Consilium Medicum (Dec 2021)
Organization of medical care in the oncology profile to patients outside the territory of their insurance in the context of changes in the regulatory rulemaking
Abstract
Background. Currently, there are large-scale changes in providing medical care in the oncology profile, that are reflected in the regulatory legal acts of the Ministry of Health of Russia, which will come into force in 2022 and will guide the classification of medical organizations providing services, as well as the features of diagnosing diseases, and standards for equipping hospitals, departments and specialized offices. At the same time, the issues of features of a procedure for providing medical care outside the territory of patients' insurance remain unresolved. Aim. To identify issues and prospects of the new procedure for providing care in the "oncology" profile outside the territory of patients' insurance using the analysis of the legal regulation established by orders of the Ministry of Health of Russia that are coming into force, and law-enforcement practice. Materials and methods. The analysis of the sources of legal regulation of the procedure for providing medical care to cancer patients, which are coming into force in the near future, was carried out. The analysis with the formal legal method allowed us to identify the essence, content, and legal consequences of the implementation of the norms governing the relations under discussion. Conclusion. The analysis of the prospects for the implementation of the new regulatory legal acts allowed us to formulate a series of proposals. First, it is recommended to provide informing patients and their relatives about the procedure for getting medical services outside the territory of their insurance. Secondly, it is proposed to ensure that medical organizations of the constituent entities of the Russian Federation and their officials are prohibited from restricting the patient's right to choose a doctor and a medical organization, such as refusing to issue a referral or misinformation about not having patient's right to independently seek medical help from a medical organization in another region. Third, the authors consider the practice of limiting the provision of medical care in the "oncology" profile in special federal centers by compiling lists of such organizations to be unreasonable and inappropriate. We also propose to create a unified specialized hospital stoke for the treatment of oncological diseases in the constituent entities of the Russian Federation and to establish the volume of medical care in the "oncology" profile in the constituent entities of the Russian Federation on the basis of medical organizations which participate in territorial compulsory health insurance programs, given real resources and the needs of medical services.
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