Algorithm of innovative medical and economic standards as a basis for the transformation of hypothetical predictions of the launch of insurance medicine

Introduction: Based of tht author's doctoral dissertation of tht problems of insurance medicine, relevant monographs and scientific articles, an attempt is presented to substantiate tht option of transforming our purely governmental national system of insurance medicine. Purpose: Using more than thirty of our innovative organizational and medico-economic standards, criteria and regulations, in tht process of their "activation" in the conditions of a full-scale experiment under the pilot project program in the Health Care institutions of various levels of medical district, to determine the level of their effectiveness to justify the specified transformation during the launch of our system of insurance medicine. Materials and methods: The object of the study was all residents (up to 2000) of the family physician's area of responsibility. On the basis of structural-logical analysis and the use of medical-economic standards, doctors' labor costs, distribution of otolaryngological diseases into clinical-statistical groups (CSG) and diagnosticrelated groups (DRG), as well as the degree of their complexity and the complexity of possible surgical interventions, thanks to the formula for calculating the labor costs of doctors and treatment process we obtained evidencebased information about real "budget" cost of treatment of diseases of a certain CSG. Results and discussion: At the first in trade part mental stage of insurance medicine, the main tool should be a system of medical and economic standards, which include the price of labor costs, in particular doctors, wage fund, rates of increasing coefficients for the treatment of complex diseases, the level of financial incentives for doctors and the like. The tables present a mechanism for calculating the evidence-based cost of treating diseases of varying degrees of complexity and physician salaries, as well as the possibilities of forming both an adequate amount of funds that "follow the patient" and forecasting the health improvement budget for the family physician's area of responsibility. Conclusions: Presented an algorithm for the implementation of our medical and economic standards, the feasibility of which has been proven in the "field" conditions of the field experiment in the process of professional management, can constitute, under conditions of its continuous improvement, the medical and economic basis for the start of our system of budgetary and insurance medicine.

Impact of AIDS/HIV on Medical Directors

The decade of AIDS/HIV has changed the way insurance medicine is practiced by medical directors. One director details some of these changes.

Realization of the Right to Health Protection in Insurance Medicine: The First Experience of Covid-19

This article analyze the effectiveness of insurance medicine and the negative consequences of its work, which we could observe in the first period of the pandemic. The research methodology is based on general and special scientific methods, in particular: formal-legal, historical-legal, comparative analysis, and modeling. The procedure and issues to be considered are as follows: in the introduction, we will consider the concept of “the right to health care” and why it is important; in the first section, we will look at the general state of affairs, figures for different countries, and the first results of the fight against the pandemic; in the second section, we will touch on some of the problems of access to health care in the insurance system and its aggravation in connection with the pandemic; in the third, we will consider the impact of the pandemic on the health insurance system and how it could have been avoided some problems. The results of this study emphasize that the medical insurance system has extremely unsatisfactorily coped with the pandemic and its consequences, and therefore it is necessary at least to carry out a full-fledged official, and at best to develop an urgent comprehensive modernization program, taking into account the above positive experience of other developed countries.

HISTORICAL AND PHILOSOPHICAL ROOTS OF BIOETHICS

This article is about the formation and historical philosophical roots of bioethics. The conditions and factors for the emergence of bioethics can be explained as follows: the introduction of commercial medicine, the strict struggle to respect the rights of patients, as well as the interests of health workers, the introduction of insurance medicine, legislation, clergy and other religious institutions and organizations, codes of ethics created in different countries. The need to establish international committees on bioethics to prevent all attempts to misuse modern medical advances for undesirable purposes, including the use of bacteriological, chemical and nuclear weapons.