DOI:

10.37988/1811-153X_2019_1_86

Regulatory legal framework for the management of the design and formation of the dental services classifiers for the compulsory health insurance system

Downloads

Authors

  • M.V. Zuev 1, economist
  • V.G. Butova 1, 2, PhD in Medical Sciences, full professor of the Methodological and scientific Department; professor of the Advanced training Institute
  • M.I. Boykov 3, PhD in Medical Sciences, associate professor
  • K.V. Umarova 1, PhD in Medical Sciences, researcher
  • 1 Central Research Institute of Dental and Maxillofacial Surgery, 119021, Moscow, Russia
  • 2 FMBA Institute of Continuing Education, 125310, Moscow, Russia
  • 3 Central State Medical Academy of Department of Presidential affairs, 121359, Moscow, Russia

Abstract

In the process of analyzing the regulatory and methodological documentation in the field of designing and providing dental services in the CHI system, a number of problems can be identified, which include polyvariance (multiple possible options) of classifiers and labor costs for their implementation in the federate entities, vagueness of the provision of guarantees by the state in the field of providing citizens of the Russian Federation with free medical care in the “Dentistry” profile. The coincidence of the name of the services included in the classifier of services of medical organizations provided in the profile of “Dentistry”, and the name of similar services included in the nomenclature of medical services is observed in less than 30% of cases, with the increase in the number of dental services in the nomenclatures their number in the compulsory health insurance classifiers decreases. The noteworthy feature here is the imperfection of the nomenclature and the classifiers used, the rationale section on dentistry in the compulsory health insurance program.

Key words:

nomenclature, classifier, registry of medical services, regulatory legal framework

For Citation

[1]
Zuev M.V., Butova V.G., Boykov M.I., Umarova K.V. Regulatory legal framework for the management of the design and formation of the dental services classifiers for the compulsory health insurance system. Clinical Dentistry (Russia).  2019; 1 (89): 86—90. DOI: 10.37988/1811-153X_2019_1_86

References

  1. Федеральный закон №326-ФЗ «Об обязательном медицинском страховании в Российской Федерации» от 29.11.2010 г.
  2. Федеральный закон №323-ФЗ «Об основах охраны здоровья граждан в Российской Федерации» от 21.11.2011 г.
  3. Постановление Правительства РФ №1492 «О Программе государственных гарантий бесплатного оказания гражданам медицинской помощи на 2018 год и на плановый период 2019 и 2020 годов» от 08.12.2017 г. (в ред. от 21.04.2018 г.).
  4. Письмо Минздрава России №11-7/10/2-8080 и ФФОМС №13572/26-2/ «О методических рекомендациях по способам оплаты медицинской помощи за счет средств обязательного медицинского страхования» от 24.01.2018 г.
  5. Приказ Минздравсоцразвития России №1496н «Об утверждении Порядка оказания медицинской помощи взрослому населению при стоматологических заболеваниях» от 07.12. 2011 г.
  6. Приказ Минздрава России №910н «Об утверждении Порядка оказания медицинской помощи детям со стоматологическими заболеваниями» от 13.11.2012 г. (в ред. от 03.08.2015 г.).

Downloads

Published on

March 1, 2019