MEDICAL AND ORGANIZATIONAL BASES OF THE RESOURCE SUPPORT OF THE REGIONAL OPHTHALMOLOGICAL SERVICE IN THE RUSSIAN FEDERATION: REGULATORY ASPECTS (REVIEW)
https://doi.org/10.15372/SSMJ20190320
- Р Р‡.МессенРТвЂВВВВВВВВжер
- РћРТвЂВВВВВВВВнокласснРСвЂВВВВВВВВРєРСвЂВВВВВВВВ
- LiveJournal
- Telegram
- ВКонтакте
- РЎРєРѕРїРСвЂВВВВВВВВровать ссылку
Full Text:
Abstract
The aim of the study was to conduct a directed analytical review of the legislative, regulatory and legal framework (RLF), of the special literature on the normative and legal regulation (NLR) and the provision of medical and organizational activities (MOA) of the sectoral and regional ophthalmological service (OphS), the medical establishment (ME) of the health system of Russia (HS).
Material and methods. The federal legislative, RLF has been studied on the official websites of the government, the Ministry of Health (MH) of the Russian Federation ((RF), and the health administration authorities (HAA) of the federal subjects of RF, including subordinate regulatory and legal acts. An analytical review of the relevant periodical literature on NLR and the provision of MOA of the sectoral and regional OphS, ME industry has been carried out. Bibliographic, informational and analytical methods, expert assessment method, content analysis were used.
Results and discussion. A modern RLF for the provision of MOA of the sectoral and regional OphS, MO of HS is represented by more 100 current documents – orders, decrees and directions, guidelines of MH RF and HAA of the subjects of RF, several hundreds of applications. It was established that the primary regulatory and legal basis for the activities of OphS is considered «Procedures for providing medical care (MC) to the population in case of diseases of the eye, its adnexa, and orbit for adults and children»; Requirements and guidelines for the organization and maintenance of MOA of MO branch (orders of MH of RF N 132н/27.02.2016, N 358/08.06.2016, N 182/20.04.2018). Standards for the provision of MC and clinical recommendations – auxiliary.
Conclusion. Analysis of RLF support of OphS MOA in the current three-level HS, since 2012–2014 till present, has shown that the legislative and RLF on NLR and the provision of MOA of OphS the industry as a whole has been created. The main established shortcomings are the lack of a unified conceptual approach and compulsory RLF and medical-organizational mechanism for ensuring and final implementation, as declared by the regulations, in particular, resource support of the activities of regional OphS.
About the Author
A. G. ZabolotniyRussian Federation
Zabolotniy Alexandr Grigorievich – candidate of medical sciences, associate professor, head of the scientific department, associate professor at the department of eye diseases
350012, Krasnodar, Krasnykh Partizan str., 6,
350063, Krasnodar, Mitrofan Sedin str., 4
References
1. Vseobshchaya deklaratsiya prav cheloveka (prinyata General'noi Assambleei OON 10.12.1948) // Ros. gazeta. 05.04.1995. № 67.
2. Zabolotnii A.G., Sakhnov S.N. Analiz mediko-organizatsionnogo i kadrovogo obespecheniya oftal'mologicheskoi pomoshchi na urovne regiona // Kuban. nauch. med. vestn. 2013. 137. (2). 69-72.
3. Zabolotnii A.G. Regional'nyi nauchno-obrazovatel'nyi oftal'mologicheskii klaster kak forma integratsii meditsinskikh organizatsii obrazovaniya, nauki i praktiki dlya obespecheniya regiona kvalifitsirovannym kadrovym resursom // Kachestvo. Innovatsii. Obrazovanie. 2016. 130. (3). 7-12.
4. Il'ina I.V., Sidorenko O.V. Ponyatie i klassifikatsiya resursov protsessa proizvodstva // Ekon. anal.: teoriya i praktika. 2008. (18). 38-42.
