How much is our he alth worth?

Health 2023
How much is our he alth worth?
How much is our he alth worth?
Anonim

They say you can't buy he alth. But now we have the most modern diagnostics and treatment methods at our service - buy, if you have money. Now another problem is urgent: how not to go broke on treatment.

How much is our he alth worth?

They say you can't buy he alth. But now we have the most modern diagnostics and treatment methods at our service - buy, if you have money. Now another problem is urgent: how not to go broke on treatment

Unfortunately, many medical institutions (whether commercial or not) and individual doctors often abuse the trust of patients by prescribing them in excess of procedures, tests and medicines. It is not always easy for a person who is far from medicine to figure out which procedures and medicines are necessary, and which ones can be dispensed with. How not to get into trouble when going to the doctor?

A few months ago, 30-year-old Irina was hit by a car - the girl was riding her motorcycle to work. Doctors diagnosed Irina with a fracture of the acetabular bone in the thigh and prescribed a month of extraction and six months in a cast. The doctors offered Irina a choice - an ordinary medical cast (free of charge) or a lighter and more comfortable plaster cast, for which you need to pay 7,000 rubles. The girl chose a bandage: it was planned that the plaster would be applied from the ribs to the heel on the broken leg. In addition, a standard gypsum of this volume weighs more than 7 kg. With a cast, Irina would at least be able to walk on her own with crutches.

A month after Irina was discharged from the hospital, Irina felt unwell: the plaster cast, applied to almost the entire body and leg, pressed hard on her lower back, compressing her chest and stomach. Then there were pains in the abdomen and a cast knee. Irina went to another clinic to see a traumatologist, who was recommended to her by a friend. What was her surprise when it turned out that the plaster cast imposed by the doctors in the hospital, in fact, she did not need at all - with such a fracture, the girl would have had a month on the hood. But 7,000 rubles had already been paid, and for such a disservice rendered by doctors, Irina was paying for a long time with her sore knee and damaged kidneys, which had to be treated due to the fact that they had been in a pinched state for a long time.

Of course, not every trip to the doctor ends so dramatically. However, it should be remembered that the he alth and safety of the wallet is only in your hands.

Free trial

As you know, every citizen of the Russian Federation must have a compulsory medical insurance policy (CMI). But not everyone knows what he is en titled to under this policy. Maria, a 42-year-old housewife, learned from a district gynecologist that she needed treatment for erosion. The doctor sent Maria for tests to a paid clinic, which, as he said, he recommends to all his patients. What was the surprise of the woman when she discovered that her doctor himself works part-time in the paid antenatal clinic recommended by him! When the test results became known, the doctor said that the district clinic did not have the necessary equipment, and suggested that Maria come to him for a paid appointment at the same medical center. Procedures and necessary medicines in a paid clinic were estimated at 5,000 rubles.

Unfortunately, in practice, we often encounter the fact that even in district clinics, for some reason, part of the services turns out to be paid. For example, you come to the district gynecologist to do a smear, and the doctor tells you that you have to pay for this procedure. In this case, you should contact the company that provides you with insurance services (you can find the phone number on the card). There they will tell you how legitimate the doctor's actions are. The list of compulsory medical insurance services for all medical institutions of the Russian Federation is the same for all regions.

Besides, you need to know your rights. All problems that arise between the patient and the he althcare system should be resolved by the insurance company. Tatyana Shmyreva, resident therapist, Department of Clinical Pharmacology and Propaedeutics of Internal Diseases, Moscow Medical Academy. Sechenov, says: “I personally do not know of cases when citizens applied to an insurance company on some controversial issues related to compulsory medical insurance. I think that patients simply do not know what they are required by law, and they are simply too lazy to read insurance contracts carefully. For example, did you know that if you were put in a hospital bed in the corridor, citing a lack of beds, the insurance company is obliged to reimburse the patient for inappropriate treatment conditions. After all, to put it simply, in the event of an insured event, the insurer company pays the hospital for the maintenance of the patient. And this content must be worthy - comply with the norm, which is guaranteed by the CHI policy. If this norm is not observed, the patient has the right to demand compensation for material resources that were not directed to his treatment.”

In district clinics, we often encounter the fact that doctors, citing the lack of necessary diagnostic equipment or the inability to conduct the necessary tests, redirect their patients to paid clinics. This is fundamentally wrong, since by law the district clinic must give you a referral for a free examination to a higher medical institution, for example, to a specialized hospital or institute. Tatyana Shmyreva advises: “It is important to remember that there is a list of compulsory medical insurance services. Naturally, he is known in the insurance company and should be known in the hospital or clinic. Within this list, the patient may require appropriate treatment. In principle, there is now a sufficient amount of specialized literature on he althcare and resources on the Internet that can be used for personal acquaintance. I recommend that all patients be more careful about their rights, because in the end it is you who are primarily interested in how you will be treated.”

NEED TO KNOW

The compulsory medical insurance policy gives a citizen the right to the following types of free medical care:

• Primary care, including emergency care for sudden severe illnesses, injuries, childbirth.

• Outpatient treatment of acute and exacerbations of chronic diseases, injuries and accidents.

• Home care for patients unable to attend clinics for he alth reasons.

• Preventive measures for children, disabled people, pregnant women and women in childbirth, as well as patients with tuberculosis, oncological diseases, mental disorders and after heart attacks and strokes.

