FINANCING FEATURES OF THE EMERGENCY MEDICAL SERVICE IN SYSTEM OF OBLIGATORY MEDICAL INSURANCE
Purpose. Generalisation of results from introduction organizational actions for improvement of activity of the first medical aid service (FMAS) in the conditions of obligatory medical insurance (OMI). Materials and methods. A sharpness of questions of organizational and financial character have predetermined necessity of activization of processes of reforming of system FMAS for the Perm territory. The commission on working out of the territorial program OMI of the Perm territory defines a way of payment of FMAS on conditions OMI - for a call under the tariffs established by Tariff agreement [4]. It is important that the majority of subjects of Russian federation payment of FMAS is carried out by per capita principle. Results. According to the order of Ministry of Health of Perm territory «About transition of first medical aid service to financing from system of obligatory medical insurance and the organisation of rendering of urgent medical aid», the medical organisations rendering fast and urgent medical aid, are divided into 5 groups. The given order has accurately distributed duties between fast and urgent medical aid, however it is applicable for payment only to Perm city. Concerning other territories the author considers that any patients by brigade FMAS " is necessary be paid for the tariff " FMAS". Conclusions. Realisation of the actions directed on perfection of continuity in work of service FMAS and polyclinics on territory, will allow to reduce quantity of calls of “urgent” help transferred to service FMAS.