.
  • Personal verbal attacks will be deleted.
  • Please don't use comments to plug your web site. Such material will be removed.
  • Just ensure to *Refresh* your browser for a new security code to be displayed prior to clicking on the 'Send' button.
  • Keep in mind that the above process only applies if you simply entered the wrong security code.
Name:
E-mail
Comment:

Code:* Code

Last Updated ( Tuesday, 05 November 2013 )
< Prev   Next >
home contact search contact search