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[The Evaluation of the System of Mandatory Medical Insurance by Medical Workers of the Moscow Oblast].

Research paper by V Iu VI Semenov, K Iu KI Lakunin, S A SA Leevshitc

Indexed on: 20 Dec '18Published on: 20 Dec '18Published in: Problemy sotsial'noi gigieny, zdravookhraneniia i istorii meditsiny / NII sotsial'noi gigieny, ekonomiki i upravleniia zdravookhraneniem im. N.A. Semashko RAMN ; AO "Assotsiatsiia 'Meditsinskaia literatura'."



Abstract

The article considers the results of sociological survey of medical personnel of the Moscow oblast. The purpose of study is to analyze attitude of medical personnel to the system of mandatory medical insurance in modern conditions. The sociological survey carried out according standard methodology using originally developed questionnaire. The public opinion of medical personnel of medical municipal organizations of the Moscow oblast was investigated in 2013 (n = 632) and 2017 (n = 798). It was established that, 25 years later from the moment of organization of the system of mandatory medical insurance, not all medical personnel is oriented in it. The percentage of those who consider it as a false and over bureaucratized one increased. The number of respondents considering that medical insurance organizations protect interests of patients decreased and those who feel no impact of mandatory medical insurance foundations on activities of medical organizations increased up to 35%. The most of respondents consider functions of medical insurance organizations and mandatory medical insurance foundations exclusively as controlling ones. In both surveys less than 30% of respondents supported actual system of mandatory medical insurance. The general results of the sociological survey testify the necessity of changing policy of relationship between the system of mandatory medical insurance and medical personnel, including activization of activities concerning explanation of tasks, functions and authorities of mandatory medical insurance foundations and medical insurance organizations and also consensual consideration of opinions of all participants of the mandatory medical insurance system.

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