Healthcare Management: News. Views. Education

1 . 2024

Some issues of regulation of the order No. 116n of the Ministry of Health of the Russian Federation «On approval of the procedure for providing medical care to the adult population with cancer» from the perspective of regional experience

Abstract

The procedure for providing medical care in the field of oncology to adult patients, regulated by order of the Ministry of Health of Russia on February 19, 2021 No. 116n, caused fundamental controversy in the medical community even at the preparation stage, and was repeatedly edited. At the same time, even after the adoption of the normative act, the intense debate did not stop and continues to this day.

The aim of the research question was to conduct a legal analysis of the “new” requirements for the organization and procedure for providing oncological care to the adult population by medical organizations at the regional level, including private health care systems operating in the field of compulsory medical insurance.

The materials of the study were the works of Russian scientists related to the analysis and experience gained from the implementation of the “new” procedure for providing medical care in the field of oncology to adult patients. In order to study the research question, 31 sources of literature were analyzed, directly or indirectly affecting the problems of practical application of the norms of the current legislation regulating the procedure for providing medical care to the adult population in the field of oncology, including the experience of the region.

Methods of system analysis, comparison, systemic and integrated approaches, as well as the method of problem modeling were used.

The results obtained indicate the need to review, clarify and harmonize a number of provisions of the “new” order regulating the procedure for routing patients, the functions of the oncology council and the regional commission, the patient’s choice of doctor and medical organization with the requirements of the basic legislation in the field of healthcare.

Keywords:cancer patients; procedure for providing medical care in oncology; order No. 116n; patient routing; private health sector; oncology council; regional commissionFunding. The study had no sponsor support

Funding. The study had no sponsor support.

Conflict of interest. The authors declare no conflict of interest.

Contribution. Concept and design of the study – Akhokhova A.V., Tkhabisimova I.K.; data collection – Tkhabisimova A.B., Piуakartova Z.M., Medalieva R.Kh.; literature review – Shukurova D.A.; preparation of the draft manuscript – Khazhnagoeva A.A., Pshukova A.A., Attaeva M.Zh.

For citation: Akhokhova A.V., Tkhabisimova I.K., Medalieva R.Kh., Tkhabisimova A.B., Piyakartova Z.M., Khazhnagoeva A.A., Pshukova A.A., Attaeva M.Zh., Shukurova D.A. Some issues of regulation of the order No. 116n of the Ministry of Health of the Russian Federation “On approval of the procedure for providing medical care to the adult population with cancer” from the perspective of regional experience. ORGZDRAV: novosti, mneniya, obuchenie. Vestnik VSHOUZ [HEALTHCARE MANAGEMENT: News, Views, Education. Bulletin of VSHOUZ]. 2024; 10 (1): 64–76. DOI: https://doi.org/10.33029/2411-8621-2024-10-1-64-76 (in Russian)

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