If a patient today is ...

If the patient now has a formal right to choose doctors and medical institutions, the choice of medical insurance organization no. No choice can not be compared, and conditions of insurance, what medical company provides the most favorable conditions. Currently, the system of financing health care facilities came into conflict with the concept of health development, in other words the system of funding is the obstacle of new technologies in health care. System of financing health care facilities requires a change. Rates approved for housing have placed a heavy burden on the meager budget of citizens of the Amur region, while the tariffs approved and agreed to mandatory health insurance flit like butterflies because they are understated and do not provide the normal functioning hospitals. According to Article 24 of the Law "On medical insurance of citizens of the RSFSR" tariffs should ensure the profitability of the medical institution and a modern level of medical care. The approved rates for per capita funding for outpatient clinics not only profitable, they are still unprofitable. In the city of Blagoveshchensk, 4 children's clinic can barely make ends meet, somehow to exist. If approved tariffs of no development of outpatient care can not be considered. The question of funding per capita than once posed to the leadership of Mandatory Medical Insurance Fund and the Department of Health, however, things are out there. On per capita funding was reflected in one of the numbers of the newspaper "Amur Pravda in 2003, but in this publication, as the reaction was not. For example, we make small payments in the amount of primary schools and compare two facts funding per capita basis and on the visits, the so-called gonorarnomu. A child at an average annual physician visits from 9 to 12 times (0.75 -1 times a month), so the monthly payment of per capita funding should be at least 75 and not more than 100% payment per visit for gonorarnomu type. What we see is actually a visit to a doctor about the disease ranged from 122 rubles for an otolaryngologist to 430 rubles a physician haematologist. On per capita funding per child per month, 52 rubles 06 kopecks, that a percentage of gonorarnomu type of payment is from 42.7 to 12.1%. Size of per capita funding for routine inspection ranges from 79.6 to 41.4%. The most conservative estimate of funding per capita norm underestimates revenues of health facilities in 2 times. And now the question is who benefits from it, or would like better than it turned out as always right on Chernomyrdin. One of the conditions for transition to per capita funding was not to worsen the funding of health facilities passed to a new and more progressive form of financing. Appeal to the Mandatory Medical Insurance Fund and the Department for two years, neither of which did not give, so we decided to go back to pay for gonorarnomu type. Guess what will follow in what direction will jerk rate for the payment of gonorarnomu type.