This is confirmed by recognition of the impact of health care social status of the patient and his welfare. Transformation of relations towards marketing confirm the answers to enhance the economic components of such relationships and their degree of presence of a minor in the past. Peculiar paradox of contemporary relations between doctor and patient in Russia is that when explicit judgments about the positive transformation of relations in the direction of the market (marketing), the recognition of economic incentives for medical workers, some timid judgments on priority status of the patient, respondents appreciating the moral and ethical side of relations , advocated by the majority of the superiority of the doctor (paternalistic model of the relationships). Giving priority in its relations provider, and patients and doctors are logically favor government regulation of medical fees for their work. This study shows that in the opinions of respondents about the presence of objective trends, changing relationships patients and health workers towards liberal market is extremely high, the role of conservative beliefs in the prioritization of the doctor, as the subject of such a relationship. However, the diminished role of the patient as a consumer is very low degree of recognition of its economic participation and opportunities for active influence on the production and receipt of quality health services. Conducting private research reveals the existence of certain little-known problems in modern relationships patients and healthcare professionals. Objective the transformation of such relations in the new economic realities of national health care, requires a thorough scientific study and comprehension, search for objectivity in these relationships and the specific characteristic, the reduction characteristics of such relations in a specific system.
Ten events that shook the system MHI
six destiny IA MD, department head of the Vladimir Regional Mandatory Medical Insurance Fund, professor of BMI, Vladimir State University is taught whether we learn from history? The first attempt to create in Russia a civilized social insurance system was implemented the Third State Duma in 1912. A number of laws of social security workers, including its insurance against disease and accidents. The tsarist government did not have time to implement these laws. The second attempt (already in the Soviet era) is the operating insurance program of 1917-1918 and then in the period of the NEP (1921-1933 gg.) - Measures to revive and develop social security based on market relations. But this trend of liberalization in the health of the population has been offset by 56 years of authoritarian system of social security. The third attempt to create a social insurance system in conditions of market economy of modern Russia belongs to the last decade of the twentieth century.
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