Healthcare of Russia: 2018-2024. What to do?
Аннотация
In the official speech to the Federal Assembly President of Russia has set a national goal - to increase life expectancy from the current 73 to 78 years till the year 2024. It's the most important task for the Russian healthcare system, it's solution is impossible without consolidation of efforts of the whole society. The article presents a brief analysis of the current state of health of the population and the factors influencing it. Next, the priorities that need to be identified in the healthcare system of the Russian Federation are put forward for discussion. The article also presents the conditions for achieving a life expectancy of 78 years by the year 2024.
Optimization of the system of measures to control and prevent health care-associated infections (HAIs) in the Russian Federation
Аннотация
The article discusses the problems of ensuring the epidemiological safety of providing medical care in the Russian Federation, also the tasks that need to be solved to achieve these goals are described. Health care-associated infections (HAIs) have negative consequences for health and lives of patients, personnel of medical organizations and lead to an increase in medical expenses. In the Russian Federation, according to official statistics, every year about 25-30 thousand cases of HAIs are registered. Fast development and active use of new technologies of diagnosis and treatment lead to the emergence of new risks, which require continuous improvement of methods of HAIs prevention and treatment. The article presents a set of management decisions to improve the system of epidemiological surveillance and measures of prevention of HAIs in the Russian Federation, which can minimize the risk factors for the spread of HAIs and provide effective control over them.
On the rational system of organization of health protection and medical care
Аннотация
In the article some questions of health protection and organization are considered. medical care for the population. Separately, the problem of transition from therapeutic medicine to preventive. The role of schools of public health and scientific immuno-genetic research in prevention of diseases. Rationalization is carried out from a position population, patients and the state, as well as to optimize its costs.
Региональный опыт совершенствования системы оплаты стационарной медицинской помощи на основе клинико-статистических групп заболеваний: достижения, проблемы, перспективы
Аннотация
2014th 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.