
Experience of participation of a private medical enterprise in the pilot project «Modernization of Health Service in Tomsk Region»
Author(s) -
Г. Н. Завьялова
Publication year - 2009
Publication title -
bûlletenʹ sibirskoj mediciny
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.135
H-Index - 3
eISSN - 1819-3684
pISSN - 1682-0363
DOI - 10.20538/1682-0363-2009-2-131-134
Subject(s) - modernization theory , business , payment , work (physics) , service (business) , population , order (exchange) , process (computing) , finance , operations management , economic growth , medicine , marketing , environmental health , engineering , economics , computer science , operating system , mechanical engineering
The activity of the medical enterprise Medsanchast' No. 3 within the pilot project «Modernization of Health Service in the Tomsk Region» in the form of integration in the obligatory medical insurance (OMI) system has been analyzed. Medsanchast' No. 3 has achieved significant progress in the work on the increase of its fraction if the OMI system. However, in the process of implementation of the pilot project, a critical financial situation took place due to age characteristics of new contingent and, as a consequence, payment for acute hospital aid. To solve this problem, it is necessary to revise the charge for urgent hospitalization and the order of population assignment to medical-prophylactic enterprises, thus creating equal conditions for private clinics, and to tighten control over cases of urgent hospitalization.