Opportunities and prospects of increasing the availability of high-tech medical care in the profile "Ophthalmology"

Accessibility of the country’s citizens to expensive, complex, innovative methods of treatment is provided by expanding the number of medical organizations of different levels providing these types of medical care. The most replicated methods of treatment included in the list of high-tech types of medical care are to be included in the list of the high-tech types of medical care, which is funded under the basic program of compulsory medical insurance, and then to clinical and statistical disease groups. Updating the list of existing methods of specialized, including high-tech, medical care provided free of charge within the framework of the State Guarantees Program is carried out in accordance with the Order of the Ministry of Health of Russian Federation of 01.08.2017 No. 484n «On approval of the order of the list of types of high-tech medical care».The aim of the study is to assess the prospects for increasing the availability of high-tech types of medical care for patients who need intravitreal injections of angiogenesis inhibitors along the profile of «ophthalmology», an assessment of the possibilities and limitations on the expansion of the high-tech types of medical care of this profile.Material and Methods. The study used the official statistics on the volume of cases of specialized, including high-tech medical care, for 2015–2017, the normative indicators of the Program of state guarantees for free medical care. Bibliographic, statistical, mathematical methods of scientific knowledge were used.Results. The dynamics of the volumes of specialized medical aid in the profile of «ophthalmology» is estimated, including in the context of types of medical care and levels of medical organizations. On the basis of the Order of the Ministry of Health of Russian Federation from 01.08.2017 No. 484n «On the approval of the order of the list of types of high-tech medical care» developed and applied the algorithm of translation of the method of high-tech types of medical care from Section II of the List. The analysis of the prospects for the participation of private medical organizations in the provision of high-tech types of medical care since 2019 has been carried out.Conclusions. The study made it possible to evaluate the prospects of expanding the accessibility of the high-tech types of medical care for patients who need intravitreal injections of angiogenesis inhibitors along the profile of «ophthalmology». None of the methods of high-tech types of medical care of Section II of Group No. 29 has objective prerequisites for translating these methods both in the high-tech types of medical care of Section I and in the diagnosis-related group.