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ORDER OF THE GOVERNMENT OF THE RUSSIAN FEDERATION

of October 2, 2009 No. 811

About the Program of the state guarantees of rendering to citizens of the Russian Federation of free medical care for 2010

For the purpose of ensuring constitutional rights of citizens of the Russian Federation on receipt of free medical care the Government of the Russian Federation decides:

1. Approve the enclosed Program of the state guarantees of rendering to citizens of the Russian Federation of free medical care for 2010.

2. To the Ministry of Health and Social Development of the Russian Federation:

a) introduce in accordance with the established procedure in the Government of the Russian Federation till August 20, 2010 the draft of the program of the state guarantees of rendering to citizens of the Russian Federation of free medical care for 2011;

b) in coordination with the Ministry of Finance of the Russian Federation to make explanations concerning forming and economic case of territorial programs of the state guarantees of rendering to citizens of the Russian Federation of free medical care for 2010;

c) bring the regulatory legal acts into accord with this resolution.

3. Recommend to public authorities of subjects of the Russian Federation to approve till December 25, 2009 territorial programs of the state guarantees of rendering to citizens of the Russian Federation of free medical care for 2010.

 

Prime Minister

Russian Federation V. Putin

N811 is approved by the order of the Government of the Russian Federation of October 2, 2009

The program of the state guarantees of rendering to citizens of the Russian Federation of free medical care for 2010

I. General provisions

The program of the state guarantees of rendering to citizens of the Russian Federation of free medical care for 2010 (further the Program) determines types and conditions of delivery of health care, standard rates of amount of medical care, standard rates of finance costs per unit of amount of medical care, per capita standard rates of financial provision, procedure and structure of forming of rates for medical care, and also provides criteria of quality and availability of the medical care provided to citizens of the Russian Federation (further - citizens) is in the territory of the Russian Federation free.

Public authorities of subjects of the Russian Federation according to the Program are developed and approve the territorial programs of the state guarantees of rendering free medical care to citizens for 2010 (further - territorial programs) including territorial programs of compulsory medical insurance.

Within territorial programs within budgetary appropriations of the relevant budgets and means of compulsory medical insurance financial provision of medical care to employees of the organizations included in the list of the organizations of separate industries with especially dangerous working conditions, to the population of the closed administrative-territorial formations, science cities of the Russian Federation, the territories with physical, chemical and biological factors hazardous to health of the person rendered by the federal state institutions subordinated to Federal Medical Biological Agency and also medical care to citizens in case of their statement on military accounting, appeal or revenues to military service under the contract, receipt in military educational institutions of professional education and appeal on military charges, except for medical examination for the purpose of determination of the validity of citizens to military service is performed.

In territorial programs public authorities of subjects of the Russian Federation of the budgets of subjects of the Russian Federation, budgets of municipalities and budgets of territorial funds of compulsory medical insurance having the right for the income account on condition of financial provision of the territorial program taking into account the corresponding standard rates provided by the Program:

determine additional terms and amounts of delivery of health care;

include in the territorial program of compulsory medical insurance with obligatory redistribution of necessary financial resources types and amounts of medical care which financing according to the Program is performed within budgetary appropriations of subjects of the Russian Federation and municipalities.

II. Types and conditions of delivery of health care

Within the Program are free of charge provided:

primary health care;

fast, including specialized (sanitary and aviation), medical care;

specialized, including high-technology, medical care.

Primary health care includes treatment of the most widespread diseases, injuries, poisonings and other conditions requiring emergency medical service, medical prevention of diseases, implementation of actions for carrying out preventive inoculations, routine inspections, dispensary observation of healthy children and persons with chronic diseases according to the prevention of abortions, sanitary and hygienic education of citizens, and also implementation of other actions connected with rendering primary health care to citizens.

Primary health care is provided to citizens in out-patient and polyclinic, stationary and polyclinic, medical institutions and other medical organizations by therapists by district police officers, pediatricians by district police officers, general practitioners (family doctors), doctors specialists, and also the corresponding average medical personnel.

Fast, including specialized (sanitary and aviation), medical care is provided instantly to citizens in case of the conditions requiring urgent medical intervention (accidents, injuries, poisonings, and also other conditions and diseases), organizations and divisions of emergency medical service of the state or municipal health care system.

Specialized, including high-technology, medical care is provided to citizens in the medical organizations in case of the diseases requiring ad hoc methods of diagnostics, treatment and use of difficult, unique or resource-intensive medical technologies.

Medical care is provided to citizens:

organizations and structural divisions of emergency medical service (emergency medical service);

out-patient and polyclinic organizations and other medical organizations or their relevant structural divisions, and also day hospitals of all types (out-patient medical care);

medical institutions and other medical organizations or their relevant structural divisions (stationary medical care).

Out-patient medical care is provided to citizens in case of the diseases, injuries, poisonings and other pathological conditions which are not requiring the round-the-clock medical observation, isolation and use of intensive methods of treatment and also in case of pregnancy and abortion on early terms (abortions).

For the purpose of increase in efficiency of rendering primary health care to citizens in case of sharp diseases and exacerbation of the chronic diseases which are not requiring urgent medical intervention in structure of medical institutions of municipal health care system the service of emergency medical service can be created.

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