DOI: 10.21045/2071-5021-2017-58-6-10

Contacts: Natalia Allamyarova, e–mail: This e-mail address is being protected from spam bots, you need JavaScript enabled to view it
Information about author:
Allamyarova N.V., http://orcid.org/0000-0001-8138-6141
Acknowledgments.The study had no sponsorship.
Conflct of interests. The author declares no conflict of interest.

Significance. Recently, there has been an increase in the number of disputes arising from provision of medical services; mainly, disputes are related to the failure or improper performance of the contract for service provision, billing for non-provided services, provision of medical care of inadequate quality. Patient is not necessary the weak and "affected" party. It is not infrequent that due to the lack of proper paper flow, untimely and careless filling in of patient's medical records, habitual negligence of professional duties by attending physicians, and impossibility to prove their innocence, medical organizations become participants in litigations and the object of criticism in mass media, sustaining tangible financial and reputational losses. Voluntary pre-court resolution of disputes through a mediation procedure is the fastest and least costly way to manage conflicts.

Purpose: to analyze development prospects of mediation as a way of pre-court resolution of disputes between medical organizations and patients.

Materials and methods: The study used the system, conceptual, process and situational approaches, as well as comparative legal and logical analysis.

Results. Currently, the mediation procedure is yet to be widely used in the medical community. The term «mediation» is known to a fairly narrow circle of specialists and is almost unknown to medical workers and patients. To some extent, the problem stems from the lack of understanding of merits of the mediation procedure and its alternative advantages. The mediation procedure is based on the principles of freedom and informed voluntary involvement of the dispute parties and mediators, principles of independence, non-competiveness and equality of the parties.

Conclusions. To successfully promote the institute of mediation, it is necessary:

• to develop a state policy in mediation and alternative dispute resolution and to design special measures aimed at its promotion and dissemination;
• to improve legal culture of the population;
• to develop effective cooperation with the judicial system;
• to expand possibilities for better training of mediators

Keywords: administrative dispute resolution procedure; claim procedure; arbitration tribunal; voluntary pre-court dispute resolution; mediation; professional mediator; medical institution; patient.

References

1. Grigoryants S.A. Primenenie mediatsii kak sposoba razresheniya sporov v sfere predprinimatel'stva [Mediation as a way of resolving disputes in the field of entrepreneurship]. Nauka i obrazovanie: khozyaystvo i ekonomika; predprinimatel'stvo; pravo i upravlenie 2015; 60 (5): 82–85. (In Russian).
2. Eliseev D.B. Rol' mediatsii v razreshenii pravovykh konfliktov (teoretiko–pravovoy analiz) [The role of mediation in resolving legal conflicts (theoretical and legal analysis)]. Cand.Jur.Sci [thesis]. Moscow; 2012. 24 p. (In Russian).
3. Ob al'ternativnoy protsedure uregulirovaniya sporov s uchastiem posrednika (protsedure mediatsii) [On an alternative dispute settlement procedure involving an intermediary (mediation procedure)]. Federal'nyy zakon ot 27 iyulya 2010 g. ¹ 193-FZ (s izmeneniyami i dopolneniyami)]. [Online]. 2010 [cited 2017 Jul 27]. Available from: http://www.consultant.ru/cons/cgi/online.cgi?req=doc;base=EXP;n=666533#0. (In Russian).
4. Ob osnovakh okhrany zdorov'ya grazhdan v Rossiyskoy Federatsii [On the bases of population health protection in the Russian Federation] Federal'nyy zakon ot 1 noyabrya 2011 g. ¹323-FZ (s izmeneniyami i dopolneniyami)]. [Online]. 2011 [cited 2017 Jul 27]. Available from: http://www.consultant.ru/document/cons_doc_LAW_121895/. (In Russian).
5. O deyatel'nosti po zashchite prav zastrakhovannykh lits v sfere obyazatel'nogo meditsinskogo strakhovaniya v Rossiyskoy Federatsii za 2015 god [On the activities to protect the rights of insured persons in the field of mandatory health insurance in the Russian Federation for 2015]. Pis'mo FFOMS ot 29 iyunya 2016 ¹5820/30-3/i. [Online] [cited 2017 Jul 27]. Available from: http://www.consultant.ru/cons/cgi/online.cgi?req=doc;base=EXP;n=666533#0. (In Russian).
6. Pasikova T.A. Perspektivy razvitiya vnesudebnykh sposobov uregulirovaniya sporov, voznikayushchikh pri okazanii meditsinskikh uslug [Prospects for the development of extrajudicial methods to resolve disputes arising in the provision of medical care]. Pravovye voprosy v zdravookhranenii [serial online] 2013 [cited 2017 Feb 14]; (2). Available from: http://www.zdrav.ru/contacts. (In Russian).
7. Perepechina I.O., Perepechin D.V., Smirnova D.V. Spory i konfliktnye situatsii v svyazi s nenadlezhashchim okazaniem meditsinskoy pomoshchi i yuridicheskaya praktika ikh primeneniya [Controversy and conflicts due to improper medical care provision and legal practice of their resolving]. Issledovanie i praktika v meditsine 2015; 2 (1): 72–73. (In Russian).
8. Semenov V.Yu., Livshits S.A., Tikhonova E.V., Veselkina O.V. Nezavisimaya meditsinskaya ekspertiza kak instrument dosudebnogo uregulirovaniya sporov mezhdu vrachom i patsientom [Independent medical examination as a tool for pre-trial settlement of disputes between a doctor and a patient]. Methodical recommendations. [Online].2016 [cited 2017 Jul 27]. Available from: http://www.nacmedpalata.ru/?action=show&id=49 (In Russian).
9. Tikhomirov A.V. Ekonomika prava v zdravookhranenii: problemy sudebnogo pravoprimeneniya [Economics of legal rights in healthcare: problems of judicial enforcement]. Glavnyy vrach: khozyaystvo i pravo 2011; (5): 35–39. (In Russian).
10. Shamlikashvili Ts.A., Ostrovskiy A.N. Sovremennye podkhody k organizatsii sistemy effektivnogo razresheniya konfliktov v sfere okazaniya meditsinskoy pomoshchi. [The actual approaches to organization of a system for effective conflict resolution in sphere of medical care]. Zdravookhranenie Rossiyskoy Federatsii 2015; 59 (5): 28–31. (In Russian).
11. Shamlikashvili Ts.A., Ostrovskiy A.N., Sil'nitskaya A.S., Kabanova E.V. Vnedrenie sistemy effektivnogo preduprezhdeniya i razresheniya konfliktov v praktiku rossiyskogo zdravookhraneniya kak otvet na vyzov vremeni: osnovnye zadachi i puti resheniya [The practical implementation of a system for effective prevention and resolution of conflicts in Russian healthcare as a response to challenges of the times: main targets and solutions]. Sotsiologiya meditsiny 2015; 14 (2): 19–24. (In Russian).

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