This creates a legal mechanism under which legal personality as applied to medical practice (diagnostic and treatment process) has only a physician (a nurse), and not a medical organization, as the only individual at the same time apply the basic elements of the concept of "personality": capacity, efficiency and deliktosposobnost. Model of public health requires unusual options for the Russian reality of the employment relationship between the owner of medical organizations (whether government or private person) and medical staff. The role of representative of the owner in the hospital is primarily to monitor the effective operation of the property owner of the workforce (union) of health workers in carrying out medical activities, and the signing of a collective agreement with the union of the medical organization. That union specific medical organization supports economic (economic) subject to the legal relationship with both the owner of hospitals and with insurance companies, suppliers of medicines, medical equipment, etc. (Signs contract exposes and / or pays the bills, keeps records of working time, wages paid, etc.). Responsibility for quality health care at public health model rests primarily on the media professions - physician (a nurse), and - on the structure governing their professional activities - professional association of medical specialties. High level of quality performance by a doctor (a nurse), their profession depends on many factors, chief among them - well-designed performance standards for all medical specialties and control over their performance by professional medical associations, a rigorous system of continuous postgraduate education followed by the certification procedure, the system of corporate ethics and professional liability insurance (the amount of annual insurance for the benefit of third parties for some specialties more than $ 1 million). The involvement of state regulators in a system of measures to improve the quality of care is, as a rule, or formal (the license is issued only if the certificate / diploma), or mediated, for example, through financing funds, professional liability insurers of physicians, investment promising scientific research and t . etc. High degree of protection for patient and physician conflict situations is achieved not so much the work of the judiciary, how many - the active work of various public (non-judicial) institutions with broad powers by virtue of their legitimacy. From the viewpoint of the scientific theory of regulation the Western model of public health in the execution of professional medical practice (ie, that do not governed gosregulyatorom) can be regarded as an industry self-regulation option [13,14].
No comments:
Post a Comment