The main vectors of the financial support of the health care system of the Moscow region for the period from 2010 to 2021: historical and economic analysis

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Abstract

Based on a historical and economic analysis of the main vectors of financial support for the health care system of the Moscow region from 2010 to 2021, the author proposes an organizational mechanism for the implementation of the developed plans by creating a regional settlement and economic analytical center, which should gather financial, economic and other information from legal entities of compulsory medical insurance and medical organizations participating in the implementation of the State strategic program of the Moscow region «Healthcare Moscow region» for 2019–2024 to analyze the effectiveness of the use of significant allocated funds, and to carry out the current adjustment of the value of tariffs for medical services under the Basic Compulsory Medical Insurance Program, calculated in accordance with the Tariff Agreement for the corresponding calendar year, taking into account the opinion and assessment of all participants in this process, especially the patients themselves.

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About the authors

Konstantin E. Sobolev

Vladimirsky Moscow Regional Research Clinical Institute

Author for correspondence.
Email: Sob-kos@live.ru
ORCID iD: 0000-0003-4779-8577

MD, Cand. Sci. (Med.)

Russian Federation, Moscow

References

  1. Federal Law of Russian Federation N 326-ФЗ of 29 November 2010 «Ob obyazatel’nom meditsinskom strakhovanii v Rossiiskoi Federatsii». Available from: https://docs.cntd.ru/document/902247618. Accessed: 29.10.2022. (In Russ).
  2. Semenov VYu. Ekonomika zdravookhraneniya: Uchebnoe posobie. 2nd ed., revised. Moscow: MIA; 2014. (In Russ).
  3. Federal Law of Russian Federation N 323-ФЗ of 21 November 2011. «Ob osnovakh okhrany zdorov’ya grazhdan Rossiiskoi Federatsii». Available from: https://minzdrav.gov.ru/documents/7025-federalnyy-zakon-323-fz-ot-21-noyabrya-2011-g. Accessed: 29.10.2022. (In Russ).
  4. Decree of the Government of the Russian Federation N 715/36 of 09 October 2018 «Gosudarstvennaya programma Moskovskoi oblasti ”Zdravookhranenie Podmoskov’ya” na 2019–2024 gody». Available from: https://docs.cntd.ru/document/552055918. Accessed: 29.10.2022. (In Russ).
  5. Decree of the Government of the Russian Federation N 1050/43 of 29 December 2020 «O Moskovskoi oblastnoi programme gosudarstvennykh garantii besplatnogo okazaniya grazhdanam meditsinskoi pomoshchi na 2021 god i na planovyi period 2022 i 2023 godov». Available from: https://mz.mosreg.ru/dokumenty/ministerstvo/informacionnye-resursy/26-01-2021-09-30-34-postanovlenie-pravitelstva-moskovskoy-oblasti-ot?utm_referrer=https%3A%2F%2Fwww.google.com%2F. Accessed: 29.10.2022. (In Russ).
  6. Decree of the President of the Russian Federation N 254 of 06 June 2019 «O Strategii razvitiya zdravookhraneniya v Rossiiskoi Federatsii na period do 2025 goda». Available from: http://www.kremlin.ru/acts/bank/44326. Accessed: 29.10.2022. (In Russ).
  7. Pirogov MV, Sobolev KE. Metodologicheskie podkhody i prakticheskie resheniya po organizatsionno-ekonomicheskomu planirovaniyu v zdravookhranenii sovremennoi Rossii: Monografiya. Moscow; 2021. (In Russ).
  8. Reshetnikov AV. Sotsiologiya meditsiny (vvedenie v nauchnuyu distsiplinu): Rukovodstvo. Moscow: GEOTAR-Media; 2010. (In Russ).
  9. Reshetnikov AV, Sobolev KE. Mediko-sotsiologicheskii monitoring: rukovodstvo. Moscow: GEOTAR-Media; 2022. (In Russ).
  10. Reshetnikov AV. Sociology of Medicine. Moscow: GEOTAR-Media; 2022.

Supplementary files

Supplementary Files
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1. JATS XML
2. Fig. 1. Changes in payment methods for medical care in the Moscow region.Note. МЭС — medical and economic standards, КСГ — clinical and statistical groups, РФ — Russian Federation.

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3. Fig. 2. Structural and functional interaction during the implementation of the strategic “State Program of the Moscow region “Healthcare of the Moscow region” for 2019-2024”.Note. МЗ — Ministry of Health, МОНИКИ — Moscow Regional Research Clinical Institute, ЕМИАС — unified medical information and analytical system, ОМС — compulsory medical insurance, ТФОМС — territorial fund of compulsory medical insurance, СМО — insurance medical organization.

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СМИ зарегистрировано Федеральной службой по надзору в сфере связи, информационных технологий и массовых коммуникаций (Роскомнадзор).
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