The evaluation of the balance of standard rates within the program on state guarantees to deliver free medical care to the citizens of the Russian Federation
Aim. The evaluation of absolute and relative difference in the growth of standard rates and financing of medical help based on the calculation for Program on State Guarantees to Deliver Free Medical Care to the Citizens of the Russian Federation (PSG) by the parameters approved by the Decree of the...
| Main Authors: | , , |
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| Format: | Article |
| Language: | Russian |
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IRBIS LLC
2020-11-01
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| Series: | Фармакоэкономика |
| Subjects: | |
| Online Access: | https://www.pharmacoeconomics.ru/jour/article/view/421 |
| _version_ | 1797878848568688640 |
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| author | D. V. Fedyaev S. A. Kovaleva K. V. Gerasimova |
| author_facet | D. V. Fedyaev S. A. Kovaleva K. V. Gerasimova |
| author_sort | D. V. Fedyaev |
| collection | DOAJ |
| description | Aim. The evaluation of absolute and relative difference in the growth of standard rates and financing of medical help based on the calculation for Program on State Guarantees to Deliver Free Medical Care to the Citizens of the Russian Federation (PSG) by the parameters approved by the Decree of the Government for 2019 and 2020.Materials and methods. The evaluation was performed by the methods of mathematic modeling. Mathematic modeling of the calculation of the volumes of medical help (MH) and financial costs in the subjects of the RF was based on the Decrees of the Government for 2019 and 2020 and the method of calculation of the standard rates specified in the Letter on the economic grounds for territorial PSG. Modeling for each region was used to compare the absolute and relative difference in the growth of standard rates for the obtained values in the absolute and relative expression of the calculated planned parameters of PSG for 2019 and 2020 according to the described method in terms of types, conditions, and profiles of medical help.Results. It was revealed that the existing standard rates for financial costs did not provide a uniform growth of costs by all the conditions and types of MH. The growth of financing by types and conditions varied from 1.43 to 9.59% of the 2019 baseline in the RF. Certain “specialized” (profile) standard rates within the conditions of MH showed a significant growth at a slower growth of financing of the rest of MH types (3.86% for all-day inpatient service and -0.6% (decrease in financing) for day-time inpatient service). The calculation of the model for the subjects of the RF showed even greater fluctuations: from –0.11% to –3.03% for day-time inpatient service and from 1.35% to 7.27% for all-day inpatients service.Conclusion. Despite the annual growth of the financing of PSG, redistribution of the budget within the conditions of medical service provision is uneven. This situation provides background for the improvement of the mechanisms of planning of MH within PSG using obligatory modeling and balanced standard rates for the subjects of the RF. |
| first_indexed | 2024-04-10T02:39:40Z |
| format | Article |
| id | doaj.art-088b55d8a2514b5c861055964261653a |
| institution | Directory Open Access Journal |
| issn | 2070-4909 2070-4933 |
| language | Russian |
| last_indexed | 2024-04-10T02:39:40Z |
| publishDate | 2020-11-01 |
| publisher | IRBIS LLC |
| record_format | Article |
| series | Фармакоэкономика |
| spelling | doaj.art-088b55d8a2514b5c861055964261653a2023-03-13T07:48:17ZrusIRBIS LLCФармакоэкономика2070-49092070-49332020-11-0113328329010.17749/2070-4909/farmakoekonomika.2020.057311The evaluation of the balance of standard rates within the program on state guarantees to deliver free medical care to the citizens of the Russian FederationD. V. Fedyaev0S. A. Kovaleva1K. V. Gerasimova2Russian Presidential Academy of National Economy and Public Administration; Center for Healthcare Quality Assessment and Control of the Ministry of Healthcare of the Russian Federation; Financial Research Institute of the Ministry of Finance of the Russian FederationCenter for Healthcare Quality Assessment and Control of the Ministry of Healthcare of the Russian FederationCenter for Healthcare Quality Assessment and Control of the Ministry of Healthcare of the Russian Federation; Russian Medical Academy of Continuing Professional EducationAim. The evaluation of absolute and relative difference in the growth of standard rates and financing of medical help based on the calculation for Program on State Guarantees to Deliver Free Medical Care to the Citizens of the Russian Federation (PSG) by the parameters approved by the Decree of the Government for 2019 and 2020.Materials and methods. The evaluation was performed by the methods of mathematic modeling. Mathematic modeling of the calculation of the volumes of medical help (MH) and financial costs in the subjects of the RF was based on the Decrees of the Government for 2019 and 2020 and the method of calculation of the standard rates specified in the Letter on the economic grounds for territorial PSG. Modeling for each region was used to compare the absolute and relative difference in the growth of standard rates for the obtained values in the absolute and relative expression of the calculated planned parameters of PSG for 2019 and 2020 according to the described method in terms of types, conditions, and profiles of medical help.Results. It was revealed that the existing standard rates for financial costs did not provide a uniform growth of costs by all the conditions and types of MH. The growth of financing by types and conditions varied from 1.43 to 9.59% of the 2019 baseline in the RF. Certain “specialized” (profile) standard rates within the conditions of MH showed a significant growth at a slower growth of financing of the rest of MH types (3.86% for all-day inpatient service and -0.6% (decrease in financing) for day-time inpatient service). The calculation of the model for the subjects of the RF showed even greater fluctuations: from –0.11% to –3.03% for day-time inpatient service and from 1.35% to 7.27% for all-day inpatients service.Conclusion. Despite the annual growth of the financing of PSG, redistribution of the budget within the conditions of medical service provision is uneven. This situation provides background for the improvement of the mechanisms of planning of MH within PSG using obligatory modeling and balanced standard rates for the subjects of the RF.https://www.pharmacoeconomics.ru/jour/article/view/421program of state guaranteesfinancing of healthcarestandard rates for the volumes of medical helpstandard rates for the financial cost of medical help |
| spellingShingle | D. V. Fedyaev S. A. Kovaleva K. V. Gerasimova The evaluation of the balance of standard rates within the program on state guarantees to deliver free medical care to the citizens of the Russian Federation Фармакоэкономика program of state guarantees financing of healthcare standard rates for the volumes of medical help standard rates for the financial cost of medical help |
| title | The evaluation of the balance of standard rates within the program on state guarantees to deliver free medical care to the citizens of the Russian Federation |
| title_full | The evaluation of the balance of standard rates within the program on state guarantees to deliver free medical care to the citizens of the Russian Federation |
| title_fullStr | The evaluation of the balance of standard rates within the program on state guarantees to deliver free medical care to the citizens of the Russian Federation |
| title_full_unstemmed | The evaluation of the balance of standard rates within the program on state guarantees to deliver free medical care to the citizens of the Russian Federation |
| title_short | The evaluation of the balance of standard rates within the program on state guarantees to deliver free medical care to the citizens of the Russian Federation |
| title_sort | evaluation of the balance of standard rates within the program on state guarantees to deliver free medical care to the citizens of the russian federation |
| topic | program of state guarantees financing of healthcare standard rates for the volumes of medical help standard rates for the financial cost of medical help |
| url | https://www.pharmacoeconomics.ru/jour/article/view/421 |
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