Blood purification methods in practice of intensive care specialists: legal and financial aspects

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Efficiency underlies application of any method of treatment in clinical practice. However, its wide use is impossible without adequate legal regulation and financing. The existing regulatory legal acts concerning blood purification methods in practice of intensive care specialists are analyzed in the article.

Keywords:

legal regulation

healthcare

blood purification

extracorporeal

dialysis

plasmapheresis

plasma exchange

hemoperfusion

professional standards

orders of medical care

medical services

clinical guidelines

high-technology medical care

specialized medical care

tariffs

payment of treatment

obligatory medical insurance

Authors:

Sokolov A.A.

Mechnikov North-Western State Medical University

Aleksandrova O.Yu.

Semashko National Research Institute of Public Health

Scopus AuthorID: 57213184487
ORCID: 0000-0002-0761-1838

Lebedinskii K.M.

North-Western State Medical University n.a. Mechnikov, Federal Research;
Clinical Center of Intensive Care Medicine and Rehabilitology

SPIN RSCI: 3590-2308
Scopus AuthorID: 6602775085
ResearcherID: O-8655-2014
ORCID: 0000-0002-5752-4812

Received:

10.05.2020

Accepted:

20.06.2020

List of references:

Prikaz Ministerstva truda i sotsial’noj zashchity Rossijskoj Federatsii ot 27 avgusta 2018 g. №554n «Ob utverzhdenii professional’nogo standarta «Vrach-anesteziolog-reanimatolog». Accessed May 30, 2020. (In Russ.). https://www.consultant.ru/document/cons_doc_LAW_306918
Prikaz Ministerstva truda i sotsial’noj zashchity Rossijskoj Federatsii ot 20 noyabrya 2018 g. №712n «Ob utverzhdenii professional’nogo standarta «Vrach-nefrolog». Accessed May 30, 2020. (In Russ.). https://www.consultant.ru/document/cons_doc_LAW_313082
Prikaz Ministerstva truda i sotsial’noj zashchity Rossijskoj Federatsii ot 11 marta 2019 g. №141n «Ob utverzhdenii professional’nogo standarta «Vrach-toksikolog». Accessed May 30, 2020. (In Russ.). https://www.consultant.ru/document/cons_doc_LAW_322170
Federal’nyj zakon ot 21.11.11 g. №323-FZ «Ob osnovakh okhrany zdorov’ya grazhdan v Rossijskoj Federatsii» (red. ot 29.05.19). Accessed May 30, 2020. (In Russ.). https://base.garant.ru/12191967
Prikaz Ministerstva zdravookhraneniya Rossijskoj Federatsii ot 15 noyabrya 2012 g. №919n «Ob utverzhdenii Poryadka okazaniya meditsinskoj pomoshchi vzroslomu naseleniyu po profilyu «anesteziologiya i reanimatologiya» (s izm. na 14 sentyabrya 2018 g.). Accessed May 30, 2020. (In Russ.). https://www.consultant.ru/document/cons_doc_LAW_141958
Prikaz Ministerstva zdravookhraneniya Rossijskoj Federatsii ot 18 yanvarya 2012 g. №17n «Ob utverzhdenii Poryadka okazaniya meditsinskoj pomoshchi vzroslomu naseleniyu po profilyu «nefrologiya» (s izm. na 31 oktyabrya 2018 g.). Accessed May 30, 2020. (In Russ.). https://www.consultant.ru/document/cons_doc_LAW_127224
