The prospect of state models ...

The prospect of public health management model is also well known: poor quality of care, professional nurses and social apathy, corruption, bribery, degradation of medical science and industry in general. Public health management model involves medical officials are only in solving industry-wide and paramedical issues, implementation of licensing and representative functions well, and professional medical associations govern the professional activities of doctors and nurses. Professional associations for each medical specialty independently develop and maintain professional standards, programs of higher and postgraduate education, conduct regular certification of its members with the issuance of relevant documents, strictly enforce the rules of business associations, members of corporate ethics, and organize occupational hazards of doctors and nurses. In most countries with public health management model membership for doctors and nurses in the Association is virtually mandatory, as, for example, not being a member of the Association of Surgeons of Florida, a surgeon can not work in the specialty in this state. However, professional associations do not interfere in the employment relationship and the employer's physician, as these issues relate to the conduct of trade union of medical organizations. In fact, professional associations and trade unions work closely with each other, conduct joint activities and actions, and often housed in one building (such as in neighboring Finland). With this construction management doctor is motivated primarily by the effective clinical work, which is achieved through a system of continuous postgraduate education (diversity in learning, attracted by the information resources is amazing), a transparent system of professional career, decent wages and high social status in society. With this design there are no preconditions for the appointment of "extreme" for each medical specialty (Institute of senior specialists): Association of Surgeons decide all questions on the surgery, and the association of therapists - therapists (and so on for each specialty) as a region-wide, so and across countries. SA Andenko clear that in Russia the transition from the state to the social model of health management will be extended in time. Several reasons for this, one of them - the desire of officials to maintain control of occupational physicians in their hands, especially such "sweet" of its elements, such as certification, certification, approval of the "right" medication list, etc.). Too high "price of the issue." For example, in St. Petersburg personal expenses of physicians and nurses to confirm the qualification categories each year at more than 10 million rubles. Ask the leaders of evaluation committees: where are the money? Russian medical community awaits the arrival of the third year of federal law "On self-regulatory organizations, which should put an end to the arbitrariness of bureaucrats in the professional activities of physicians.