Committee on Public Health Administration ...

Committee on Public Health Administration of Volgograd has issued an order on carrying out the experiment on the organization of primary health care on the basis of general practitioners (GPs), based on which had been approved "Regulations on general practitioners (family doctor)" and "Regulations on the organization of the general practitioner (GP) in Volgograd. In accordance with the tasks was chosen territorial polyclinic. In addition, the experts of the Committee on Health and the leadership of MMC Clinical Hospital № 7 prepared by a working place for the general practitioner (GP) using a standard-issue equipment and medical instruments (Annex 8 to the Order of the Ministry of Health of Russian Federation № 237 dated 08/26/1992). Territorial Health Insurance Fund (TFOMS) signed a contract with a general practitioner (family doctor) on per capita funding of its activities for a period of 6 months. According to the commitments undertaken to finance activities TFOMS physician for 40% the size of the premium for compulsory health insurance of unemployed people by the number of attached population. Much attention has been paid to creating an enabling socio-psychological conditions conducive to obtaining the consent of the inhabitants of the territorial area of ??treatment and observation of their family members by one doctor - a general practitioner (family doctor). Offer "be treated by a family doctor" caused a mixed reaction from Volgograd, accustomed to the fact that children and pregnant women are observed in the specialized agencies. Time spent on the organization of the general practitioner (GP) was 1.5 months (see table). General practice was established in the territorial structure of the branch clinics serving 20 thousand people. The population of the territorial area, attached to a GP (CB) was originally a 850 and was subsequently increased to 1300. Staffing of general practice represented a doctor, two nurses, general practitioners, nurses. Legal status of the doctor in the state of MMU "Clinical Hospital № 7" is defined as follows: it has a separate sub-account, the relationship with head of the institution are based on contract, and the structural unit of an institution - for mutual volume of services rendered and operating rates in the MLA. The funding system: partial fundholding, excluding payments to urban hospitals for hospital help affixed to the population. In accordance with the population plot GP (SW) (under contracts with the Public Health Committee of Volgograd and territorial funds of obligatory medical insurance) partial fundholding was 40% of the annual insurance premium for compulsory health insurance of unemployed citizens in the region. Mutual GP (CB) with medical specialists, paraclinical services, health care facilities that provide medical services for its intended use, performed head of the institution at the expense of the subaccount GP (CB).