Open AccessOn medical insurance: considerations based on foreign experience
Author(s) -
Sergey Vadimovich Yargin
Publication year - 2019
Publication title -
zdravoohranenie rossijskoj federacii
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.164
H-Index - 3
eISSN - 2412-0723
pISSN - 0044-197X
DOI - 10.18821/0044-197x-2016-60-4-214-216
Subject(s) - german , business , health care , mechanism (biology) , medical care , public health insurance , medical insurance , health insurance , private insurance , actuarial science , family medicine , medicine , political science , law , philosophy , archaeology , epistemology , history
The health care organization in Russia is similar to the same in Great Britain where exists public medical care system. At the same time, Russian health care, being insurance, bear resemblance with German health care. The significant characteristic of insurance medicine in Germany is availability of mechanism ofprice ofpoint that is shortly discussed in this article. The application of this mechanism leads to that in overall country the price of medical service is approximately the same independently of insurer. Accordingly, most of private medical practitioners and medical organizations receive all insured patients. The similar mechanism can successfully function only on the assumption of conscientiousness and higher level of professional knowledge of physicians who are not to prescribe pharmaceuticals and diagnostic procedures without sufficient indications. The adoption of mechanism ofpoint price by Russian health care would permit to redirect part of patients insured by mandatory medical insurance to private medical centers and private medical practitioners.