• For detailed information about medical care under compulsory he alth insurance, see the website:

Very paid medicine

Commercial medical centers and clinics are good because they do all the research quickly. However, you should be careful when contacting paid clinics - many of them work not for the result, but for getting the maximum amount of money from each patient. Lydia brought her student daughter for a consultation with a gynecologist at a paid clinic near her house. After carrying out expensive tests (up to urine culture), the doctor prescribed the girl 4 types of antibacterial drugs and 2 immunomodulating drugs, plus multivitamins and a dietary supplement. It was recommended to use all drugs simultaneously for a week. When Lydia came to the pharmacy to buy medicines, the pharmacist, surprised by such a set of medicines, began to ask her what disease was planned to be treated with so many medicines. Having learned that all these pills are necessary to prepare for the removal of erosion, the pharmacist was horrified and recommended Lidia to purchase only one, but high-quality and effective drug.

Unfortunately, doctors in paid clinics often resort to overdiagnosis, that is, they prescribe the maximum number of tests and studies to patients, many of which are often not needed to make the correct diagnosis and prescribe treatment. In addition, clinics often cooperate with certain pharmacy chains and recommend that the patient buy medicines there, although this is often more expensive than in other pharmacy chains. Many doctors have had to deal with cases when in paid clinics (by the way, not only “human”, but also veterinary ones) there is an unwritten rule that the patient must leave the doctors no less than a certain amount. And doctors are given strict suggestions if they direct the patient to a minimum of research. How can you tell the right studies from the unnecessary and understand that you have been prescribed the same type of drugs?

To draw the line between necessary and excessive treatment is often difficult. According to Dr. Shmyreva, the usual diagnostic algorithm is from simple to complex. That is, first the doctor studies the result of a clinical blood test and, if he understands that there are problems, he prescribes biochemistry and so on. But in practice, this means that the doctor must drive the patient several times to the clinic. This is inconvenient for both the patient and the doctor, so most specialists immediately prescribe a minimum. In principle, the minimum set of studies, which in any case will not be redundant, is approximately as follows: a clinical blood test, blood biochemistry (and not all indicators in a row, but those that are relevant to a particular case), X-ray, ultrasound, urinalysis. Everything else is prescribed immediately only if a definite diagnosis is expected.

Try to determine if the doctor treats you as a patient or if you are just a source of income for him for his clinic. The best way not to be deceived is to get as much information about your diagnosis as possible. A good specialist has nothing to hide. He will not scare you needlessly and will answer all the questions you ask.

NEED TO KNOW

List of services provided under the VHI policy:

• Outpatient care

• Doctor's home visits

• Personal physician services

• Dentistry

• Ambulance

• Emergency and scheduled inpatient care

• Management of pregnancy and childbirth

• Anti-influenza vaccination of the insured with a visit to the office of the insured

• Accident insurance

• Insurance when traveling abroad, in the CIS countries and on the territory of the Russian Federation

• Organization of medical treatment abroad Detailed information about VMI on the website:

Average prices for medical research (Moscow)

Ultrasound Prices in economy class clinics fluctuate:

• from 200 rub. (abdominal free fluid ultrasound, cheapest)

• up to 2500 rubles. (ultrasound of veins and arteries)

• Ultrasound of the pelvic organs / bladder will cost from 500 to 1200 rubles. CBC

• from 300 rub. (in the clinic of the medical center named after Pirogov) up to 500 rubles. (at the medical center on Tverskaya St.)

• Blood test for hormones 250−300 rubles. for 1 hormone

• Blood test for cholesterol 300−600 rubles.

• Urinalysis RUB 200−400

• Urinalysis according to Nechiporenko 150−300 rubles.

• ECG without decoding 250-500 rubles, with decoding 600-1500 rubles.

• EEG RUB 800−1500

• X-ray 400−1500 rub. depending on the organ whose fluoroscopy is needed.

• Gynecologist, the first appointment in most clinics costs 500-800 rubles. Re-appointment in many clinics is free, but in some you need to pay 450-600 rubles.

• Smears: 100 rubles. smear on flora, 800-1000 rubles. STD testing

Diplomatic relations

Experts say that the most effective protection against "ripping off" in medical institutions is not to get sick. But since this is not in our power, it makes sense to remember a few simple rules that will help you better navigate the needs of your own body and the peculiarities of domestic he alth care.

• Carefully write down the recommendations, store in one place all the conclusions of doctors, extracts, test results. If you get to a new specialist, it will help him diagnose you and protect you from unnecessary expenses.

• Get regular check-ups.

• Before going to a paid clinic, contact a specialist in the district: even if the doctor cannot give you an accurate diagnosis, you will receive some information.

• Try to go to trusted doctors on the recommendations of relatives and friends.

• If you are often sick, take out a VHI (Voluntary He alth Insurance) policy.

Lawyer Roman Andreev assures that in this case the patient is protected from doctors' attempts to make money on him. The insurance company pays for your treatment in the clinic, so the doctors have nothing to charge you personally, but even if you are assigned the maximum number of procedures within your program, all these costs will be covered by the insurance company anyway.

WHERE TO GO?

Keep these numbers in case you have questions about the legitimacy of doctors:

• Information service of the Ministry of He alth and Social Development of the Russian Federation: (495) 628−4453.

• Federal Service for Supervision of He alth and Social Development of the Russian Federation: 8−916−290−3480.

• Hotline of the Moscow He alth Department: 251−1455, 251−8300

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