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 ╣3 2013 (31) arrow Russian Federation mandatory health insurance system - balance interest entities and participants
Russian Federation mandatory health insurance system - balance interest entities and participants Print
Monday, 08 July 2013

Summary. Authors of the article attempts to sum up the 20-year period of operation of the system of mandatory health insurance (MHI) of the Russian Federation. The last period analyzed from the perspective of all participants - government, insurers, health care organizations, insurers and insured. It is shown that, in its current form MHI system does not create conditions for the balance of the interests of its participants, and forms their deep antagonism that is the key reason for its poor performance. Out of this problem, the authors see in the interest of every member of the MHI system in improving the health of the nation - as the most important criterion of social, economic and political well-being of the country. The role and importance of each individual member of the MHI system in achieving this goal is far from equal. áIt is proposed that firstly - to define the criteria for balancing the interests of each of the participants in the system, and secondly - to develop a system of indicators and performance parameters that characterize the degree of achievement of the criteria, and thirdly - to outline the mechanism of realization of tasks. The authors suggest that the criteria to balance the interests of participants and subjects of the MHI system can be for: the state - the positive dynamics of managed health indicators and the growth of the country's ranking on the results of a comprehensive evaluation of the WHO and the agency's financial and economic information Blumberg (Blumberg rating); insurers - reducing losses labor, by reducing the time and permanent disability due to the incidence of work and labor productivity growth; health care organizations - the growth of the prestige and attractiveness of health workers by increasing their wages, quality of care and increase public satisfaction with the health care; insured - increase public satisfaction with the availability and quality of care, reduction of wastage of time and cost the family budget on health care; the insurers - the growth indicators of financial security, technological and organizational availability of medical care. The system of indicators of evaluation parameters and implementation mechanism can be determined in the manner of scientific research.

Keywords: health care; mandatory health insurance; insurant; medical organization; insurer; the insured.

References

  1. Banin S└. Implementation of a single-channel system for financing healthcare facilities in the RF: assessment and futures. Vestnik Tomskogo gosudarstvennogo universiteta 2011;(1):132-141 (in Russian).
  2. GurdusVO, Ayvazova MV. Some results of development of competition in healthcare and health insurance in Russia. In: Sholpo LN, Fotaki M, editors. Management in the system of health insurance in Russia - regional aspects".. Proceedings of International Conference; 1999 Dec 7-8; Yaroslavl'. ╠oscow; 2000. P. 36-38. (in Russian).
  3. Kuznetsov DYu. The Dutch model of healthcare financing is the most promising for Russia. The Russian agency for health and social information. [Internet] 2012 October 23 [cited 2013 May 01]. Available from: URL: http://ria-ami.ru/news/56931 (in Russian).
  4. Makarova TN. Implementation of new methods of payment for medical care: Russian experience 1988-1999 (An analysis of results and proposals for further reforming) "Managing the development of the social protection system: social insurance, health insurance, and pension provision" TASIS Project. ╠oscow. 2000. 35 p. (in Russian).
  5. On the basic principles of citizens health protection in the Russian Federation: the Federal Law of the Russian Federationá of 2011 November 21 N323-ďă. [Internet]. 2011 [cited 2013 Sep 01]. Available from: http://www.rg.ru/2011/11/23/zdorovie-dok.html (in Russian).
  6. On mandatory health insurance in the Russian Federation: the Federal Law of the Russian Federation of 2010 November 29. N 326-FZ. [Internet]. 2010 [cited 2013 May 01]. Available from: http://www.rg.ru/2010/12/03/oms-dok.html (in Russian).
  7. Flek VO. Financing of Russian health care: problems and futures. Starodubov VI, editor. ╠oscow: ╬╬╬ "TatisPublishen"; 2005. 200 p. (in Russian).
  8. Sheyman IM. The theory and practice of market economy in healthcare. 2nd ed. ╠OSCOW: Vysshaya shkola ekonomiki; 2008. 318 p. (in Russian).
  9. Bloomberg rankings - The World's Healthiest Countries. Bloomberg. [Internet]. 2012 [cited 2013 May 01). Available from: http: //images.businessweek.com/bloomberg/pdfs/worlds_healthiest_countries_v2.pdf
  10. WHO. Global Health Observatory Data Repository. [Internet]. 2011 [cited 2013 May 01). Available from: http://apps.who.int/ghodata/?theme=country

Views: 16471

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 ( Monday, 08 July 2013 )
< Prev   Next >
home contact search contact search