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Regulatory framework of the oncological medical care provision

https://doi.org/10.17749/2070-4909/farmakoekonomika.2020.052

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Abstract

Aim. To conduct an analytical review of the regulatory legal framework on the resources provision required in medical organizations for the provision of oncological medical care based on clinical guidelines.

Materials and methods. Using Russian normative legal and regulative documents on the oncological medical care, the authors studied the normative regulation of the issues of both resources’ provision for medical organizations and resources’ demand assessment, including the need for financial support from various sources of the budgetary system of the Russian Federation. The analysis was carried out in two regulatory areas: financing and organization of the provision of medical care. The authors examined the main legislation acts relating to oncological medical care, including documents of the compulsory medical insurance, the annual decrees of the Government of the Russian Federation on the program of state guarantees of free provision of medical care to citizens for the coming year and the planned period, the decree of the Government of the Russian Federation regulating the provision of medicines and medical products, provisions on the organization of medical care by type of medical care, procedures for the provision of oncological medical care, regulatory documents on clinical guidelines and standards of medical care.

Results. The content analysis of the studied materials showed that certain components of the resources’ provision, including the financial provision of oncological medical care, are regulated by various regulatory documents, and there is no methodology for assessing the resources’ demand based on clinical guidelines.

Conclusion. New approaches to assessing the resources’ demand for the provision of medical care and the required financial support based on clinical guidelines need to be developed.

About the Authors

S. N. Tishkina
Center for Healthcare Quality Assessment and Control of the Ministry of Healthcare of the Russian Federation
Russian Federation
Svetlana N. Tishkina – chief specialist at the department of methodological support of standardization, 10-5 Khokhlovskii pereulok, Moscow 109028, Russia


V. E. Matskevich
Russian Presidential Academy of National Economy and Public Administration
Russian Federation
Viktoriya E. Matskevich – Postgraduate Student, Health Technology Assessment Laboratory, Institute of Applied Economic Research, 82 Vernadskogo prospect, Moscow 119571, Russia


Yu. A. Ledovskikh
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 Federation
Russian Federation

Yuliya A. Ledovskikh – MD, PhD, head of the department for methodological support of standardization; Leading Researcher, Center for Health Finance, 10-5 Khokhlovskii pereulok, Moscow 109028, Russia; 3-2 Nastasyinsky pereulok, Moscow 127006, Russia



E. V. Semakova
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 Federation
Russian Federation

Evgeniya V. Semakova – Deputy Chief of the Department of Methodological Support for Standardization; Research Fellow, Center for Health Finance, 10-5 Khokhlovskii pereulok, Moscow 109028, Russia; 3-2 Nastasyinsky pereulok, Moscow 127006, Russia



V. V. Omelyanovskiy
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 Federation; Russian Medical Academy of Postgraduate Education
Russian Federation

Vitaly V. Omelyanovskiy – MD, Dr Sci Med, Professor, General Director; Head of the Center for Healthcare Funding; Head of the Department of Economics, Management and Assessment of Health Technologies, Researcher ID: P-6911-2018, Scopus Author ID: 6507287753, 10-5 Khokhlovskii pereulok, Moscow 109028, Russia; 3-2 Nastasyinsky pereulok, Moscow 127006, Russia; 2-1 Barrikadnaya Str., Moscow 123995, Russia



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For citation:


Tishkina S.N., Matskevich V.E., Ledovskikh Yu.A., Semakova E.V., Omelyanovskiy V.V. Regulatory framework of the oncological medical care provision. FARMAKOEKONOMIKA. Modern Pharmacoeconomics and Pharmacoepidemiology. 2020;13(3):304-315. (In Russ.) https://doi.org/10.17749/2070-4909/farmakoekonomika.2020.052

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ISSN 2070-4909 (Print)
ISSN 2070-4933 (Online)