Comparative analysis of the standards of medical care for adults in the oncology profile approved before and after 2019 for the possibility of planning a program of state guarantees.

Abstract

In the healthcare system in Russian Federation, in recent decades, standards of medical care have been formed, which are tabular forms indicating medical services, medicines, medical devices implanted in the human body, blood components and clinical nutrition (components), indicating average frequency indicators. P u r p o s e – a comparative analysis of the standards of medical care for adults in the oncology profile, approved by orders of the Ministry of Health of Russia in the period from 2012 to 2018, and the standards developed on the basis of clinical guidelines and approved in the period from 2019 to 2022, with a view to the possibility of planning a state guarantee program based on them. M a t e r i a l s a n d m e t h o d s . The comparison was performed by comparing the standards of medical care in the context of types of medical care, the conditions for providing medical care, localizations and nosological forms according to ICD‑10 blocks, types of medical interventions and assessing consistency with planning units of the state guarantees program. R e s u l t s . The standards of medical care in the oncology profile, approved in the period from 2012 to 2018, were developed in the context of the types of medical interventions and were not coordinated either with the planning units of the state guarantees program or with the methods of payment by diagnosis-related group. The introduction of a methodology for the formation of standards of medical care based on clinical guidelines using standardized modules of medical care made it possible to revise the principle of the formation of standards for the oncology profile and harmonize them with the planning units of the state guarantees program and methods of payment by diagnosis-related group. F i n d i n g s . Structuring the process of developing medical care standards based on clinical guidelines and developing a methodology for their formation makes it possible to realize the economic function of medical care standards.