5. Konstitutsiya Rossiiskoi Federatsii (prinyata vsenarodnym golosovaniem 12.12.1993) (s uchetom popravok, vnesennykh Zakonami RF o popravkakh k Konstitutsii RF ot 30.12.2008 № 6-FKZ, ot 30.12.2008 № 7-FKZ, ot 05.02.2014 № 2-FKZ, ot 21.07.2014 № 11-FKZ) // Sobr. zakonodatel'stva RF. 04.08.2014. № 31. St. 4398.
6. Maev I.V., Kupeeva I.A., Son I.M., Leonov S.A., Gazheva A.V. Potrebnost' Rossiiskoi Federatsii vo vrachebnykh kadrakh // Menedzher zdravookhraneniya. 2013. (10). 6-11.
7. Neroev V.V. Organizatsiya oftal'mologicheskoi pomoshchi naseleniyu Rossiiskoi Federatsii // Vestn. oftal'mologii. 2014. (6). 8-12.
8. Neroev V.V. Sostoyanie rossiiskoi oftal'mologicheskoi sluzhby v svete problem sistemy zdravookhraneniya. URL: http://avo-portal.ru/events/reports/item/147-sostojanie-rossijskoj-oftalmologicheskojsluzhby (data obrashcheniya: 22.04.2019).
9. O Kontseptsii dolgosrochnogo sotsial'no-ekonomicheskogo razvitiya Rossiiskoi Federatsii na period do 2020 goda: rasporyazhenie Pravitel'stva RF ot 17.11.2008 № 1662-r // Sobr. zakonodatel'stva RF. 24.11.2008. № 47. St. 5489.
10. O Poryadke i srokakh prokhozhdeniya meditsinskimi rabotnikami i farmatsevticheskimi rabotnikami attestatsii dlya polucheniya kvalifikatsionnoi kategorii: prikaz MZ RF ot 23.04.2013 g. № 240n // Ros. gazeta. 24.07.2013. № 160.
11. O Programme gosudarstvennykh garantii besplatnogo okazaniya grazhdanam meditsinskoi pomoshchi na 2018 god i na planovyi period 2019 i 2020 godov: postanovlenie Pravitel'stva RF ot 08.12.2017 № 1492 (red. ot 21.04.2018). URL: http://www.pravo.gov.ru (data obrashcheniya: 11.06.2018).
12. O Programme gosudarstvennykh garantii besplatnogo okazaniya grazhdanam meditsinskoi pomoshchi na 2019 god i na planovyi period 2020 i 2021 godov: postanovlenie Pravitel'stva RF ot 10.12.2018 № 1506 // Sobr. zakonodatel'stva RF. 17.12.2018. № 51. St. 8013.
13. O Trebovaniyakh k razmeshcheniyu meditsinskikh organizatsii gosudarstvennoi sistemy zdravookhraneniya i munitsipal'noi sistemy zdravookhraneniya iskhodya iz potrebnostei naseleniya: prikaz MZ RF ot 27.02.2016 № 132n // Byul. normativnykh aktov federal'nykh organov ispolnitel'noi vlasti. 02.05.2016. № 18.
14. O formirovanii i ekonomicheskom obosnovanii territorial'noi programmy gosudarstvennykh garantii okazaniya grazhdanam Rossiiskoi Federatsii besplatnoi meditsinskoi pomoshchi na 2012 god: Informatsionnoe pis'mo Minzdravsotsrazvitiya RF ot 22.12.2011 № 20-2/10/1-8234. URL: http://www.consultant.ru (data obrashcheniya: 14.01.2019).
15. O formirovanii i ekonomicheskom obosnovanii territorial'noi programmy gosudarstvennykh garantii besplatnogo okazaniya grazhdanam meditsinskoi pomoshchi na 2019 god i na planovyi period 2020 i 2021 godov: pis'mo MZ RF ot 21.12.2018 № 11-7/10/1-511. URL: http://www.consultant.ru (data obrashcheniya: 14.01.2019).