Prikaz Ministerstva zdravookhraneniya Rossijskoj Federatsii ot 15 noyabrya 2012 g. №925n «Ob utverzhdenii Poryadka okazaniya meditsinskoj pomoshchi bol’nym s ostrymi khimicheskimi otravleniyami». Accessed May 30, 2020. (In Russ.). https://www.consultant.ru/document/cons_doc_LAW_141878
Prikaz Ministerstva zdravookhraneniya Rossijskoj Federatsii ot 1 noyabrya 2012 g. №572n «Ob utverzhdenii Poryadka okazaniya meditsinskoj pomoshchi po profilyu akusherstvo i ginekologiya (za isklyucheniem ispol’zovaniya vspomogatel’nykh reproduktivnykh tekhnologij)» (s izm. na 12 yanvarya 2016 g.). Accessed May 30, 2020. (In Russ.). https://www.consultant.ru/document/cons_doc_LAW_144927
Prikaz Ministerstva zdravookhraneniya SSSR ot 7 yanvarya 1987 g. №34 «O merakh po vnedreniyu v meditsinskuyu praktiku metodov sorbtsionnoj terapii». Accessed May 30, 2020. (In Russ.). https://docs.cntd.ru/document/42035034
Prikaz Ministerstva zdravookhraneniya SSSR ot 6 avgusta 1986 g. №1039 «O merakh po vnedreniyu v praktiku metoda gravitatsionnoj khirurgii krovi». Accessed May 30, 2020. (In Russ.). https://docs.cntd.ru/document/456085450
Prikaz Ministerstva zdravookhraneniya Rossijskoj Federatsii ot 13 oktyabrya 2017 g. №804n «Ob utverzhdenii nomenklatury meditsinskikh uslug». Accessed May 30, 2020. (In Russ.). https://www.consultant.ru/document/cons_doc_LAW_282466
Prikaz Ministerstva zdravookhraneniya Rossijskoj Federatsii ot 28.02.19 №103n «Ob utverzhdenii poryadka i srokov razrabotki klinicheskikh rekomendatsij, ikh peresmotra, tipovoj formy klinicheskikh rekomendatsij i trebovanij k ikh strukture, sostavu i nauchnoj obosnovannosti vklyuchaemoj v klinicheskie rekomendatsii informatsii». Accessed May 30, 2020. (In Russ.). https://www.consultant.ru/document/cons_doc_LAW_324276
Federal’nyj zakon ot 25 dekabrya 2018 g. №489-FZ «O vnesenii izmenenij v stat’yu 40 Federal’nogo zakona «Ob obyazatel’nom meditsinskom strakhovanii v Rossijskoj Federatsii» i Federal’nyj zakon «Ob osnovakh okhrany zdorov’ya grazhdan v Rossijskoj Federatsii» po voprosam klinicheskikh rekomendatsij». Accessed May 30, 2020. (In Russ.). https://www.consultant.ru/document/cons_doc_LAW_314269
Postanovlenie Pravitel’stva Rossijskoj Federatsii ot 7 dekabrya 2019 g. №1610 «O programme gosudarstvennykh garantij besplatnogo okazaniya grazhdanam meditsinskoj pomoshchi na 2020 g. i na planovyj period 2021 i 2022 gg.». Accessed May 30, 2020. (In Russ.). https://www.consultant.ru/document/cons_doc_LAW_339883/a9280b6143453b042594f2460e1bdc77efd9da56
Pis’mo Ministerstva zdravookhraneniya Rossijskoj Federatsii №11-7/I/2-11779 ot 12.12.19, Federal’nogo fonda obyazatel’nogo meditsinskogo strakhovaniya №17033/26-2/i ot 12.12.19 «O metodicheskikh rekomendatsiyakh po sposobam oplaty meditsinskoj pomoshchi za schet sredstv obyazatel’nogo meditsinskogo strakhovaniya». Accessed May 30, 2020. (In Russ.). https://www.consultant.ru/document/cons_doc_LAW_340431/1ffda3e72f06a25d137136602ed8d4b5f61b9864
