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Вследствие введения проекта Обязательного Медицинского Страхования многие приобрели возможность без затрат и без очередей выполнять дорогостоящие процедуры МРТ и КТ. Программа ОМС существенно увеличила качество и скорость процедур и набирала обороты до 2017 года.

На данный момент все очень сильно изменилось. Правительственные органы без видимой причины стали уменьшать финансирование частным клиникам, аргументируя это увеличившимся количеством участников программы ОМС. Однако сумма квот, предоставляемых коммерческим организациям, снизилась приблизительно на 12%, несмотря на повышение количества пациентов, которым необходима дорогая диагностика. Деление бюджетных денег между диагностическими центрами является неоднозначным и 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 медцентр систематически перевыполняет планы диагностики пациентов в рамках ОМС. Клиника подала иск в судебные инстанции с запросом повысить сумму финансирования до предыдущего уровня, идет судебное разбирательство.

Коммерческий директор ММЦ "Энерго", Сергей Скородумов, высказал профессиональное мнение по поводу образовавшейся проблемы в интервью, прочесть которое возможно на официальном интернет-сайте клиники.

Представители петербургского ТФОМС находят запросы частных клиник неосновательными. По мнению властей, частные диагностические центры стремятся на 100% загрузить свои потенциалы и нивелировать недостаток средств за счет денежных средств ОМС. Однако ситуация складывается обратная: клиникам надо за свой счет обслуживать больных, которые проходят МРТ и КТ в рамках ОМС, когда квота уже исчерпана. И по моральным, и профессиональным соображениям "частники" не могут отказать больным.

Разрешить проблему несложно: надо назначать квоты не беспорядочным образом, а на основе реальных критериев функционирования каждой клиники. Комиссия обязана учитывать тех. базу центра, исполнение установленного плана, сроки обслуживания пациентов, отзывы и т.д. Это несомненно поможет установить требуемый уровень денежного обеспечения наиболее результативным клиникам и исключит из программы "нарушителей"

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