Organizational and legal aspects and problems of regulation of providing oncological care to military servicemen (employees)

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Abstract

Background. At the present stage in Russia, oncological care is provided by a coordinated system of state and municipal medical organizations, as well as a departmental component of medical care. The main objectives of medical care in the oncological profile are prevention, diagnosis, treatment and rehabilitation of patients suffering from malignant neoplasms. The purpose of the study was to comprehensively understand the normative legal regulation of the provision of medical care to military personnel (employees) in the oncological profile and the problems of implementing the regulatory function in this area of social interaction.

Purpose. The work studies and substantiates the organizational foundations and problems of normative legal regulation of the provision of medical care to military personnel (employees) in the oncological profile, notes the social and humanistic significance of resolving the identified problems.

Materials and methods. From the point of view of a comparative legal approach, the authors use methods of comparison, analogy, generalization and synthesis, as well as methods of an integrated approach, which made it possible to study existing federal and departmental regulatory legal acts in comparison with problematic issues currently available in the field of regulation of medical care. assistance to military personnel (employees) in the oncological profile.

Results. The work examines the substantive basis of the normative legal regulation of the provision of medical care to military personnel (employees) in the oncological profile and problematic issues of such regulation. The relevance of the study is due to the constant increase in the number of cancer patients, among whom there are military personnel (employees) of the Russian Guard. Oncological diseases are accompanied by a high mortality rate of this pathology among patients. Improving the quality, completeness, accessibility and efficiency of providing medical care to cancer patients also requires improving the legal regulation of this area of activity.

Conclusion. Based on the conceptualization of the legal foundations and problematic aspects of providing medical care to military personnel (employees) on an oncological profile, the work proposes to consider issues of improving the organization of dispensary observation of military personnel (employees) in connection with malignant neoplasms, and also presents proposals for changing the list of insurance cases in relation to military personnel (employees).

About the authors

Petr Yu. Naumov

Main Military Clinical Hospital of the National Guard Troops of the Russian Federation

Author for correspondence.
Email: petr.naumov.777@mail.ru
ORCID iD: 0000-0002-2875-2322
SPIN-code: 2750-3053

Candidate of Pedagogical Sciences, Assistant Head of the Hospital for Legal Work – Head of the Legal Support Department

 

Russian Federation, 101, Vishnyakovskoye highway, Balashikha, Moscow region, 143914, Russian Federation

Anatoly V. Dubinin

Main Military Clinical Hospital of the National Guard Troops of the Russian Federation

Email: anatoliy.dubinin.87@mail.ru
SPIN-code: 5463-0285

Candidate of Pedagogical Sciences, Senior Officer of the Legal Support Department

 

Russian Federation, 101, Vishnyakovskoye Highway, Balashikha, Moscow region, 143914, Russian Federation

Andrey A. Utyuganov

Perm Military Institute of the National Guard Troops of the Russian Federation

Email: cooldron-88@mail.ru
ORCID iD: 0009-0006-5527-6794

Candidate of Psychological Sciences, Teacher of the Department of Tactics and Service-Combat Use

 

Russian Federation, 2, Gremyachiy Log Str., Perm, 614112, Russian Federation

Roman V. Zelepukin

Derzhavin Tambov State University

Email: lexcomlex@yandex.ru
ORCID iD: 0000-0002-0307-4385
SPIN-code: 1152-8939
ResearcherId: AAX-6885-2021

Candidate of Law, Associate Professor of Constitutional and International Law Department

 

Russian Federation, 33, Internazionalnaya Str., Tambov, 392000, Russian Federation

