Региональный опыт совершенствования системы оплаты стационарной медицинской помощи на основе клинико-статистических групп заболеваний: достижения, проблемы, перспективы

• Shelyakin V.A.
• Khudyaev A.S.
• Knyazeva Е.G.

Abstract2014th is a year when the Regional Fund of Obligatory Medical Insurance in Sverdlovsk Region with professional medical community began to expand the model of hospital payment systems based on diagnosis-related groups (DRG). As a result in a Sverdlovsk region we've increased quantity of DRG's from 201 to 339 groups for a 5 years. The changes have been focused on diseases, that are most valuable for disability and mortality of the population in Sverdlovsk region. Among the effects we have had following: reduce the length of the patient's stay in the hospital and the number of hospital beds in our region. At the same time, the new hospital payment model along with regional patient rout model forces the government healthcare regulatory look forward the new meaning and form of small and far away (from regional center) located clinics, that work in outpatient sector mainly.

Keywords:Obligatory Medical Insurance, diagnosis-related groups (DRG), medical care payment, healthcare financing, diseases profiles, financial spreading

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