Prilozhenie №8.2 k «Dopolnitel’nomu soglasheniyu №1 ot 31.01.18 k Tarifnomu soglasheniyu na oplatu meditsinskoj pomoshchi, okazyvaemoj po territorial’noj programme obyazatel’nogo meditsinskogo strakhovaniya goroda Moskvy na 2018 g. ot 27.12.17». Accessed May 30, 2020. (In Russ.). https://www.consultant.ru/cons/cgi/online.cgi?rnd=845F31AC9D495E09F2327E1D1B81C3DB&req=doc&base=MLAW&n=184406&dst=123104&fld=134&REFFIELD=134&REFDST=100032&REFDOC=184248&REFBASE=MLAW&stat=refcode%3D10677%3Bdstident%3D123104%3Bindex%3D81#21h9kidirtj
Prilozhenie №8.2 k «Tarifnomu soglasheniyu na oplatu meditsinskoj pomoshchi, okazyvaemoj po territorial’noj programme obyazatel’nogo meditsinskogo strakhovaniya goroda Moskvy na 2020 g. ot 30.12.19». Accessed May 30, 2020. (In Russ.). https://www.consultant.ru/cons/cgi/online.cgi?from=201500-0&rnd=845F31AC9D495E09F2327E1D1B81C3DB&req=doc&base=MLAW&n=203561&REFDOC=201500&REFBASE=MLAW#prwqfuwbk
Prilozhenie №46 k «Tarifnomu soglasheniyu v sfere obyazatel’nogo meditsinskogo strakhovaniya Amurskoj oblasti na 2020 g. ot 28.12.19». Accessed May 30, 2020. (In Russ.). https://amurzdrav.ru/ministry/programs/tpgg
Prilozhenie №13 k «Tarifnomu soglasheniyu v sfere obyazatel’nogo meditsinskogo strakhovaniya v Kaluzhskoj oblasti na 2020 g. ot 27.12.19». Accessed May 30, 2020. (In Russ.). https://oms-kaluga.ru/documents/normativnye-dokumenty-kaluzhskoy-oblasti/tarifnye-soglasheniya
Prilozhenie №16 k «Tarifnomu soglasheniyu po obyazatel’nomu meditsinskomu strakhovaniyu na territorii Sverdlovskoj oblasti na 2020 g. ot 28.12.19». Accessed May 30, 2020. (In Russ.). https://www.tfoms.e-burg.ru/documents/7236
Prilozhenie №6 k «Tarifnomu soglasheniyu po realizatsii Territorial’noj programmy OMS Tverskoj oblasti na 2020 g. i na planovyj period 2021 i 2022 gg. ot 26.12.19». Accessed May 30, 2020. (In Russ.). https://xn--80aeelexi0a.xn--80aaccp4ajwpkgbl4lpb.xn--p1ai/np-baza/territorialnaya-programma-gosudarstvennykh-garantiy/2019-god
Prilozhenie №25 k «Tarifnomu soglasheniyu na oplatu meditsinskoj pomoshchi po obyazatel’nomu meditsinskomu strakhovaniyu v Respublike Marij El na 2020 g. ot 27.12.19». Accessed May 30, 2020. (In Russ.). https://www.rfoms.mari-el.ru/normdoc/normdoc_rme/tarifagr
Prilozhenie №4 k «Tarifnomu soglasheniyu v sfere obyazatel’nogo meditsinskogo strakhovaniya Respubliki Kalmykiya na 2020 g. ot 09.01.20». Accessed May 30, 2020. (In Russ.). https://kalmfoms.ru/TarifSogl.html
Prilozhenie №27 k «Tarifnomu soglasheniyu po obyazatel’nomu meditsinskomu strakhovaniyu na territorii Respubliki Bashkortostan na 2020 g. ot 30.12.19». Accessed May 30, 2020. (In Russ.). https://tfoms-rb.ru/ru/node/6536
Protokol №5 zasedaniya komissii po razrabotke territorial’noj programmy obyazatel’nogo strakhovaniya v Sankt-Peterburge ot 28.03.12. Punkt 16 «O rasprostranenii s 01.04.12 tarifov v sootvetstvii s MES lecheniya tyazhelogo sepsisa v sootvetstvii s p. 4.4. protokola zasedaniya Komissii ot 22.02.12». (In Russ.).
Prilozhenie №10 (razdel 2) k «General’nomu tarifnomu soglasheniyu na oplatu meditsinskoj pomoshchi, okazyvaemoj po territorial’noj programme obyazatel’nogo meditsinskogo strakhovaniya goroda Sankt-Peterburga na 2020 g. ot 30.12.19». Accessed May 30, 2020. (In Russ.). https://spboms.ru/page/docs

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