allowance. - M.: Yurayt-Izdat, 2004 ...

Allowance. - M.: Yurayt-Izdat, 2004. Michael E. Porter, Competitive Strategy: Techniques of analysis and competitor / Translation from English. - Moscow: Alpina Business Books, 2005. Six destiny IA Competition in Health and Medicine / Health Manager, 2005, № 12. Fatkhutdinov RA Management of competitiveness of the organization. Textbook. - M.:. Penguin Books, 2004.

Top - could, if they want the lower classes?

(Current Problems in Public Health) Igor six destiny E-mail: i_togunov@mail.ru begin with is not very serious, but quite imaginative. It is well known emblem of healing and medicine: a bowl with the antidote, and over her head of the snake, wound around the cup. If we compare our present suffering bureaucratic health care system with this emblem, the grove can be correlated with the health care system, but the image of the snake turns into a hateful image of the three-headed hydra. First Head - Local health care management (gorzdravotdely, departments, offices and health departments at provincial administrations, Republican and territorial health ministries and others). Second Head - territorial funds of obligatory medical insurance. And finally, the third head, while weakly implanted in the body health - local branches of the social insurance fund. If we continue the imagery - today this thicket in the shape of the Minister entrusted with the health worker does not hold and not even a zoologist, a specialist with a technical education. But it does not really matter. Now to the serious. Hardly anyone today would dispute the thesis that the Russian health care long ago requires a meaningful and effective reform. Modest changes in medicine do not correlate with the changes that have occurred in the economy and sectors of the economy of the country over the past fifteen years and is today. Is not a revelation of the idea that was introduced in the country ten years ago, a system of compulsory medical insurance did not live up to expectations and, along with some positive moments are not able to radically improve the efficiency and quality of medical care to insured patients, although spawned an army of officials, causing undisguised irritation among the population. If until 2001, one of the main functions of CMI funds were activities aimed at the accumulation of funds in the health insurance system, but today, when you pass this function the collection of contributions to MHI local chapters of tax inspection, the Executive Directorate of Foundations of NMR in some regions have turned into a kind of warm, familiar places with good money allowances not overloaded staff. All those who participated in the establishment of compulsory medical insurance system remembers what caused rejection of the newly formed funds OMC not only in population but also from local health authorities. And there were good reasons: health authorities, it seemed, forever losing the economic leverage of authoritarian control by medical institutions - in the health care system appeared extra-budgetary sources of funding are funds wherewith MLA.