Научно-практический журнал Медицинские технологии. Оценка и выбор
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Issue № 1 | 2020 (39)

DOI: https://doi.org/10.31556/2219-0678.2020.39.1.030-042 meta

Abstract

Aim of the study. Analysis of medical tourism’s organizational features based on the example of the large medical organizations in the United Kingdom, South Korea, Italy and China.

Materials and methods. The data were collected by the authors by interviewing the heads of medical organizations and their deputies in the United Kingdom, South Korea, Italy and China (3–4 respondents per medical organization) using the developed questionnaire to identify the main mechanisms and tools for organizing the export of medical services. SWOT-analysis (Strengths; Weaknesses; Opportunities; Threats) was performed in order to comprehensively evaluate the received information.

Results. Along with weaknesses and threats that slow down the development of medical services exports, strengths (internal factors) and opportunities ( external factors) that contribute to the development of medical tourism were also identified: the widespread popularity of the brand of medical organizations abroad which is associated with the provision of premium medical services; versatility and ability to conduct high-tech surgical operations; the presence of a separate premium class building and an international department for working with foreign patients and promoting a medical organization in the world market; well-established business relationships with assistance companies; foreign medical personnel who speak foreign languages and possess necessary skills to treat foreign patients; developed electronic medical care system; developed system of quality control of medical care; the presence of branches in other countries; the presence of a medical visa in the system of legislation; established cooperation with many countries at the embassy level; state licensing and accreditation for the provision of medical services to foreign citzens; the availability of a state website on the provision of medical assistance to foreign citizens; the possibility of the age of value added tax.

Conclusion. We identified main patterns in the organization of export of medical services that can be applied to develop this direction in medical organizations of the Russian Federation during the analysis the strengths and weaknesses of four large medical organizations abroad, as well as external factors that affect the work of these medical organizations.

Keywords

medical tourism, medical services export, medical information system, international department of a medical organization.

For citation

Daykhes A.N., Reshetnikov V.A., Manerova O.A., Mikhailov I.A. Analysis of Current Practices of Organizing the Export of Medical Services in the United Kingdom, Italy, South Korea and China. Medical technologies. Assessment and Choice. 2020; (1):30–42. DOI: 10.31556/2219-0678.2020.39.1.030-042

Issue № 4 | 2019 (38)

DOI: https://doi.org/10.31556/2219-0678.2019.38.4.018-026 meta

Abstract

The article describes the results of comparative analysis of two classifiers – the nomenclature of medical services, approved by the order of the Ministry of Health of Russia from October 13 2017 № 804(n), and International Classification of Health Interventions (ICHI), developed by World Health Organization. Similarities and differences are identified in classification of medical interventions in ICHI and medical services in nomenclature. Results of this work are expected to serve as a base for nomenclature’s improvement.

Keywords

health intervention, medical service, classification, coding, nomenclature of medical services, international classification of health interventions (ICHI).

For citation

Tyurina I.V., Avxentyeva M.V. Comparative analysis of nomenclature of medical services and international classification of health interventions
of the World Health Organization. Medical Technologies Assessment and Choice. 2019;(4):18–26. DOI: 10.31556/2219-0678.2019.38.4.018-026

Issue № 3 | 2019 (37)

DOI: https://doi.org/10.31556/2219-0678.2019.37.3.032-045 meta

Abstract

It has been globally recognized that effective management of human resources for health HRH is a key element in ensuring the quality of care. Health workforce planning (WFP) plays an important role in achieving the Millennium Development Goals in the field of health. Global communities and international organizations, such as the UN and WHO, have been developing various tools and programs to support the implementation processes of joint WFP to be adopted and used by governments around the globe. The main tool of WFP is modeling. A number of models have been developed to support WFP decision making. Such projects as The National Health Workforce Accounts (NHWA) and the European Joint Action Health Workforce Planning and Forecasting (JAHWPF and SEPEN) serve primarily to obtain reliable and comprehensive data for WFP and involve countries in joint activities in this direction, as well as to form homogeneous terminology and methodological approaches. This review describes a theoretical approach to the WFP and offers the implementation path based on the international practice.

