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При помощи внедрения системы Обязательного Медицинского Страхования многие люди имеют возможность безвозмездно и без ожидания проходить недешевые процедуры МРТ и КТ. Программа ОМС ощутимо улучшила качество и скорость диагностики и продолжала совершенствоваться до 2017 года.

Сейчас все резко ухудилось. Государственные органы без ясной цели начали занижать финансирование частным клиникам, аргументируя это чрезмерным числом участников программы ОМС. Однако общая сумма квот, выделяемых частным компаниям, уменьшилась приблизительно на 12%, не взирая на рост численности пациентов, для которых требуется дорогая диагностика. Распределение бюджетных финансовых средств между диагностическими центрами является неоднозначным и сразу вызвало бурную реакцию медицинского сообщества.

Например, финансирование диагностического центра "Энерго", имеющего массу наград, сократилось в 2,7 раза: с 24,5 до 9 млн. руб. И это при том, что компания с регулярной постоянностью перевыполняет планы диагностики больных в рамках ОМС. Клиника подала иск в суд с требованием поднять объем финансирования до предыдущего уровня, идет судебное разбирательство.

Коммерческий директор ММЦ "Энерго", Сергей Скородумов, выразил экспертное мнение по поводу сложившейся ситуации в интервью, взглянуть на которое можно на официальном веб-сайте клиники.

Представители петербургского ТФОМС находят притязания частных клиник безосновательными. По мнению властей, частные диагностические центры хотят на 100% использовать свои мощности и устранить недостаток финансов за счет финансовых средств ОМС. Однако ситуация получается обратная: центрам надо за свой счет диагностировать больных, которые проходят МРТ и КТ в рамках программы ОМС, когда квота уже израсходована. И по моральным, и профессиональным воззрениям "частники" не позволяют себе отказать больным.

Урегулировать вопрос несложно: надо распределять квоты не беспорядочным способом, а на основании действительных данных работы каждой клиники. Комиссия обязана учитывать техническую базу центра, исполнение поставленного плана, временные сроки обслуживания пациентов, отзывы и т.д. Все это несомненно поможет установить нужный уровень денежного обеспечения самым лучшим клиникам и исключит из программы "нарушителей"


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