S.A. Martynchik, S.M. Khomyakov
I.M. Sechenov First Moscow State Medical University, Moscow
Summary. Requirements at the level of
oncological outpatient clinic to the amount, contents, quality,
conditions, course and results of fulfillment of the state (municipal)
task for delivering inpatient healthcare for neoplasm in breast gland
were to be properly formulated and this was the theme of this research
work.
A state (municipal) medical assistance was identified as the
operational objective of the state (municipal) task. Such service was
considered as a special activity for delivering inpatient healthcare for
neoplasm in breast gland in the context of round-the-clock or day
inpatient facility (integrated into the structure of outpatient oncology
clinic) funded through the state budget.
Parameters of the state (municipal) task included: amount of a
medical assistance, grade of quality, maximum permissible costs and
tariffs, features of consumers, various sources of funding, units for
assessment of the provided medical assistance, obligations for
expenditure.
Calculation of standard cost of a medical assistance, as well as
identification of the structure of a medical assistance were
scientifically founded for inclusion into the system of planning and
realization of budgeting of the state (municipal) task.
Expediency of implementing established clinical economic groups of
patients was proved, and they were claimed to stick to the various
standards of specialized (or even high-tech) medical assistance for the
breast gland cancer as an advanced analogue of these standards. They
were to be used as a tool for calculating standard normal expenditure
for a completed treated case in an oncology outpatient clinic with
inpatient departments.
Well-grounded approaches to the organization of budgeting procedures
included: determination of the objectives of this budgeting, composing a
draft budget, assessment of real population-based requirements under
this state (municipal) task, providing of a state (municipal) medical
assistance, account of completed task.
It was established that development of the pathways for monitoring of
the course of fulfillment of a state (municipal) task for inpatient
medical care in the breast gland cancer could be ensured by balancing
between the indicators of intermediate and final results of the activity
of an outpatient oncology clinic with inpatient departments.
Key words. State (municipal) medical service, State
(municipal) task, Specialized oncology care, Clinical economic groups of
patients with breast gland cancer, Completed treated case, Organization
of budgeting process, Structure and calculation of standard cost of a
medical service, Monitoring of fulfillment of a state (municipal) task.
References
-
Antonova G.A., Pirogov M.V. Planirovanie meditsinskoy pomoshchi,
orientirovannoe na patsienta [Patient-oriented medical care planning]. Ekonomika zdravookhraneniya 2008;(12):18-25.
-
Baranov I.N. Otsenka deyatelnosti organizatsiy: podkhod R. Kaplana i D.
Nortona [Assessment of healthcare facilities activity: R. Caplan’s and
D.Norton’s approaches]. Rossiyskiy zhurnal menedzhmenta 2004;(3):63-70.
-
Belyaeva D.Yu. Byudzhetirovanie, orientirovannoe na rezultat, i
problema identifikatsii "rezultata" [Result-oriented budgeting and the
problem of “result” identification]. Finansovyy vestnik: finansy, nalogi, strakhovanie, bukhgalterskiy uchet 2010;(2):34-39.
-
Veretennikova O.B., Maydannik V.I., Badaev F.I., Nosenko Yu.I. Opyt
byudzhetirovaniya v mnogoprofilnykh bolnitsakh [Budgeting experience in
multi-field hospitals]. Zdravookhranenie 2008;(1):47-52.
-
Dobrolyubova V.I. Vnedrenie printsipov i protsedur upravleniya po
rezultatam v Rossiyskoy Federatsii: promezhutochnye itogi i napravleniya
razvitiya. [Implementation of the principles and procedures of
result-oriented management in the Russian Federation: intermediate
results and development directions]. Voprosy gosudarstvennogo i munitsipalnogo upravleniya 2008;(3):133-165.
-
Zinchuk Yu.Yu. Upravlenie effektivnostyu i kachestvom meditsinskoy
pomoshchi v munitsipalnoy bolnitse (prakticheskiy opyt i rekomendatsii
[Medical care quality and efficiency management in a municipal hospital
(practical experience and recommendations)]. Moscow: Menedzher
zdravookhraneniya; 2009. 120 p.
-
Kiveleva N.N. Byudzhetirovanie, orientirovannoe na rezultat: problemy
vnedreniya v zdravookhranenii [Result-oriented budgeting: problems of
implementation in healthcare]. Sistemnaya integratsiya v zdravookhranenii 2009;6(4):24-31.
-
Kadyrov F.N. Gosudarstvennoe (munitsipalnoe) zadanie: novyy poryadok
finansovogo obespecheniya byudzhetnykh uchrezhdeniy [State (municipal)
target: the new order of financial provision of budget facilities]. Menedzher zdravookhraneniya 2009;(11):46-50.
-
Karaseva A.S., Moiseev I.V. Federalnyy zakon ¹ 83-FZ: pristupili k
realizatsii [The Federal Regulation ¹ 83-ÔÇ: initiation of realization].
Byudzhet 2010;(9):27-29.
-
Karagodina D.S., Sizova O.V. Normativnye zatraty na predostavlenie
munitsipalnykh uslug [Normative expenses for municipal service
provision]. Praktika munitsipalnogo upravleniya 2010;(10):44-48.
-
Perkhov V.I., Egorova I.A., Nikonov E.L. Teoretiko-metodologicheskie
aspekty formirovaniya gosudarstvennykh (munitsipalnykh) zadaniy v
zdravookhranenii [Theoretical and methodological aspects of formation of
the state (municipal) tasks in health care]. Glavvrach 2011;(5):35-40.
-
Pirogov M.V. Kliniko-ekonomicheskaya standartizatsiya kak obyazatelnoe
uslovie povysheniya ekonomicheskoy effektivnosti meditsinskogo
uchrezhdeniya pri odnokanalnom finansirovanii [Clinic and economic
standardization as a mandatory condition for rising economic efficiency
of healthcare facility with a singe-channel financial provision]. Glavvrach 2007;(9):58-70.
-
Rybalchenko I.E. Planirovanie vysokotekhnologichnoy meditsinskoy pomoshchi [Planning of high-technology medical care]. Menedzher zdravookhraneniya 2008;(4):6-14.
-
Sudakova A.G., Moiseev I.V. Gosudarstvennye (munitsipalnye) zadaniya:
ustanovlenie pokazateley raboty uchrezhdeniy i kontrol za ikh
soblyudeniem [State (municipal) targets: stating indicators for
healthcare facility efficiency and monitoring their implementation]. Byudzhet 2010;(8):58-6.
-
Sudakova A.G. Formirovanie perechney munitsipalnykh uslug [Formation of the list of municipal service]. Praktika munitsipalnogo upravleniya 2010;(11):34-44.
-
Fabrika E.S. Nauchnoe obosnovanie okazaniya vysokotekhnologichnykh
vidov meditsinskoy pomoshchi v kruglosutochnom statsionare [Scientific
rationale for providing high-technology types of medical care in
day-and-night hospital] [PhD. Thesis]. St.Petersburg. 2008. 20 p.
Views: 19284
|