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На данный момент все значительно изменилось. Государственные службы без очевидной причины начали занижать финансирование частным клиникам, обосновывая это увеличившимся количеством участников программы ОМС. Однако итоговая сумма квот, выделяемых частным организациям, уменьшилась ориентировочно на 12%, не взирая на увеличение числа пациентов, для которых необходима дорогая диагностика. Деление бюджетных денег между диагностическими центрами является неоднозначным и вызвало бурную реакцию врачебного общества.
К примеру, финансирование диагностического центра "Энерго", имеющего множество наград, уменьшилось в 2,7 раза: с 24,5 до 9 млн. руб. И это при том, что клиника регулярно перевыполняет планы обследования пациентов в рамках ОМС. Клиника подала иск в судебные инстанции с требованием поднять объем финансирования до начального уровня, идет судебное разбирательство.
Коммерческий директор ММЦ "Энерго", Сергей Скородумов, выразил экспертное мнение по поводу сформировавшейся ситуации в интервью, взглянуть на которое можно на официальном интернет-сайте клиники.
Сотрудники петербургского ТФОМС считают требования частных клиник неосновательными. По мнению чиновников, частные диагностические центры стремятся на 100% использовать свои потенциалы и устранить недостачу средств за счет квот ОМС. Но ситуация складывается обратная: клиникам приходится за свой счет обслуживать больных, которые проходят МРТ и КТ в рамках программы ОМС, когда квота уже израсходована. И по моральным, и профессиональным воззрениям "частники" не могут отказать больным.
Разрешить вопрос несложно: следует распределять квоты не беспорядочным образом, а на основании действительных данных функционирования каждой клиники. Комиссия должна принимать к сведению техническую базу центра, выполнение учрежденного плана, сроки обслуживания больных, отзывы и т.д. Все это поможет установить необходимый уровень денежного обеспечения наиболее результативным клиникам и исключит из программы "нарушителей"
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