References

  1. Bolshakova, V. M., Kholikov, I. V., Naumov, P. Yu. (2022). Medical support of the judicial system of the Russian Federation. Siberian Journal of Life Sciences and Agriculture, 14(1), 103-127. https://doi.org/10.12731/2658-6649-2022-14-1-103-127 EDN: https://elibrary.ru/fxanco
  2. Bukhtiyarov, I. V., Kholikov, I. V., Bolshakova, V. M., Naumov, P. Yu. (2023). Experience in conceptualizing military aspects of medical law (discussion of Chapter 14 of the textbook «Medical Law of Russia»). Medicine of Labor and Industrial Ecology, 63(1), 67-73. https://doi.org/10.31089/1026-9428-2023-63-1-67-73 EDN: https://elibrary.ru/fwiguf
  3. Gavrilov, S. O., Glebov, I. N., Chukin, S. G., et al. (2022). Law at the bifurcation point: discussion of a conceptual study of military problems of international law. State and Law, (12), 59-67. https://doi.org/10.31857/S102694520023301-2 EDN: https://elibrary.ru/xhovfe
  4. Gaidamashko, I. V., Naumov, P. Yu., Dyachkov, A. A. (2023). Potential of the monograph «Military Law» in training future military lawyers and developing their personality. State and Law, (5), 68-79. https://doi.org/10.31857/S102694520025198-8 EDN: https://elibrary.ru/rciftx
  5. Ganishev, A. V., Konkov, A. V. (2015). Methodological aspects of military medical examination in the internal affairs bodies of the Russian Federation. Medical Bulletin of the Ministry of Internal Affairs, (3), 8-14. EDN: https://elibrary.ru/trlmaf
  6. Glushachenko, S. B., Zelepukin, R. V. (2023). Military legal knowledge for future transport workers (review of the three-volume monograph «Military Law»). World of Transport, 21(1), 134-137. https://doi.org/10.30932/1992-3252-2021-21-1-16 EDN: https://elibrary.ru/wilxld
  7. Golivets, T. P., Kovalenko, B. S. (2015). Analysis of global and Russian trends in oncological morbidity in the 21st century. Research Result. Series Medicine and Pharmacy, 1(4), 125-131. https://doi.org/10.18413/2313-8955-2015-1-4-125-131 EDN: https://elibrary.ru/vofhgb
  8. Kaprin, A. D., Starinskiy, V. V., Shakhzadova, A. O. (Eds.) (2022). State of oncological care for the population of Russia in 2022. P.A. Herzen Moscow Research Institute of Oncology — branch of the National Medical Research Center of Radiology of the Ministry of Health of Russia, 239 p.
  9. Mokhov, A. A. (2017). Medical law of Russia as an academic discipline in the system of legal training. Legal Education and Science, (5), 3-7. https://doi.org/10.18572/1813-1190-2017-5-3-7 EDN: https://elibrary.ru/yrqdsb
  10. Naumov, P. Yu., Bolshakova, V. M., Zemlin, A. I., & Kholikov, I. V. (2021). Conceptual aspects of medical examination production when appealing against military medical examination conclusions in court. Siberian Journal of Life Sciences and Agriculture, 13(6), 283-306. https://doi.org/10.12731/2658-6649-2021-13-6-283-306 EDN: https://elibrary.ru/jyszqr
  11. Naumov, P. Yu., Zemlin, A. I., & Utyuganov, A. A. (2022). Current issues of transforming legal norms on diseases posing a danger to others. Actual Problems of State and Law, 6(4), 532-539. https://doi.org/10.20310/2587-9340-2022-6-4-532-539 EDN: https://elibrary.ru/mczixo
  12. Naumov, P. Yu., & Kholikov, I. V. (2023). Characteristics of legal foundations for conducting military medical examinations in the National Guard troops of the Russian Federation. Siberian Journal of Life Sciences and Agriculture, 15(1), 474-493. https://doi.org/10.12731/2658-6649-2023-15-1-474-493 EDN: https://elibrary.ru/qiglaf