16. Ob osnovakh okhrany zdorov'ya grazhdan v Rossiiskoi Federatsii: FZ ot 21.11.2011 № 323-FZ // Sobr. zakonodatel'stva RF. 28.11.2011. № 48. St. 6724.
17. Ob osnovakh okhrany zdorov'ya grazhdan v Rossiiskoi Federatsii (s izm. i dop., vstup. v silu s 31.01.2019): FZ ot 21.11.2011 № 323-FZ (red. ot 27.12.2018). URL: http://www.pravo.gov.ru (data obrashcheniya: 10.01.2018).
18. Ob utverzhdenii gosudarstvennoi programmy Rossiiskoi Federatsii «Razvitie zdravookhraneniya»: postanovlenie Pravitel'stva RF ot 26.12.2017 № 1640 (red. ot 24.12.2018). URL: https://www.rosminzdrav.ru/ministry/programms/health/info (data obrashcheniya: 11.06.2018).
19. Ob utverzhdenii gosudarstvennoi programmy Rossiiskoi Federatsii «Razvitie zdravookhraneniya»: rasporyazhenie Pravitel'stva RF ot 24.12.2012 № 2511-r // Sobr. zakonodatel'stva RF. 31.12.2012. № 53 (ch. 2). St. 8019.
20. Ob utverzhdenii metodicheskikh rekomendatsii o primenenii normativov i norm resursnoi obespechennosti naseleniya v sfere zdravookhraneniya: prikaz MZ RF ot 20.04.2018 № 182. URL: http://www.consultant.ru (data obrashcheniya: 24.06.2018).
21. Ob utverzhdenii metodicheskikh rekomendatsii po razvitiyu seti meditsinskikh organizatsii gosudarstvennoi sistemy zdravookhraneniya i munitsipal'noi sistemy zdravookhraneniya: prikaz MZ RF ot 08.06.2016 № 358. URL: http://www.consultant.ru (data obrashcheniya: 12.09.2016).
22. Ob utverzhdenii metodicheskikh rekomendatsii po razrabotke organami ispolnitel'noi vlasti sub"ektov Rossiiskoi Federatsii planov meropriyatii («dorozhnykh kart») «Izmeneniya v otraslyakh sotsial'noi sfery, napravlennye na povyshenie effektivnosti zdravookhraneniya v sub"ekte Rossiiskoi Federatsii»: prikaz MZ RF ot 29.12.2012 № 1706 (red. ot 13.02.2013). URL: https://www.rosminzdrav.ru (data obrashcheniya: 17.05.2017).
23. Ob utverzhdenii Metodicheskikh ukazanii po bukhgalterskomu uchetu osnovnykh sredstv: prikaz Ministerstva finansov RF ot 13.10.2003 № 91n (red. ot 24.12.2010). URL: http://www.consultant.ru (data obrashcheniya: 09.06.2017).
24. Ob utverzhdenii nomenklatury meditsinskikh organizatsii: prikaz MZ RF ot 06.08.2013 № 529n // Ros. gazeta. 07.10.2013. № 224.
25. Ob utverzhdenii perechnei meditsinskikh organizatsii Krasnodarskogo kraya, otnesennykh k 1, 2 i 3 urovnyam okazaniya meditsinskoi pomoshchi: prikaz MZ Krasnodarskogo kraya ot 22.02.2013 g. № 705. URL: http://www.minzdravkk.ru/pages/bankdocs/detail.php?ELEMENT_ID=9489 (data obrashcheniya: 18.07.2016).
26. Ob utverzhdenii Plana schetov bukhgalterskogo ucheta byudzhetnykh uchrezhdenii i Instruktsii po ego primeneniyu: prikaz Ministerstva finansov RF ot 16.12.2010 № 174n (red. ot 31.03.2018). URL: http://www.consultant.ru (data obrashcheniya: 19.12.2018).
