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

News feeds

Journal in Databases

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

Google Scholar

Google Scholar

Main arrow Archive of previous Issues arrow ╣1 2014 (35) arrow Extrabudgetary medical rehabilitation department: new approach to care delivery at multidisciplinary hospital
Extrabudgetary medical rehabilitation department: new approach to care delivery at multidisciplinary hospital Print
Monday, 17 March 2014

A.R. Gabrielyan
City clinical hospital #61, Moscowá

Summary. Background. Since the start-up of healthcare reforming the overwhelming majority of the Russian regions have not seceded in attaining the balance in provision of certain volumes of medical care determined by the Program on State Guarantees to Deliver Free Medical Care to the Citizens of the Russian Federation that violates the principle of universal access to medical care.

In the current context, one of the main problems is the fact that resent insufficient provision of the federal health care facilities with resources had a negative effect on infrastructure, quality and performance of those facilitates.

Fund allocations from the federal budget received by the federal health care facilities fail to cover their actual demands to ensure planned volumes of care delivery with modern medical technologies.

In this context it is essential to solve issues related to utilization of extrabudgetary financial resources, for example, - setting up an extrabudgetary department at the multidisciplinary hospital. At the modern stage of medicine development and emergence of new diagnostic and treatment technologies methods of medical rehabilitation that help to increase mobility of patients and significantly prolong or ensure adequate quality of life and to facilitate return to active work become of even greater importance.

The aim of the study was to substantiate the need for setting up an extrabudgetary department at the multidisciplinary hospital as an organizational innovation, and set up this department and evaluate its performance.

Methods. Analytical, monographic, statistical analysis.

Practical implications. Organization of an extrabudgetary department at the multidisciplinary hospitals will encourage attraction of additional funds for provision of medical care to patients with the use of expensive methods of diagnostics and treatment as well as yield additional income to the medical facility.

Keywords: innovation; medical rehabilitation department; comprehensive approach; patients; extrabudgetary department.


  1. Lebedev A.A., Goncharova M.V., Serebryanskiy O.Yu., Lebedev N.A. Innovations in health care facility management. Moscow: Littera; 2010. 172 p. (In Russian).
  2. Nesterenko E.I., Golukhov G.N., Polunina N.V. Methodical basis for reformation of health care facilities in the present conditions. Moscow: Megatron XXI; 2001. 225 p. (In Russian).
  3. Gasnikov V.K. Improving the management of regional health care on the base of development of methodical approaches and information technologies. Dr. Med. Sci [thesis]. Moscow; 2001. 45 p. (In Russian).
  4. Livshits S.A. Legal basis for entrepreneurial activity in medicine. Byulleten' natsional'nogo NII obshchestvennogo zdorov'ya RAMN 2002;(1):49-53. (In Russian).
  5. Lindenbraten A.L. On assessment of quality and efficiency of medical care. Sovetskoe zdravookhranenie 1990;(3):20-22. (In Russian).
  6. Polubentseva E.I., Ulumbekova G.E., Saytkulov K.I. Clinical recommendations and quality indicators in the system of health care quality management: Guidelines. Moscow: GEOTAR-Media; 2006. 60 p. (In Russian).
  7. Starodubov V.I., Shchepin O.P., Lindenbraten A.L., Galanova G.I. Methodical grounds and mechanisms to provide quality of medical care. Moscow: Meditsina; 2001. 784 p.
  8. Stolbov A.P., Tronin Yu.N. Computerization of the mandatory health insurance system: Training manual. Moscow: Elit; 2008. 558 p. (In Russian).
  9. Shil'nikova N.F., Khodakova O.V. Social and psychological aspects of management of municipal health care facilities in conditions of health care reforms. Problemy upravleniya zdravookhraneniem 2004;19(6):42-45. (In Russian).
  10. Shchepin O.P., Ovcharov V.K. Scientific and organization ground for developing general practice service in the Russian Federation. Problemy sotsial'noy gigieny, zdravookhraneniya i istorii meditsiny 2000;(5): 22-32. (In Russian).
  11. Shchepin O.P., Ovcharov V.K. Ways to solve health care problems. Problemy sotsial'noy gigieny, zdravookhraneniya i istorii meditsiny 2004;(1): 3-6. (In Russian).

Views: 12006

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.

Code:* Code

Last Updated ( Wednesday, 19 March 2014 )
< Prev   Next >
home contact search contact search