  13. Naumov, P. Yu., Baranova, N. N., Kholikov, I. V., & Kuptsov, S. A. (2023). Comprehensive study of legal foundations and problematic issues of providing first aid to military personnel (by military personnel). Emergency Medicine, (3), 57-64. https://doi.org/10.33266/2070-1004-2023-3-57-64 EDN: https://elibrary.ru/lqloac
  14. Naumov, P. Yu. (2023). Social functions of private military companies in the context of modern world order transformation. Paths to Peace and Security, (2), 207-218. https://doi.org/10.20542/2307-1494-2023-2-207-218 EDN: https://elibrary.ru/gytvqq
  15. Naumov, P. Yu., Shepel, R. N., & Kholikov, I. V. (2023). Provision of primary health care to military personnel: legal regulation and problematic aspects. Cardiovascular Therapy and Prevention, 22(S9), 46-56. https://doi.org/10.15829/1728-8800-2023-3885 EDN: https://elibrary.ru/dsonxg
  16. Naumov, P. Yu., Zakhartsev, S. I., Kholikov, I. V., & Bolshakova, V. M. (2023). The value of law and legal values in a globalizing world (Axiological review of the book «State and Law: Human Rights and a World Order Based on the Rule of Law»). State and Law, (9), 64-72. https://doi.org/10.31857/S102694520024304-5 EDN: https://elibrary.ru/xeaqeb
  17. Naumova, L. Yu., Naumov, P. Yu., Pyatilyshnova, O. M., & Gibizov, A. S. (2019). Features of legal regulation of reimbursement for providing high-tech medical care services to military personnel of the National Guard troops of the Russian Federation. Law in the Armed Forces - Military Legal Review, (10), 77-82. EDN: https://elibrary.ru/edkcwk
  18. Nikolaev, K. N., Zubritsky, V. F., Koltovich, A. P., et al. (2018). Prevention of venous thromboembolic complications in combat gunshot injuries. Pirogov Surgery Journal, (9), 82-86. https://doi.org/10.17116/hirurgia2018090182 EDN: https://elibrary.ru/ylruix
  19. Novikov, N. S., Naumov, P. Yu., Utyuganov, A. A. (2022). Physical and mental health of military personnel as a socio-legal value. Actual Problems of State and Law, 6(3), 450-458. https://doi.org/10.20310/2587-9340-2022-6-3-450-458 EDN: https://elibrary.ru/nbecsk
  20. Ognerubov, N. A. (2015). Clinical significance of biological variants of breast cancer. Molecular Medicine, (2), 31-35. EDN: https://elibrary.ru/tppedn
  21. Ognerubov, N. A., Ognerubova, I. N. (2017). Malignant priapism. Tambov University Bulletin. Series: Natural and Technical Sciences, 22(1), 171-174. https://doi.org/10.20310/1810-0198-2017-22-1-171-174 EDN: https://elibrary.ru/ygsiwl
  22. Ognerubov, N. A., Ezhova, E. N. (2022). Somatic mutations in colorectal cancer: regional experience. Consilium Medicum, 24(5), 291-296. https://doi.org/10.26442/20751753.2022.5.201796 EDN: https://elibrary.ru/eggimo
  23. Ognerubov, N. A., Zelepukin, R. V., Poddubnaya, I. V. (2022). Risk of discrimination of Russian citizens when receiving medical care abroad as a healthcare trend. Modern Oncology, 24(2), 260-263. https://doi.org/10.26442/18151434.2022.2.201706 EDN: https://elibrary.ru/fjkeor
  24. Ognerubov, N. A., Zelepukin, R. V. (2021). Organization of medical care provision in oncology for patients outside their insurance territories under changing regulatory regulation. Consilium Medicum, 23(12), 986-990. https://doi.org/10.26442/20751753.2021.12.201269 EDN: https://elibrary.ru/sagxfr
  25. Ognerubov, N. A. (2024). Efficacy of adjuvant therapy with ademetionine during anticancer drug therapy. Consilium Medicum, 26(6), 351-361. https://doi.org/10.26442/20751753.2024.6.202857 EDN: https://elibrary.ru/ydygzu
