The concepts of «medical care» and «medical service»: a civil-legal analysis
https://doi.org/10.17749/2313-7347/ob.gyn.rep.2022.289
Abstract
The article is devoted to investigate and interpret the contents and correlation for the concepts of "medical care" and "medical service" in the context of public healthcare. Here, we demonstrate the defective features of the Russian legislation regarding accepting the necessary legal definitions for such concepts. At the same time, while performing a comprehensive formal legal analysis and applying interpretation by analogy, we provide generalizations allowing to understand the essence of the concepts analyzed as well as their inter-relationship. We interpret two definitions for the concept of "medical service", and envision that medical care vs. medical service is an ontological unit of a more general and higher level. Understanding the differences in the definitions of "medical care" and "medical service", demonstrated in the article, will be useful to healthcare organizers.
About the Authors
I. V. Ponkin
Institute of Public Administration and Civil Service of the Russian Presidential Academy of National Economy and Public Administration
Russian Federation
Russian Federation
Dr Sci Law, Professor, State Professor,
84 Vernadskogo Avenue, Moscow 119606
V. N. Sinelnikova
National Research University «Higher School of Economics»
Russian Federation
Russian Federation
Dr Sci Law, Professor, State Professor, Department of Private Law, Faculty of Law,
11 Pokrovsky Boulevard, Moscow 109028
A. A. Ponkina
Institute of relations between the State and religious denominations and Law
Russian Federation
Russian Federation
PhD (Law), Deputy Director,
PO box 49, Moscow 117525
D. V. Blinov
Institute for Preventive and Social Medicine; Lapino Clinical Hospital, GC «Mother and Child»
Russian Federation
Russian Federation
MD, PhD, MBA, Head of Medical and Scientific Affairs, 4–10 Sadovaya-Triumfalnaya Str., Moscow 127006;
Neurologist, 111, 1st Uspenskoe Highway, Lapino, Odintsovo District, Moscow region 143081
References
1. Sitdikova L.B. Legal criteria for assessing the quality of medical services. [Pravovye kriterii ocenki kachestva medicinskih uslug]. Medicinskoe pravo. 2010;(4):22–6. (In Russ.).
2. Klimenko T.V., Mokhov A.A., Pekshev A.V. et al. Russian Medical Law: Textbook. Chief editor A.A. Mokhov. [Medicinskoe pravo Rossii: Uchebnik. Otv. red. A.A. Mohov]. Moscow: Prospekt, 2021. 544 p. (In Russ.). https://doi.org/10.31085/9785392337651-2021-544.
3. Pesennikova E.V., Gridnev O.V., Kuchits S.S. Medical services or medical care – an urgent issue for public health institutions. [Medicinskie uslugi ili medicinskaya pomoshch' – aktual'nyj vopros dlya gosudarstvennyh uchrezhdenij zdravoohraneniya]. Issledovaniya i praktika v medicine. 2017;4(4):156–64. (In Russ.). https://doi.org/10.17709/2409-2231-2017- 4-4-17.
4. Ponkin I.V., Ponkina A.A. Dignity and rights of the child at the prenatal stage of development: Constitutional-legal, medical-legal and bioethical analysis. [Dostoinstvo i prava rebyonka na prenatal'noj stadii razvitiya: Konstitucionno-pravovoj, mediko-pravovoj i bioeticheskij analiz]. Moscow: Buki Vedi, 2017. 132 p. (In Russ.).
5. Dictionary of modern Russian literary language. Vol. 10. [Slovar' sovremennogo russkogo literaturnogo yazyka. Т. 10]. Moscow: Izd-vo AN SSSR, 1960. Column 1206. (In Russ.).
6. Dictionary of modern Russian literary language. [Slovar' sovremennogo russkogo literaturnogo yazyka. Т. 16]. Moscow: Nauka, 1964. Column 913. (In Russ.).
7. Mikhalovska-Karlova E.P. Bioethical management of patients with epilepsy: sex and age-related aspects. [Bioeticheskoe soprovozhdenie lecheniya pacientov s epilepsiej: gendernye i vozrastnye aspekty]. Epilepsiya i paroksizmal'nye sostoyaniya. 2020;12(2):117–21. (In Russ.). https://doi.org/10.17749/2077-8333/epi.par.con.2020.039.
8. Taner Ş., Özpınar S. The evolution of the concept of health services. GARJMMS. 2015;4(9):394–401.
9. Acheson D. Public health in England: the report of the Committee of Inquiry into the Future Development of the Public Health Function. London: H.M.S.O., 1988. 101 р.
10. Lee A., Morling J. Public health in practice in a time of change. Public Health in Practice. 2020;1:100001. https://doi.org/10.1016/j.puhip.2019.100001.
