关于犯罪问题,有必要在强制医疗保险领域进行研究

K. Y. Puzyreva
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引用次数: 0

摘要

在新冠肺炎疫情最严重的时候,俄罗斯医疗保健系统面临着巨大的压力,研究人员开始关注如何确保医疗行业的工作能力。财务可持续性是医疗保健运作和效率的资源因素。腐败和经济犯罪损害卫生保健系统,从而抑制其发展并导致金融不稳定。研究的目的是分析“强制医疗保险领域”一种特殊类型犯罪的形成与研究。作为所进行的研究的目标,我们定义了审查的医疗保健组织在俄罗斯运作的社会保险模式,在强制医疗保险领域的犯罪特征的识别,在强制医疗保险领域的犯罪知识的犯罪学概念的发展。本研究的方法论基础包括辩证方法,这使我们能够考虑建立俄罗斯卫生组织社会保险模式的原则以及医务工作者所犯罪行的相互关系和动态性质;一种分类方法,通过这种方法可以将强制健康保险领域的犯罪系统化;一种正式的法律方法,使我们能够从法律规范的角度来看待所考虑的现象。我们试图在官方统计报告中发现一类新的犯罪行为。这项工作是对与私营和国有医疗机构的医生和行政人员非法收受资金有关的案件进行研究的结果。对强制性健康保险领域所犯罪行的"经济"性质作出了假设(例如,欺诈)。这一研究应是形成和研究一种新型犯罪及其指标的第一步。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
On the issue of the need to study crime in the field of compulsory health insurance
Extreme pressures on the Russian healthcare system that arose at the height of the COVID-19 make re-searchers pay attention to ways to ensure the medical industry working capacity. Financial sustainability is a re-source factor for the functioning and efficiency of healthcare. Corruption and economic crimes harm the health care system, thereby inhibiting its development and leading to financial destabilization. The purpose of study is to analyze the proposed formation and study of a special type of crime “in the field of compulsory medical insurance”. As the objectives of the undertaken research, we define the review of the social insurance model of the healthcare organization functioning in Russia, the identification of features of crimes in the field of compulsory medical insurance, the development of criminological concepts for the knowledge of crime in the field of compulsory medical insurance. The methodological basis of the study included a dialectical method, which allowed us to consider the principle of building the Russian social insurance model of the health organization and the nature of the crimes committed by medical workers in terms of their interrelation and dynamics; a classification method by which it was possible to systematize crimes in the field of compulsory health insurance; a formal legal method that allowed us to look at the phenomena under consideration from the point of view of their legal regulation. We make an attempt to detect a new group of crimes in the official statistical reporting. The work is the result of study of cases related to illegal receipt of funds by doctors and executives of medical organizations of private and state ownership. An assumption is made about the “economic” nature of crimes committed in the field of compulsory health insurance (for example, fraud). The research should be the first step towards the formation and study of a new type of crime and its indicators.
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