No abstract

Purpose of the study. To analyze the concept of creating patient-oriented medicine, the prerequisites for its emergence, the difficulties of introducing it into existing health systems based on foreign experience. Materials and methods. The main materials of the study were used sources of foreign literature, which presents the concept of patient-oriented medicine, analyzed the prerequisites for changing models of health care in the European Union, USA and Asia in accordance with the principles of patient-oriented medicine, as well as data on the components and levels of patient-oriented medicine in foreign countries Results. The analyzed literature quite fully describes the difficulties of introducing patient-oriented medicine into existing health care systems. Particular attention should be paid to a multidisciplinary approach, continuity at different levels of medical care and effective communication between the physician and the patient towards the integration of this model into clinical practice. The analysis of the availability of medical care in developed countries and its dependence on social status, ethnicity and disease of the patient. Conclusion. Patient-oriented medicine is a new model for planning, implementing and evaluating medical services, which is based on mutually beneficial partnerships between medical workers, patients and their families. Taking into account the current problems of domestic health care, the introduction of the patient-oriented model will significantly improve the quality of medical care provided to the population of our country. Globally, the implementation of the principles of this model is far from complete. In the Russian Federation, targeted work in this direction requires additional scientific research, systematization of available data, and development of new legal documents

No abstract

The article examines the historical aspect of the effectiveness of the compulsory health insurance system in Russia, the search for rational methods of paying for medical care both in outpatient and inpatient settings, the reform of Russian health care based on the insurance model and the introduction of per capita payment methods. In order to substantiate the per capita payment for PHC with elements of fund holding and the consolidation of social equality in the provision of medical services, the article analyzes the types of payment for medical services from fees (for the volume of services provided — visits, beddays, etc.) to per capita (for the number of attached to a medical organization of the insured, taking into account the results of activities, in conditions of partial or full fund holding). A deep analysis of the opinions of scientists and experts on the issue under consideration is given. The article was prepared based on the results of research carried out at the expense of budgetary funds on the state order of the Financial University in 2020.