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Main arrow Archive of previous Issues arrow ¹4 2018 (62) arrow PROSPECTS OF TRANSFERRING METHODS OF HIGH-TECH MEDICAL CARE INTO CLINICAL AND STATISTICAL GROUPS OF DISEASES EXEMPLIFIED BY «TRAUMATOLOGY AND ORTHOPEDICS» PROFILE
PROSPECTS OF TRANSFERRING METHODS OF HIGH-TECH MEDICAL CARE INTO CLINICAL AND STATISTICAL GROUPS OF DISEASES EXEMPLIFIED BY «TRAUMATOLOGY AND ORTHOPEDICS» PROFILE Print
Wednesday, 15 August 2018

DOI: 10.21045/2071-5021-2018-62-4-6

Obuhova O.V., Brutova A.S., Dergachev A.V., Bazarova I.N., Starodubov V.I.
Federal Research institute for Health organization and informatics of Ministry of Health of the Russian Federation, Moscow

Contacts: Obuhova Olga, e-mail This e-mail address is being protected from spam bots, you need JavaScript enabled to view it
Information about authors:
Starodubov V.I.,
https://orcid.org/0000-0002-3625-4278
Acknowledgments. The study had no sponsorship.
Conflict of interests. The authors declare no conflict of interest.

Abstract

Increased access to high-tech medical care has been one of the important objectives of the State in the recent years. To fulfill these objectives, methods of high-tech care, which are characterized by high replication, are being gradually immersed into the basic program of compulsory health insurance every year. This approach allows delivery of high-tech care by medical organizations of different levels and forms of ownership in the volumes demanded by population.

The purpose of the study is to assess prospects to transfer high-tech care within the «traumatology and orthopedics» profile into specialized medical care covered by the compulsory health insurance by clinical and statistical disease groups.

Material and methods. The study includes data from the Federal Compulsory Health Insurance Fund on methods of high-tech care included in the basic program of the compulsory health insurance for 2015-2016.

Methods of scientific knowledge included: bibliographic, statistical, mathematical.

Results.

By level of replication, three out of 16 methods have a value of less than 500 cases per year, 2 methods are annually performed in the volumes exceeding 15 thousand cases. Delivery of high-tech medical care within the "traumatology and orthopedics" profile was implemented by virtually all subjects of the Russian Federation, the minimum coverage of the number of subjects participating in the method equaled to 20%.

The analysis showed that methods of high-tech care within the “traumatology and orthopedics” profile are hardly supported by normative documents that determine the scope and structure of medical care (standards of medical care, clinical recommendations); treatment methods do not correspond to the positions of the Nomenclature of Medical Services - this fact reduces possibility of transferring methods into clinical and statistical groups of diseases.

Conclusions. The study of the high-tech medical care within the «traumatology and orthopedics» profile made it possible to evaluate prospects of transferring methods of high-tech medical care into clinical and statistical groups of diseases. According to the results of the study, all 16 methods of high-tech medical care within the «traumatology and orthopedics» profile included in the basic program of compulsory health insurance can be gradually transferred to clinical and statistical groups of diseases.

Key words: high-tech medical care; compulsory health insurance; clinical and statistical groups of diseases.

Abstract

One of the important tasks of the state in recent years is to increase the accessibility of the country's population to receive high-tech medical care. To this end, the methods of this type of medical care, which are characterized by high replication, are gradually immersed every year in the basic program of compulsory medical insurance. This approach allows us to provide high-tech medical care by medical organizations of different levels and forms of ownership in the volumes necessary for the population.

The purpose of the study is to assess the prospects for the transfer of high-tech medical assistance in the field of «traumatology and orthopedics» into specialized medical care paid for by clinical and statistical disease groups from mandatory medical insurance.

Material and methods. The study includes data from the Federal Compulsory Medical Insurance Fund on methods of high-tech medical care included in the basic program of compulsory health insurance for 2015-2016.

As methods of scientific knowledge used: bibliographic, statistical, mathematical.

