
The Ministry of Justice is currently approving projects for the provision of medical care, published by the Ministry of Health on the site. According to the projects, it is planned to introduce more than 2 thousand standards for doctors, which is three times more than now, that is, to increase the minimum necessary amount of medical care that the patient should provide with a specific disease or in the clinical situation.
The department says that new standards exist primarily for economic calculations - the release of treatment beyond the framework of the standards is financed from the compulsory medical insurance fund (compulsory medical insurance).
Of the planned standards, almost 400 are oncological, which is four times more than in the present time, Izvestia notes. The chief oncologist of Moscow Anatoly Makhson is pleased that the degree of severity is prescribed in oncology, which is very important for patients. " The old treatment standards have not been updated since 2005 and in practice were not used by doctors.
Experts attributed the average frequency of providing each service or prescribing the drug to the disadvantages of the project. As incidents of “averaging”, the director of the Institute of Health Economics of the Higher School of Economics Larisa Popovich brought the treatment of varying severity prescribed in new documents, where an inspection of a gynecologist is in the first place. According to Popovich, before such a need arose only in an exceptional case - in case of suspicion of an ectopic pregnancy. And now it is registered in the standard - in the frequency of use 10–20%, i.e. The gynecologist’s test will be held “for a checkmark”.
According to experts, averaging treatment and tied it to the compulsory medical insurance, the department risks not to pull the invented rules in their own financially.