27. Ob utverzhdenii Polozheniya ob organizatsii okazaniya pervichnoi mediko-sanitarnoi pomoshchi vzroslomu naseleniyu: prikaz Minzdravsotsrazvitiya RF ot 15.05.2012 № 543n // Byul. normativnykh aktov federal'nykh organov ispolnitel'noi vlasti. 24.12.2012. № 52.
28. Ob utverzhdenii poryadka okazaniya meditsinskoi pomoshchi vzroslomu naseleniyu pri zabolevaniyakh glaza, ego pridatochnogo apparata i orbity: prikaz MZ RF ot 12.11.2012 g. № 902n // Ros. gazeta. Spetsvypusk. 11.04.2013. № 78/1.
29. Ob utverzhdenii standarta meditsinskoi pomoshchi bol'nym s kataraktoi (pri okazanii spetsializirovannoi pomoshchi): prikaz Minzdravsotsrazvitiya RF ot 21.05.2007 № 349. URL: http://www.consultant.ru (data obrashcheniya: 09.06.2017).
30. Ob utverzhdenii form pervichnykh uchetnykh dokumentov i registrov bukhgalterskogo ucheta, primenyaemykh organami gosudarstvennoi vlasti (gosudarstvennymi organami), organami mestnogo samoupravleniya, organami upravleniya gosudarstvennymi vnebyudzhetnymi fondami, gosudarstvennymi (munitsipal'nymi) uchrezhdeniyami, i Metodicheskikh ukazanii po ikh primeneniyu: prikaz Ministerstva finansov RF ot 30.03.2015 № 52n (red. ot 17.11.2017). URL: http://www.consultant.ru (data obrashcheniya: 19.12.2018).
31. Osnovy ekonomiki zdravookhraneniya / red. N.I. Vishnyakov. 4-e izd. M.: MEDprecs-inform, 2014. 152 s.
32. Starodubov V.I., Flek V.O., Son I.M., Leonov S.A., Matveev E.N., Bant'eva M.N. Otsenka effektivnosti Programm gosudarstvennykh garantii okazaniya grazhdanam Rossiiskoi Federatsii besplatnoi meditsinskoi pomoshchi // Menedzher zdravookhraneniya. 2010. (2). 4-15.
33. Starodubov V.I., Flek V.O., Son I.M., Leonov S.A., Matveev E.N., Bant'eva M.N. Regional'nye modeli meditsinskogo obespecheniya naseleniya // Tam zhe. (12). 8-13.
34. Federal'nye klinicheskie rekomendatsii po okazaniyu oftal'mologicheskoi pomoshchi patsientam s vozrastnoi kataraktoi. Ekspertnyi sovet po probleme khirurgicheskogo lecheniya katarakty. M.: Oftal'mologiya, 2015. 32 s.
35. Diagnostika i lechenie pervichnoi zakrytougol'noi glaukomy: federal'nye klinicheskie rekomendatsii. URL: http://www.avo-portal.ru/documents/fkr/vrazrabotke/0001_Klinicheskie_rekomendacii_PZUG_osn.docx (data obrashcheniya: 22.04.2019).
36. Chukhraev A.M., Khodzhaev N.S., Malyugin B.E., Doga A.V., Zabolotnii A.G. Regional'nyi oftal'mologicheskii klaster kak osnova resursnogo obespecheniya protsessa i protsedury akkreditatsii vrachei // Vestn. oftal'mologii. 2017. 133. (6). 5-9.
37. Shchepin V.O. Obespechennost' naseleniya Rossiiskoi Federatsii osnovnym kadrovym resursom gosudarstvennoi sistemy zdravookhraneniya // Probl. sots. gigieny, zdravookhr. i ist. meditsiny. 2013. 6. 24-28.
38. Shchepin O.P. Regional'nye aspekty razvitiya zdravookhraneniya // Probl. sots. gigieny, zdravookhr. i ist. meditsiny. 2014. (5). 3-7.
Review
ISSN 2410-2520 (Online)