Shalygina L.S.^1,2
1Novosibirsk Research Institute of Traumatology and Orthopedics named after. Ja. L. Tsyv'jan, Ministry of Health of the Russian Federation
²Novosibirsk State Medical University, Ministry of Health of the Russian Federation

Contacts: Lada S. Shalygina, e-mail: This e-mail address is being protected from spam bots, you need JavaScript enabled to view it

Until 2014, organization of hi-tech care delivery at the federal level health care facilities was responsibility of the Federal level health authorities.

On January, 1^st, 2014, the List of high-tech services was approved including 459 methods and fell under the jurisdiction of the system of compulsory health insurance.

Federal level health care facilities participating in realization of the regional programs of compulsory health insurance started to render high-tech services using federal budget funds and funds of the system of compulsory health insurance.

Purpose – to improve availability of hi-tech services within the system of compulsory health insurance at the federal level health care facilities, located within the territory of other subjects on the basis of new organizational technologies.

Methods: statistical, monographic, direct observation, system approach, analysis and simulation.

Results: the study conducted suggested ways to address the identified problems on the basis of new organizational technologies. It is mentioned that if the developed and implemented system of hi-tech care funding is in place there are still problems related to this system organization within the framework of compulsory health insurance at the federal level health care facilities located in other regions. This situation requires some adjustment and update of the system.

Conclusion: to improve availability of hi-tech care within the system of compulsory health insurance it is necessary to finalize the standard referral procedure, including the following: to develop a unified register of the federal level health care facilities of the District, develop Waiting lists and centralize referrals of patients through health authorities of the subjects of the Russian Federation using electronic monitoring system of parties involved, to organize field consultation visits of specialists of the federal level health care facilities to regions to enroll patients for treatment. This will help to improve availability of hi-tech services.

Scope of application: the study results can be used to develop administrative documents at the regional, district and federal levels.

Keywords: hi-tech medical care, federal health care facility, compulsory health insurance, health care, Siberian federal district.

References

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