It is impossible to fully create a system for protecting the rights of patients in the field of compulsory medical insurance (CHI), if in principle there is no such legislative definition. This conclusion is contained in the report of the Accounts Chamber on CHI.
As noted in the document, now there are disparate elements, mechanisms and tools established by various legislative and regulatory legal acts of an intersectoral nature and having a weak relationship. In fact, there is no single body that would be at the heart of this system. Some functions are assigned to the territorial funds of compulsory medical insurance (TFOMS), medical organizations, some – to insurance medical organizations (HIOs), etc.
“In the course of the expert-analytical event, it was found that the existing mechanisms for protecting the rights of insured persons in the compulsory medical insurance system are not effective enough,” the joint venture report says.
Formally, a citizen has enough freedoms. Thus, the law gives the right to choose a medical facility, a doctor, a healthcare facility, and even a region where you can get free and guaranteed treatment. However, this is actually impossible to implement. If the referral to a specialist is issued by the attending physician, then the right of choice passes to him. Or it is difficult to get help outside your region due to the peculiarities of funding.
As noted in the joint venture, certain rights are not fully implemented due to the lack or imperfection of legislation. For example, this concerns the right to choose a doctor, to receive information from the MHIF and TFOMS about the types, quality and conditions of medical care. As a result, patients either do not know what the compulsory medical insurance system gives them (according to the VTsIOM, only 50% of citizens are aware), or they cannot exercise their rights in full, the SP report says.
Read more in the exclusive Izvestia article:
Treatment on the shoulders: the joint venture pointed out the ineffectiveness of protecting the rights of citizens in compulsory medical insurance
Source: IZ
Jane Stock is a technology author, who has written for 24 Hours World. She writes about the latest in technology news and trends, and is always on the lookout for new and innovative ways to improve his audience’s experience.