Results. According to the results of the study, all 16 methods of high-tech medical care on the profile of «traumatology and orthopedics», included in the basic program of compulsory medical insurance, can be gradually transferred to clinical and statistical groups of diseases.

By level of replication, 3 methods out of 16 have a value of less than 500 cases per year, 2 methods are annually performed in a volume exceeding 15 thousand cases. Provision of high-tech medical assistance in the field of "traumatology and orthopedics" was carried out by virtually all subjects of the Russian Federation, the minimum coverage of the number of subjects participating in the method was 20%.

The analysis showed low availability of methods of high-tech medical assistance in the field of traumatology and orthopedics with normative documents determining the scope and structure of medical care (standards of medical care, clinical recommendations), the lack of conformity of treatment methods to positions in the Nomenclature of Medical Services, which reduces the possibility of translating methods into clinical and statistical groups of diseases.

Conclusions. The study of the high-tech medical care on the profile of «traumatology and orthopedics» made it possible to evaluate the methods of high-tech medical care for their readiness for transfer to clinical and statistical groups of diseases.

Key words: high-tech medical care; compulsory medical insurance; clinical and statistical groups of diseases.

References

  1. Kadyrov F.N., Obukhova O.V., Sorokina Yu.A. Perspektivy finansovogo obespecheniya vysokotekhnologichnoy meditsinskoy pomoshchi. [Prospects for the financial provision of high-tech medical care]. Menedzher zdravookhraneniya 2014;(2): 54-64.(In Russian).
  2. Komin Yu.A., Pidde A.L., Vasil'eva S.Yu. Etapy razvitiya finansovogo obespecheniya okazaniya vysokotekhnologichnoy meditsinskoy pomoshchi v Rossiyskoy Federatsii. [Stages of development of financial provision of high-tech medical care in the Russian Federation]. Zhurnal nauchnykh statey Zdorov'e i obrazovanie v XXI veke 2017; 19(11):133-139. (In Russian).
  3. Movchan K.N., Khachatryan E.S., Kurchikov A.G., Dorofeev Yu.L. Rezul'taty sovershenstvovaniya organizatsii vysokotekhnologichnykh vidov travmatologo-ortopedicheskoy pomoshchi naseleniyu Sankt-Peterburga na osnove kvotirovaniya [Results of improving the organization of high-tech types of trauma and orthopedic care to the population of St. Petersburg on the basis of quotas]. Fundamental'nye issledovaniya 2013;9(3): 418-423. (In Russian).
  4. O vnesenii izmeneniy v otdel'nye zakonodatel'nye akty Rossiyskoy Federatsii i priznanii utrativshimi silu otdel'nykh polozheniy zakonodatel'nykh aktov Rossiyskoy Federatsii po voprosam okhrany zdorov'ya grazhdan v Rossiyskoy Federatsii [On amending certain legislative acts of the Russian Federation and recognizing invalid certain provisions of the legislative acts of the Russian Federation on the citizens’ health protection in the Russian Federation]. Federal'nyy zakon ot 25 noyabrya 2013 goda ¹ 317-FZ. Sobranie zakonodatel'stva RF, 02.12.2013, N 48, Art. 6165. (In Russian).
  5. O Programme gosudarstvennykh garantiy besplatnogo okazaniya grazhdanam meditsinskoy pomoshchi na 2018 god i na planovyy period 2019 i 2020 godov [On the Program of state guarantees of free medical care to citizens for 2018 and for the planning period of 2019 and 2020]. Postanovlenie Pravitel'stva RF. Prikaz Minzdravsotsrazvitiya RF ot 08.12.2017 N 1492. Sobranie zakonodatel'stva RF, 18.12.2017, N 51, Art. 7806. (In Russian).
