Informational aspects of improving the regulatory framework of compulsory medical insurance
https://doi.org/10.47093/2713-069X.2022.3.2.5-12
Abstract
Among the most significant reasons for the change in the regulatory legal framework of compulsory health insurance (CHI) should be recognized the emergence of new opportunities in the field of information processing, capable on the one hand to significantly increase the convenience and accessibility of medical care for citizens, on the other – to ensure transparency and efficiency of spending of the budget system of the Russ ian Federation, control over this by the state. Being at the intersection of healthcare and finance, CHI with the advent of new technologies has received a unique chance to radically simplify and optimize the procedures for financing healthcare, allow medical professionals to focus on providing medical care, minimize their participation in bureaucratic procedures.
Changes in the approach to information processing in the compulsory health insurance system not only ensure the optimal use of public funds to improve the health and quality of life of citizens, but also stimulate changes in the processes themselves in the healthcare sector, providing new opportunities for the state, doctors and patients, rethinking the functions of participants in the compulsory health insurance system.
About the Authors
O. S. KobyakovaRussian Federation
Olga S. Kobyakova – Dr. of Sci. (Medicine), Professor, Director
Dobrolyubova str., 11, Moscow, 127254
F. N. Kadyrov
Russian Federation
Farit N. Kadyrov – Dr. of Sci. (Economics), Advisor to the Director
Dobrolyubova str., 11, Moscow, 127254
A. V. Yakovlev
Russian Federation
Alexey V. Yakovlev – Deputy Head of the Digital Transformation Department of the Compulsory Health Insurance System
Novoslobodskaya str., 37, 4А, Moscow, 127994
References
1. Starodubov V.I. On the problems of introducing medical insurance of citizens in Russia. Medical insurance. 1992; 1: 7–9 (In Russian).
2. Artemenko D.A., Sokolov A.A. Problems and prospects of the insurance model of healthcare financing. Finance. 2018; 4: 46–50 (In Russian).
3. Wagstaff A., Moreno-Serra R. Europe and Central Asia’s great post-communist social insurance experiment: impacts on health sector outcomes. Journal of Health Economics. 2008; 28(2): 322–340. https://doi.org/10.1016/j.jhealeco.2008.10.011
4. Korchuganova O.A., Burlakov G.A., Kozlova N.A. Automation of TFOMS activities. Compulsory medical insurance in the Russian Federation. 2021; 2: 40–45 (In Russian).
5. Kobyakova O.S., Starodubov V.I., Kadyrov F.N., et al. Key changes in the powers of participants in the compulsory health insurance system in 2021. Manager zdravoochranenia. 2021; 3: 74–78 (In Russian). https://doi.org/10.21045/1811-0185-2021-3-74-78
6. Kobyakova O.S., Starodubov V.I., Kadyrov F.N., et al. A new system of contracts within the framework of compulsory medical insurance. Manager zdravoochranenia. 2021; 4: 76–82 (In Russian). https://doi.org/10.21045/1811-0185-2021-4-76-82
7. Starodubov V.I., Kadyrov F.N., Obukhova O.V., et al. Russian healthcare against the background of the COVID-19 coronavirus: opportunities and threats. Manager zdravoochranenia. 2020; 5: 68–78 (In Russian).
8. Starodubov V.I., Kadyrov F.N., Obukhova O.V., et al. The impact of the COVID-19 coronavirus on the situation in Russian healthcare. Manager zdravoochranenia. 2020; 4: 59–69 (In Russian).
9. Starodubov V.I., Kadyrov F.N., Obukhova O.V., et al. Assessment of state policy in relation to certain issues of health care functioning during the spread of the COVID-19 coronavirus. Manager zdravoochranenia. 2020; 6: 71–78 (In Russian).
10. Kobyakova O.S., Starodubov V.I., Kadyrov F.N., et al. A new system of control measures for medical organizations within the framework of mandatory medical insurance. Mana- ger zdravoochranenia. 2021; 5: 72–79 (In Russian). https://doi.org/10.21045/1811-0185-2021-5-72-79
11. Kadyrov F.A., Chililov A.M., Shutikhina I.V., et al. Digitalization and Application of Telemedicine Technologies in Healthcare of the Russian Federation: Economic and Legal Aspects. Socio-economic Systems: Paradigms for the Future. 2021; 314: 555–568. https://doi.org/10.1007/978-3-030-56433-9_58
12. Kobyakova O.S. Starodubov V.I., Kadyrov F.N., et al. Economic aspects of medical care with the use of telemedicine technologies. Physician and IT. 2020; 3: 60–66 (In Russian). https://doi.org/10.37690/1811-0193-2020-3-60-66
13. Belyshev D.V., Guliyev Ya.I., Malykh V.L., et al. New aspects of the development of medical information systems. Physician and IT. 2019; 4: 6–12 (In Russian). https://doi.org/10.37690/1811-0193-2019-4-6-12
14. Nazarenko G.I., Zamiro T.N., Mikheev A.E., et al. Problems of creating medical information systems. Support of multiplicative structures of medical institutions in MIS. Physician and IT. 2007; 4: 48–50 (In Russian).
15. Guliyev Ya.I. The main aspects of the development of medical information systems. Physician and IT. 2014; 5: 10–19 (In Russian).
16. Belyshev D.V., Guliyev Ya.I., Mikheev A.E. Changing functional requirements for MIS in the process of restructuring healthcare systems. Physician and IT. 2017; 4: 6–25 (In Russian).
17. Chililov A.M. Remote forms of labor in healthcare based on digital technologies. Moscow: Economics, 2021. 168 p (In Russian).
18. Kadyrov F.N., Obukhova O.V., Bazarova I.N., et al. Financial support of the compulsory medical insurance system in 2021. Manager zdravoochranenia. 2021; 2: 75–81 (In Russian). https://doi.org/10.21045/1811-0185-2021-2-75-81
19. Kobyakova O.S. Starodubov V.I., Kadyrov F.N., et al. Telemedicine technology: prospects and limitations. Physician and IT. 2020; 5: 76–85 (In Russian). https://doi.org/10.37690/1811-0193-2020-5-76-85
20. Kadyrov F.N., Kurakova N.G., Chililov A.M. Legal problems of the use of telemedicine technologies in the fight against the spread of the coronavirus COVID-19. Physician and IT. 2020; 2: 45–51 (In Russian). https://doi.org/10.37690/1811-0193-2020-2-45-51
Review
For citations:
Kobyakova O.S., Kadyrov F.N., Yakovlev A.V. Informational aspects of improving the regulatory framework of compulsory medical insurance. National Health Care (Russia). 2022;3(2):5-12. (In Russ.) https://doi.org/10.47093/2713-069X.2022.3.2.5-12