  26. Polyakov, V. G., Men, T. Kh. (2008). Incidence of malignant neoplasms in Russian children in 1990-2005. Russian Journal of Oncology, (2), 30-33. EDN: https://elibrary.ru/jscmwb
  27. Savenkov, A. N., Kudashkin, A. V. (2021). Military law: problem statement and solutions. State and Law, (4), 7-34. https://doi.org/10.31857/S102694520014362-9 EDN: https://elibrary.ru/pyjjql
  28. Sergeev, Yu. D., Milushin, M. I. (2003). On theoretical foundations and concept of national medical law. Legal Education and Science, (4), 29-34. EDN: https://elibrary.ru/opprnp
  29. Kholikov, I. V., Milovanovich, A., Naumov, P. Yu. (2022). Dynamics of international law functioning in the context of modern world order transformation: post-nonclassical approach. Journal of Russian Law, 26(11), 132-148. https://doi.org/10.12737/jrl.2022.122 EDN: https://elibrary.ru/abbllm
  30. Kholikov, I. V., Naumov, P. Yu., Bolshakova, V. M., et al. (2022). Federal state control (supervision) over compliance with legislation in the field of ensuring safety of fuel and energy complex facilities: new stage of regulation and law enforcement. Ugol, (10), 66-71. https://doi.org/10.18796/0041-5790-2022106671 EDN: https://elibrary.ru/llcnqt
  31. Kholikov, I. V., Bolshakova, V. M., Naumov, P. Yu., Zelepukin, R. V. (2022). Values and meanings of the main judicial act of the 20th century: axiological concepts of A.N. Savenkov’s book «Nuremberg: Verdict in the Name of Peace» (Discussion materials). State and Law, (10), 51-62. https://doi.org/10.31857/S1026945200217887 EDN: https://elibrary.ru/imtjuc
  32. Chissov, V. I., Starinskiy, V. V., Aleksandrova, L. M., et al. (2006). Sectoral program «Development of high-tech methods of prevention, diagnosis and treatment increasing the effectiveness of medical and social rehabilitation and quality of life of cancer patients» and main results of its implementation in 2001-2005. Russian Journal of Oncology, (4), 38-40. EDN: https://elibrary.ru/hvuwzj
  33. State report on the health status of the population of the Russian Federation in 1999. Moscow: Ministry of Health of Russia, RAMS, 2000. 103 p.
  34. Carcinogenesis: guide / Ed. by D.G. Zaridze. Moscow: Medicine, 2004. 574 p.
  35. Oncology: textbook for medical students / Ed. by V.I. Chissov, S.L. Daryalova. Moscow: GEOTAR-MEDIA, 2007. 559 p. ISBN: 978-5-9704-0454-6
  36. Statistics of malignant neoplasms in Russia and CIS countries in 2004 / Ed. by M.I. Davydov, E.M. Aksel. Bulletin of the N.N. Blokhin Russian Cancer Research Center RAMS, 2006. Vol. 17, No. 3, Suppl. 1, pp. 5-132.
  37. Interregional Public Movement «Movement Against Cancer» - working with appeals from patients and their relatives: official website. URL: http://www.rakpobedim.ru/fileadmin/user_upload/pdf/dpr-results-of-year-2022.pdf (accessed: 01.02.2024).
  38. Ministry of Finance of Russia: official website. URL: https://minfin.gov.ru/ru/press-center/?id_4=38680-na_pomoshch_onkobolnym_v_byudzhete_zalozheno_bolee_430_mlrd_rublei (accessed: 12.01.2024).
  39. Ministry of Health of the Russian Federation: official website. URL: https://minzdrav.gov.ru/poleznye-resursy/natsproektzdravoohranenie/onko (accessed: 22.02.2024).
  40. Federal Service of the National Guard of the Russian Federation: official website. URL: https://rosguard.gov.ru/ru/page/index/medicinskie-organizacii (accessed: 07.03.2024).

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