In paragraph 5.3 TPPGG provided ...

In section 5.3 TPPGG provides catering one of the parents admitted to hospital with a sick child, but the power of parents in the tariff is not provided and not as stated. I can not ignore the list of violations of conditions of contract for the provision of therapeutic and preventive care in the MLA. One of the positive aspects, the provision of pharmaceutical care in a children's city hospital, it was free and at a high level of medication assistance including outside the list of vital and essential medicines. Good or bad, probably the truth here three, one at the health facility, the other for Mandatory Medical Insurance Fund and the third patient for whom the insurance company. According to the list of penalties health facilities shall be fined for the appointment of drugs outside the list ZHNVLS or every appointment doctor to agree with the KAC. Necessary to convene the KAC to sign, and then need to write, pay and receive. By this time, it may not need to. This item is a list of penalties is contrary to Article 58 Principles of Legislation, which states that the recommendations of the consultants are only implemented in consultation with the doctor, but here the appointment of medicines is determined by the decision of KEK. Another of the negative aspects of this provision of health facilities and middle medical staff. By world standards, the effective work of the doctor would be achieved if this ratio of 1 to 4, today is barely 2, and even below. Do not address training of paramedical personnel, the number of graduates is not enough, and it continues for years. There are considerable difficulties in post-graduate training pediatricians, pediatric surgeons, urologists, anesthesiologists, and this prevents the acting legislation today. Number of places for training is limited and demand is high. Finally, progress in health depends not only on human capacity and equipment availability. Competitiveness of state and municipal health care facilities today is low and significant progress is not here. Outdated equipment, you need to replenish it, and I think not the last word should be said medical insurance system. He bem equipment which is purchased with the money OMC extremely inadequate it is necessary to increase and certainly not without the participation of the budget. For rational use of available cash resources of the purchase of equipment can be increased by allowing managers to spend health care facilities at least 10% of the funding for these purposes. 18/04/2004 Year

Information management is worth a lot

I. six destiny E-mail: i_togunov@mail.ru One of the priorities in the modernization and development of compulsory medical insurance system in general and the OMC, in particular regional funds CBOs, among others, stands out the direction for the improvement of scientific information and information technology support system of local self-government, the direction in which a number of other tasks defined by one of the last decisions of the Federal Compulsory Medical Insurance Fund.