11. Public health for mass gatherings: key considerations. Eds. Т. Endericks et al. [Obshchestvennoe zdravoohranenie imassovye meropriyatiya: osnovnye soobrazheniya. Pod red. T. Endericks]. Zheneva: Vsemirnaya organizaciya zdravoohraneniya, 2019. 182 p. (In Russ.).
12. Ponkin I.V., Ponkina A.A. On the legal and actual justification of introduction of the medical law. Pharmaceutical law scientific major in the list of research workers. [K voprosu o pravovoj i fakticheskoj obosnovannosti vvedeniya nauchnoj special'nosti «Medicinskoe pravo. Farmacevticheskoe pravo» v nomenklaturu special'nostej nauchnyh rabotnikov]. Medicinskoe pravo. 2019;(6):3–8. (In Russ.).
13. Omelyanovskiy V.V., Sisigina N.N., Fedyaeva V.K., Musina N.Z. Evolution of healthcare provider payment mechanisms. [Evolyuciya metodov oplaty medicinskoj pomoshchi]. FARMAKOEKONOMIKA. Modern Pharmacoeconomics and Pharmacoepidemiology. 2019;12(4):318–26. (In Russ.). https://doi.org/10.17749/2070-4909.2019.12.4.318-326.
14. Musina N.Z., Omelyanovskiy V.V., Gostischev R.V. et al. Concept of valuebased healthcare. [Koncepciya cennostnoorientirovannogo zdravoohraneniya]. FARMAKOEKONOMIKA. Modern Pharmacoeconomics and Pharmacoepidemiology. 2020;13(4):438–51. (In Russ.). https://doi.org/10.17749/2070-4909/farmakoekonomika.2020.042.
15. Ermolaeva A.D., Krysanova V.S., Ermolaeva T.N. et al. Medical care payment improvement within diagnosis-related groups of patients with severe asthma requiring biologic disease-modifying drugs by regional adaptation mechanism in the Moscow Region. [Sovershenstvovanie oplaty medicinskoj pomoshchi v ramkah klinikostatisticheskih grupp pacientam s tyazheloj formoj bronhial'noj astmy, nuzhdayushchimsya v naznachenii genno-inzhenernyh biologicheskih preparatov, posredstvom primeneniya regional'nogo mekhanizma adaptacii na urovne Moskovskoj oblasti]. FARMAKOEKONOMIKA. Modern Pharmacoeconomics and Pharmacoepidemiology. 2021;14(2):151–66. (In Russ.). https://doi.org/10.17749/2070-4909/farmakoekonomika.2021.093.
16. Kovaleva S.A., Fedyaev D.V., Sisigina N.N. Review of methods for planning the scope of medical care and financing of the healthcare system by the subjects of the Russian Federation. [Obzor metodik planirovaniya ob"emov medicinskoj pomoshchi i finansirovaniya sistemy zdravoohraneniya sub"ektami Rossijskoj Federacii]. FARMAKOEKONOMIKA. Modern Pharmacoeconomics and Pharmacoepidemiology. 2021;14(3):415–22. (In Russ.). https://doi.org/10.17749/2070-4909/farmakoekonomika.2021.110.
17. Larionov А.V., Russkikh S.V., Maslennikov S.V. Development of the system of state financing of Compulsory Health Insurance. [Razvitie sistemy gosudarstvennogo finansirovaniya obyazatel'nogo medicinskogo strahovaniya]. FARMAKOEKONOMIKA. Modern Pharmacoeconomics and Pharmacoepidemiology. 2021;14(4):480–92. (In Russ.). https://doi.org/10.17749/2070-4909/farmakoekonomika.2021.097.
18. Klarman H.E. The distinctive economic characteristics of health services. Journal of Health and Human Behavior. 1963;4(1):44–9.
19. Tello J., Barbazza E. Health services delivery: a concept note. Copenhagen: World Health Organization, 2015. 72 p.
20. Ponkina A.A., Ponkin I.V. Legal regulation of palliative care. [Pravovoe regulirovanie palliativnoi meditsinskoi pomoshchi]. Moscow: GEOTARMedia, 2019. 176 p. (In Russ.). https://doi.org/10.33029/9704-5253-0-PRP-2019-1-176.
21. Moore R.J. Handbook of Pain and Palliative Care: Biobehavioral Approaches for the Life Course. New York: Springer, 2013. 865 p. https://doi.org/10.1007/978-1-4419-1651-8.
Review
For citations:
Ponkin I.V., Sinelnikova V.N., Ponkina A.A., Blinov D.V. The concepts of «medical care» and «medical service»: a civil-legal analysis. Obstetrics, Gynecology and Reproduction. 2022;16(1):29-37. (In Russ.) https://doi.org/10.17749/2313-7347/ob.gyn.rep.2022.289
Views: 2044
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
Email this article 
