Monday, 9 May 2011

From the standpoint of scientific methodology ...

From the standpoint of scientific methodology does not matter what the formalized nature of the structural unit of physician-patient relationship, the least restrictive of individual freedom, will constitute the basis for a model health care system. It is important that the specific form of the relationship of the subjects, on the one hand, it does not violate the constitutional rights of any person as a citizen and subject of the other - allowed to build a model health care system, both in form and substance to the logic of the organizational and legal aspects of certain liberal entities. Among the variety of forms and content of relationships in health care systems is proposed to base marketing (liberal) relationships between entities in the system and on the basis of this attempt to present a typology and legal characteristics of health systems. This approach, in our opinion, it is quite logical and justified. Especially because it allows to take into account, inter alia, the objective reality of filling the modern national system of health economic components. In addition, to some extent provides a study of health systems based on a balance between theoretical and practical experience of social hygiene and health management with the scientific principles of marketing, advanced information technologies mathematical and economic modeling. Such integration is one of the ways of modern approaches to understanding the essence of objective health systems development and application of new forms and methods to manage (control) of such systems. On the basis of this approach, we propose the following conceptual typology of models of health care systems: 1. Natural ("primitive") model health care system - a system characterized by the absence or very low degree of ordering of the legal relationship between doctor and patient, 2. Market (marketing) model of health systems - systems that rely for its operation and evolution of the objective of economic and other social laws, defining the target of interaction of producer and consumer of medical services; 3. Non-market (socialist) model of the health care system - a system of non-production economic principle of operation, in which the medical care provided by a total role of the state, 4. Model health care system of mixed type - a system combining a paternalistic relationship between doctor and patient, and the liberal nature of the marketing of such relationships. The proposed typological approach, above all, to lay the basis for the functioning of all possible health systems, the principle of freedom, to characterize the degree of free development in all the systems, not only to implement this principle in the private health care organizations. In addition, such an approach shot some controversy external isolation of Health, which is not soluble in views on the system within the object and institutional approaches.

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