Keywords

human resources for health, health workforce planning.

For citations

Omelyanovskiy V.V., Bezdenezhnykh T.P., Alkhasov T.G., Lukyantseva D.V. International experience in health workforce planning. Medical Technologies. Assessment and Choice. 2019;(3):32–45. DOI: 10.31556/2219-0678.2019.37.3.032-045

Issue № 2 | 2019 (36)

DOI: https://doi.org/10.31556/2219-0678.2019.36.2.016-023 meta

Abstract

Sweden is one of the first countries who establish health technology assessment (HTA) agency. Nowadays, there are two HTA organizations in the country. The first is one of the oldest in the world – the Swedish agency for health technology assessment and assessment of social services (SBU), and the second is the Council The Dental and Pharmaceutical Benefits Agency (TLV). Having similar tasks, organizations are created for different purposes. TLV assesses medical technologies within state reimbursement system, its purpose is to ensure the efficient use of budget funds. The SBU does not participate in the reimbursement system and does not have any regulatory functions, its purpose is to respond to public inquiries regarding the use of any medical technology. Agencies differ in the number of annually published reports, their types and objects of evaluation. Wherein the work of both institutions is characterized by a wide involvement of independent experts, outside organizations and particular attention to the economic component of the assessment.

Keywords

HTA, reimbursement, Sweden healthcare system.

For citations

Omelyanovskiy V.V., Gorkavenko F.V., Saybel Y.S., Khachatryan G.R. Health Technology Assessment System in Sweden. Medical Technologies. Assessment and Choice. 2019; 2(36): 16–23.

Issue № 1 | 2019 (35)

DOI: https://doi.org/10.31556/2219-0678.2019.35.1.018-031 meta

Abstract

The article is a systematic review of the research devoted to the study of epidemiology, mechanisms of adverse events associated with the provision of medical care, as well as the principles of patient safety management. The meta-analysis allowed to establish that cases of harm in the provision of medical care (adverse events) are recorded in 10.6% of patients. At the heart of the development of adverse events are systemic causes – latent threats, the management of which is the basis of the modern strategy of ensuring the safety of medical care.

Keywords

medical care; patient safety; adverse events; latent threats, active threats, incident; unexpected death.

For citations

Voskanyan Yu.E., Shikina I.B. Health Care Safety Management in Modern Health Care. Medical Technologies. Assessment and Choice. 2019; 1(35): 18–31.

Issue № 33 | 2018 (3)

DOI: https://doi.org/10.31556/2219-0678.2018.33.3.018-027 meta

Abstract

The application of the nomenclature of medical services in the Russian Federation revealed limitations of its structure and content. The analysis of international experience in the classification of medical interventions can help to improve this nomenclature. World Health Organization has prepared a draft of the International Classification of Health Interventions (ICHI), which should be a part of a family of health-related international classifications. It is not yet finished and cannot be used for the classification of medical services on a national level; however, its main principles have already been formulated. All interventions are classified according to three levels (axes): target of intervention; action (the essence of intervention), and means. Lists of types of targets, actions and means have been developed, and recommendations on the classification and coding of medical interventions have been proposed for various situations. There are significant differences in the approach to the classification of medical interventions between ICHI and the Russian nomenclature of medical services. A detailed comparative analysis of the classification principles in ICHI and in the nomenclature is needed.

Keywords

nomenclature of medical services, classification, coding, World Health Organization, International Classification of Health Interventions.

For citations

Tyurina I. V. The Principles of International Classification of Health Interventions of World Health Organization. Medical Technologies. Assessment and Choice. 2018; 3(33): 18–27.

