MD, Head of ...

MD, head of the Vladimir regional fund of compulsory medical insurance, professor of BMI, Vladimir State University, adaptation of traditional health systems to the market conditions, the study of medical care activities in terms of production and sale of medical services, the disclosure of economic laws in organization and implementation of diagnostic and treatment process - the objective reality of the current stage of medical end of the XX century. Despite the modern technocratic approaches to the assessment of medical activities and viewing of health systems as one of the productive sectors of the state of the economy - based on methods and techniques of healing, as in the past, are manifestations of the fundamental contradictions of the relationship of the human body and environment. That environmental factors and the internal state of a person generate a certain range of needs and lead to the formation of appropriate proposals to meet the needs. As is known, the social significance of medical problems the person may be examined from multiple positions, the three main ones are: mortality, loss of health and disability (sickness, temporary and permanent disability), restrictions of freedom of an individual's life (loss of "quality of life"). In accordance with these conventional levels of medical and social problems in an individual appears to lack a sense of something: the ability to live, work, be healthy, etc. These feelings in the marketing system is characterized by the term "need" and, according to the individual and cultural level of the individual, generate a certain individual or collective needs. Specific medical needs lead to the need for medical care, some of these needs, getting the essence of marketing demand, generates market health with its objective functions and the relevant medical suggestions and actions. Human needs, conventionally referred to as medical, lawfully correlated with marked above three positions. With this approach, three groups (complexes) of the basic needs and requirements, one way or another connected with the necessity of purchasing medical services: the need to live, need to be healthy with preservation of disability: a - a desire to return to normal with a temporary disability, b - a desire to maintain some "niches" in the presence of disability disability need the highest degree of freedom of life (physiological, psychosomatic, and social), ie In this case, the state needs is characterized by a desire to achieve the highest degree of "quality of life." The above logic allows you to delimit a kind of socio-economic field and the doctor patient relationship, in other words - the mark although conditional, but it is quite certain limits the medical services market, and within these boundaries is natural to relate the natural human needs and requirements of the categories of marketing health care system.