Preview

Current Pediatrics

Advanced search

MULTILEVEL SYSTEM OF MEDICAL CARE TO CHILDREN’S POPULATION

https://doi.org/10.15690/vsp.v13i2.967

Abstract

The characteristic of multilevel system of medical care is given to the population of economically developed countries (preventive, patronage and hospital stages). Advantages in improvement of quality and availability of medical services are noted it. Information on the first experience of the organization of three-level medical care to the population is provided in the Russian Federation. Features of the organization of this system of medical care for children are discussed. Prime measures for introduction of three-level system of rendering different types of medical care in pediatric practice are offered. Need of development of accurate concepts of three-level medical care is noted: definition that such «three-level system» and «three-level approach», what sign (territoriality, property, contingent, type of the help, help specialization, etc.) will be cornerstone of reference of establishment and/or a type of the help to this or that level. It is obviously important to designate main objectives and problems of each level of medical care. Only on the basis of this basic approach to introduction of the three-level organization of medical care in subjects of the Russian Federation realization of the forthcoming stage of modernization of health care taking into account regional specifics and smallest losses both for the population, and for medical workers is possible.

About the Authors

A. A. Baranov
Scientific Centre of Children Health, Moscow I.M. Sechenov First Moscow State Medical University
Russian Federation


V. Yu. Al'bitskii
Scientific Centre of Children Health, Moscow
Russian Federation
Valeriy Al’bitskiy, Doctor of Medical Science, professor, Honoured Science Worker of the Russian Federation, head of the department of social pediatrics of the Scientific Center of Children Health


R. N. Terletskaya
Scientific Centre of Children Health, Moscow
Russian Federation


D. I. Zelinskaya
Scientific Centre of Children Health, Moscow
Russian Federation


References

1. Matinyan N. S., Skachkova Ye. I. Reformirovaniye natsional'nykh sistem zdravookhraneniya kak adaptatsiya k global'nym protsessam [Reforming of National Health Systems as Adaptation to Gobal Processes]. Sotsial’nyye aspekty zdorov’ya naseleniya — Social Aspects of Population’s Health. 2008; 3 (7): http://vestnik. mednet.ru/ (accessed February 2, 2014).

2. D'yachenko V. G., Rzyankina M. F., Solokhina L. V. Rukovodstvo po sotsial'noy pediatrii [Training In Social Pediatrics]. Khabarovsk: The Far Eastern State Medical University. 2010. 322 p.

3. Raftery J., Powell J. Health Technology Assessment in the UK. Lancet. 2013; 382 (12): 1278–1285.

4. Polesskiy V. A., Martynchik S. A., Martynchik Ye. A., Zaporozhchenko V. G. Obshchestvennoye zdorov’ye i profilaktika zabolevaniy — Public Health and Diseases Prevention. 2007; 3: 3–14.

5. Mossialos E., Thomson S. Voluntary health insurance in the European Union. European Observatory on Health Systems and Policies. Geneva: World Health Organization. 2004.

6. Figueras J., Robinson R., Jakubowski E. Purchasing to improve health systems performance. European Observatory on Health and Policies Series. Oxford: Open University Press. 2005. 7. Arah O. A., Westert G. P., Hurst J., Klazinga N. S. A conceptual frameworks for the OECD Health Care Quality Indicators Project. Int. J. Quality Health Care. 2006; 18: 5–13.

7. McDonald J., Cumming J., Harris M., Powell Davies G., Burns P. Systematic review of comprehensive primary health care models. Canberra: The Australian national University. 2006. 96 p.

8. Busse R., Schreyogg J., Smith P. Variability in Healthcare Treatment Costs amongst Nine EU Countries — Results from the Healthbasket Project. Health Economics. 2008; 17: 1–8.

9. Koz'minykh S. V. Biznes. Obrazovaniye. Pravo. Vestnik Volgogr adskogo instituta biznesa — Business. Education. Law. Bulletin of the Volgograd Business Institute. 2010; 3: 52–58.

10. Belyakov A. V. Sovremennoye pravo — Modern Law. 2011; 8: 138–142.

11. Lynnyk S. A. Visnyk Donets'kogo derzhavnogo universytetu upravlinnya — Bulletin of the Donetsk State University of Management. 2013; 1 (63): 28–33.

12. Bousset R., Rasberg А. Health systems: time of changes: Germany. Copenhagen, WHO. 2004.

13. Bousset R., Rasberg А. Health systems: time of changes: Netherlands. Copenhagen, WHO. 2004.

14. Essey М. Health systems: time of changes: Estonia. Copenhagen, WHO. 2004.

15. Sanders S. Health systems: time of changes: France. Copenhagen, WHO. 2004.

16. Shreyegg H., Bousset R. Health systems: time of changes: Czech Republic. Copenhagen, WHO. 2005.

17. Reznikov D. A. Vestnik sovremennoy klinicheskoy meditsiny — Bulletin of Contemporary Clinical Medicine. 2010; 3 (2): 66–72.

18. Allen N., Pichler F., Wang T., Patel S., Salek S. Development of archetypes for non-ranking classification and comparison of European National Health Technology Assessment systems. Health Policy. 2013: 25.

19. Agadzhanyan V. V. Politravma — Polytrauma. 2008; 4: 9–13.

20. McKee M., Healy J. Hospitals in a Changing Europe. Buckingham. 2002.

21. rekhurovnevaya sistema okazaniya meditsinskoy pomoshchi deystvuyet v Primor'ye [The Three-Level System of Delivery of Health Care Functions in Primorye]. Available at: http://primamedia.ru/ news/health/08.02.2013/256058/trehurovnevaya-sistema-okaza niya-meditsinskoy-pomoschi-deystvuet-v-primore.html (accessed February 2, 2014).

22. Starodubov V. I., Baranov A. A., Al'bitskiy V.Yu. Pediatrija — Pediatrics. Consilium medicum. 2005; 84 (1): 10–13.


Review

For citations:


Baranov A.A., Al'bitskii V.Yu., Terletskaya R.N., Zelinskaya D.I. MULTILEVEL SYSTEM OF MEDICAL CARE TO CHILDREN’S POPULATION. Current Pediatrics. 2014;13(2):5-10. (In Russ.) https://doi.org/10.15690/vsp.v13i2.967

Views: 1283


ISSN 1682-5527 (Print)
ISSN 1682-5535 (Online)