Issue № 32 | 2018 (2)

DOI: https://doi.org/10.31556/2219-0678.2018.32.2.034-041 meta

Abstract

The article discusses the health technology assessment (HTA) in Scotland. The HTA is provided by the Scottish Medicines Consortium (SMC), that gives recommendations on the use of new registered drugs in the National Health Service of Scotland. New forms of release and new indications for the use of already existing drugs are assessed as well. The SMC assesses only new prescription drugs but not vaccines, generic drugs or blood products. The assessment procedures are strictly regulated. The experts use the specially designed checklists. The assessment is carried out on the basis of the data submitted by the applicant and filled in accordance with the established form (dossier). Clinical efficacy, safety, clinical and economic advantages of the drug in question are assessed. The file review takes about 18 weeks. Based on the assessment results, the SMC makes a conclusion on the possibility of financing the drug at the expense of the state budget. The SMC ‘s conclusions are recommendations only, the final decisions on the state financing of the drug are taken at the meetings of the country’s territorial health councils.

Keywords

health technology assessment, the Scottish Medicines Consortium, clinical checklist, economics checklist.

For citations

Teptsova N. S., Lemeshko V. A. Health Technology Assessment in Scotland. Medical Technologies. Assessment and Choice. 2018; 2(32): 34–41

Issue № 31 | 2018 (1)

Abstract

Canada’s health care system is strongly decentralized. Regions independently define the amount of necessary medical care, which causes unequal distribution of medical services and drug supply. The key mechanism of the optimization of public funds and providing appropriate drug care is health technology assessment (HTA) performed independently by the Canadian Agency for Drugs and Technologies in Health (CADTH) using Common Drug Review (CDR) or pan-Canadian Oncology Drug Review (pCODR) procedures. Both reviews include the assessment of clinical and economic effectiveness of drugs and recommendations on reimbursement. Despite the advisory nature of these documents, almost all decisions on the inclusion into the lists of refunded drugs are based on the results of the conducted HTA.

Keywords

health technology assessment, reimbursement system, Canada’s health care system, drug supply.

For citations

Lemeshko V. A., Teptsova T. S. Drug Supply and Health Technology Assessment in Canada’s Health Care System. Medical Technologies. Assessment and Choice. 2018; 1(31): 30–39.

Issue № 30 | 2017 (4)

Abstract

Most countries today actively implement electronic health care technologies including telemedicine. Telemedicine has already increased the availability of medical care for the population of remote areas, the elderly, and the patients with reduced mobility. It also improved the quality of care due to counselling sessions between regional hospitals and leading medical centers. According to economic studies conducted in the U.S., Japan, and other countries, telemedicine has a significant economic potential both for the budget of health care system and for patients. There are examples of successful telemedicine projects in Russia. The use of the best foreign experience makes it possible to integrate telemedicine technologies into medical practice.

Keywords

telemedicine, electronic health care, foreign experience, efficiency.

For citations

Lemeshko V. A., Teptsova T. S. Telemedicine: a Step to the Future of Health Care. Medical Technologies. Assessment and Choice. 2017; 4(30): 30–38.

Issue № 28 | 2017 (2)

Abstract

The article analyzes the methods of pricing and price regulation of medicines used in foreign countries. In the world practice, various pricing methods are used, and often several approaches are used in the pricing system of the region. The main methods of pricing include: Rate of return regulation; External reference pricing; Internal reference pricing; Costs plus pricing; Value-based pricing; Alternative pricing schemes (risk sharing agreements).

Keywords

pharmaceutical pricing, reference pricing, reference price, value-based pricing, risk-sharing agreements, alternative pricing schemes.

For citations

Musina N. Z., Fedyaeva V. К., Ivahnenko О. I., Khachatryan G. R., Gerasimova К. V. Analysis of Pricing Schemes and Price Regulation of the Cost of Drugs in Foreign Countries. Medical Technologies. Assessment and Choice. 2017; 2(28): 30–39.