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Omelyanovskiy V.V.

Center for Expertise and Quality Control of Medical Care;
Russian Medical Academy of Continuous Professional Education;
Research Financial Institute;
Semashko National Research Institute of Public Health

Avxentyeva M.V.

Center for Expertise and Quality Control of Medical Care;
Russian Medical Academy of Continuous Professional Education;
Research Financial Institute

Zheleznyakova I.A.

Center for Expertise and Quality Control of Medical Care;
Russian Medical Academy of Continuous Professional Education

Lazareva M.L.

Center for Expertise and Quality Control of Medical Care

Fedyaev D.V.

Center for Expertise and Quality Control of Medical Care;
Russian Medical Academy of Continuous Professional Education;
Research Financial Institute

Zuev A.V.

Center for Expertise and Quality Control of Medical Care;
Russian Medical Academy of Continuous Professional Education

Main changes in the model of diagnosis-related groups in 2021

Authors:

Omelyanovskiy V.V., Avxentyeva M.V., Zheleznyakova I.A., Lazareva M.L., Fedyaev D.V., Zuev A.V.

More about the authors

Journal: Medical Technologies. Assessment and Choice. 2021;43(2): 9‑21

DOI: 10.17116/medtech2021430219

Views: 1642

Downloaded: 110

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To cite this article:

Omelyanovskiy VV, Avxentyeva MV, Zheleznyakova IA, Lazareva ML, Fedyaev DV, Zuev AV. Main changes in the model of diagnosis-related groups in 2021. Medical Technologies. Assessment and Choice. 2021;43(2):9‑21. (In Russ.)
https://doi.org/10.17116/medtech2021430219

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The authors explain the main changes in the Russian model of diagnosis-related groups used for medical care payment from the funds of compulsory health insurance in 2021 compared to 2020. New diagnosis-related groups for payment for treatment of patients with malignancies of lymphoid and hematopoietic tissues, treatment and follow-up of patients with new coronavirus infection, rehabilitation after COVID-19 and cancer, surgical treatment of large and giant hernias with mesh implants are described. The authors discuss expanding the list of classification criteria for diagnosis-related groups, updating of approaches to cost weight coefficients for calculation of cost of antineoplastic treatment.

Keywords:

medical care payment
diagnosis-related groups
classification criterion
cost weight coefficient

Authors:

Omelyanovskiy V.V.

Center for Expertise and Quality Control of Medical Care;
Russian Medical Academy of Continuous Professional Education;
Research Financial Institute;
Semashko National Research Institute of Public Health

Avxentyeva M.V.

Center for Expertise and Quality Control of Medical Care;
Russian Medical Academy of Continuous Professional Education;
Research Financial Institute

Zheleznyakova I.A.

Center for Expertise and Quality Control of Medical Care;
Russian Medical Academy of Continuous Professional Education

Lazareva M.L.

Center for Expertise and Quality Control of Medical Care

Fedyaev D.V.

Center for Expertise and Quality Control of Medical Care;
Russian Medical Academy of Continuous Professional Education;
Research Financial Institute

Zuev A.V.

Center for Expertise and Quality Control of Medical Care;
Russian Medical Academy of Continuous Professional Education

Received:

11.03.2021

Accepted:

16.03.2021

List of references:

  1. Avxentyeva MV, Salakhutdinova SK. Clinical and statistical groups (CSG) as a new method of payment for inpatient and inpatient replacement care in the Russian Federation. Lekarstvennyi Vestnik. 2016;10(2):31-36. 
  2. Avxentyeva MV, Omelyanovskiy VV, Petrovskiy AV, Davydov MI, Zheleznyakova IA, Tyulyandin SA, et al. New Approaches to the Development of Diagnostic Related Groups for Cancer Pharmacotherapy in Russian Federation. Medicinskie tekhnologii. Ocenka i vybor. 2018;2(32):8-22. 
  3. Lazareva ML, Zheleznyakova IA, Avxentyeva MV, Fedyaev DV, Zuev AV, Ledovskikh YA, et al. Main Changes in the Model of Diagnosis-Related Groups in Russia in 2020. Medicinskie tekhnologii. Ocenka i vybor. 2020;39(1):19-29. 

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