  6. O formirovanii i ekonomicheskom obosnovanii territorial'noy programmy gosudarstvennykh garantiy besplatnogo okazaniya grazhdanam meditsinskoy pomoshchi na 2018 god i na planovyy period 2019 i 2020 godov: [On the formation and economic justification of the territorial program of state guarantees for free medical care to citizens for 2018 and for the planning period 2019 and 2020]. Pis’mo No.11-7/10/2-8616 Minzdravsotsrazvitiya RF ot 12.12.2012. [Online] [cited 2018 Mar 10]. Available from: https://www.rosminzdrav.ru/documents .(In Russian).
  7. Ob utverzhdenii standarta meditsinskoy pomoshchi bol'nym koksartrozom [On the approval of the standard of medical care for patients with coxarthrosis]. Prikaz Minzdravsotsrazvitiya RF ot 11.08.2005 N 516. [Online] [cited 2018 Mar 10]. Available from: http://docs.cntd.ru/document/901947198 (Äàòà îáðàùåíèÿ 2.04.2018) (In Russian).
  8. Ob utverzhdenii standarta meditsinskoy pomoshchi bol'nym s ankilozom sustava: [On the approval of the standard of medical care for patients with ankylosis of the joint]. Prikaz Minzdravsotsrazvitiya RF ot 01.06.2006 N 444]. [Online] [cited 2018 Apr 02]. Available from: URL:www.niito.ru/pdf/standarts/444.pdf. (In Russian).
  9. Ob utverzhdenii standarta meditsinskoy pomoshchi bol'nym s defektami, ukorachivayushchimi verkhnyuyu konechnost': [On the approval of the standard of medical care for patients with defects shortening the upper limb]. Prikaz Minzdravsotsrazvitiya RF ot 11.08.2005 N517. [Online] [cited 2018 Apr 02]. Available from: http://docs.cntd.ru/document/901947196 (In Russian).
  10. Ob utverzhdenii standarta meditsinskoy pomoshchi bol'nym s osteonekrozom: [On the approval of the standard of medical care for patients with osteonecrosis]. Prikaz Minzdravsotsrazvitiya RF ot 07.21. 2006 N 553. [Online] [cited 2018 Apr 02]. Available from: URL:www.niito.ru/pdf/standarts/553.pdf. (In Russian).
  11. Ob utverzhdenii standarta meditsinskoy pomoshchi bol'nym s perelomom rebra (reber), grudiny i grudnogo otdela pozvonochnika, vyvikhom, rastyazheniem i povrezhdeniem kapsul'no-svyazochnogo apparata grudnoy kletki [On the approval of the standard of medical care for patients with fracture of the rib (ribs), sternum and thoracic spine, dislocation, sprain and damage to the capsular-ligament apparatus of the thorax]. Prikaz Minzdravsotsrazvitiya RF ot 09.08.2006 N 599. [Online] [cited 2018 Apr 02]. Available from: URL:www.vsmaburdenko.ru/upload/iblock/599/59906ba406e72c33eadc5d9ae1428645.pdf. (In Russian).
  12. Obukhova O.V. Vysokotekhnologichnaya meditsinskaya pomoshch' v sisteme obyazatel'nogo meditsinskogo strakhovaniya [High-tech medical care in the system of mandatory health insurance]. Menedzher zdravookhraneniya 2015; (4):33-41.(In Russian).
  13. Poslanie Prezidenta RF Federal'nomu Sobraniyu [President’s message to the Federal Assembly of the Russian Federation]. [Online] [cited 2018 Feb 01]. Available from: http://kremlin.ru/events/president/news/50864. (In Russian).
  14. Samarina T.V., Gracheva T.G., Aleksandrova T.D., Kaplunov O.A. Okazanie vysokotekhnologichnoy meditsinskoy pomoshchi v ramkakh bazovoy programmy obyazatel'nogo meditsinskogo strakhovaniya v Volgogradskoy oblasti [Provision of high-tech medical care in the framework of the basic program of mandatory health insurance in Volgograd region]. Obyazatel'noe meditsinskoe strakhovanie v Rossiyskoy Federatsii 2016; (3):38-43. (In Russian).
  15. Uroven' inflyatsii v Rossiyskoy Federatsii [The level of inflation in the Russian Federation]. [Online] [cited 2018 Feb 01]. Available from: http:// uroven'-infljacii.rf. (In Russian).

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