Wednesday, 11 May 2011

I would like to implement ...

I would like to implement this direction has allowed a certain extent, neutralize the mistakes that were made during the formation and evolution of the national system of local self-government. In Belgorod in late April was a meeting of representatives of the territorial offices of the pension fund, CBOs, local government areas included in the experiment for health insurance of retirees. Encouraging moments of one of the stages of modernization of CBOs are the participants agreed on the introduction of repayment of medical services for the finished case, in accordance with medico-economic standards (MES) and the formation mechanism of personified accounting of costs for medical services for each patient with an open provision of information to patients. Rapid changes of modern society, may make some of the submitted material less significant than they seemed in the past. The system of compulsory medical insurance for citizens of the Russian Federation over the past decade has proven the viability of organizational forms and management approaches that, in varying degrees, to approach the creation of social-labor relations in the health sector, based on the marketing entity. However, theorists and practitioners of public health, including the structures of obligatory medical insurance in recent years more and more talk about the reform of the compulsory health insurance system, "in order to create a real legislative model to develop our financial health" (AM Taranov , "Journal of compulsory medical insurance). On the ground, began to discuss the draft revised Law on Health Insurance. Under the designated problem of evolution of the national system of local self-government principle question is whether the current system of local self-government retained a "cosmetic" changes, or continue its qualitative development? For me, not very clear, the term "stabilize the system OMS. During the ten years that have passed since the introduction of compulsory medical insurance in Russia, legal aspects, organizational structure, technology, relationships of entities with respect to OMS worked out. Today, the functioning of local self-government in Russia steadily. Systemic crises and shocks do not seem to be expected. Natural changes within the system itself, are most likely evolutionary. Attempts to qualitatively change the system, for example, create a model of social health insurance failed, which is natural and understandable: very silno lobbying existing structures, not the desired concentration of funding health care systems in third hands instead fund social and medical insurance. Instead of the term "stabilize the system OMC" I would want to talk about improving or transforming the national system of local self-government. Do you need such a transformation? It is clear that any social structure should be a natural change, development, adaptation to changing conditions, should be improved.

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