One of the forms of social protection of the population's interests in the field of health care is compulsory health insurance. In 1991, the Law "On medical insurance of citizens of the Russian Federation" was adopted for the first time, which was substantially amended in 1993. The Federal law of the Russian Federation of 29.11.2010 № 326-FZ "On compulsory health insurance in the Russian Federation" defines the basic concepts of the sphere of health insurance — objects, subjects, participants of the CHI system, the rights and obligations of subjects and participants of the CHI, the program of state guarantees and the CHI program (basic and territorial), financial support mechanisms. The main provisions used in health insurance in the Russian Federation are presented in the article.

The reception Department is a structural unit of the medical organization with a 24-hour hospital, consisting of medical facilities and administrative and economic part. It is intended for registration, primary examination, anthropometry, sanitary and hygienic treatment of incoming patients and provision of qualified (emergency) medical care. The basic principles of the organization of work of the reception Department are presented in the article.

Brain tumor — heterogeneous group of various intracranial tumors, benign or malignant, arising in the event that the process of abnormal uncontrolled cell division, which in the past were normal components of the brain tissue itself (neurons, glial cells, astrocytes, oligodendrocytes, ependymal cells), lymphatic tissue, blood vessels of the brain, cranial nerves, meninges, skull, glandular formations of the brain (pituitary gland and epiphysis), or arising as a result of metastasis of the primary tumor located in another organ. The type of tumor is determined by the cells that form it. Depending on the localization and histological variant, the symptoms of the disease are formed. Timely diagnosis of this process allows to correctly determine the volume of surgery and increase the success of treatment of this group of patients.

The article describes the features of the organization and implementation of an effective contract in the field of health care in order to improve the quality of medical services. The effective contract is investigated from the position of definition of organizational and legal conditions of its realization, system of stimulation of medical workers and prospects of formation of social and labor relations of new quality in healthcare institutions.

In accordance with the Federal law of 05.04.2013 № 44-FZ "On the contract system in the procurement of goods and services for state and municipal needs" in the medical organization creates a contract service or appointed contract Manager. The basic rules of the organization of work of this service are presented in the article.

The standard operating procedure is a document containing step-by-step instructions to be followed by the personnel during any medical manipulation (medical, diagnostic, sanitary-epidemic, preventive, etc.). Standard operating procedures make it possible to unify the process regardless of who will perform it, standardize the methodology and ensure high accuracy, reproducibility and consistency in the work of medical personnel. The quality of the work performed depends on how competently this document will be drawn up, how fully all the nuances of this or that medical manipulation will be taken into account in it. At the same time, it does not matter what sphere of activity this technique covers - standardization is necessary in any process, starting from cleaning the premises and ending with complex diagnostic measures using high-tech equipment.

Prevention of nosocomial infections is a priority for any medical institution. Quality infection control programmes reduce the incidence of hospital-acquired infections, the length of hospital stay and the costs of hospitalization and treatment. The medical staff of the treatment and prevention facility should make the basic elements of infection control part of the daily routine in order to reduce the level of microbial transmission within the facility. In order to carry out this process, infection control commissions are established in the health care facility.

Medical organizations that provide paid medical services are obliged to inform the consumer about them. At the legislative level, the requirements for the content of the website of the medical organization and information stands are established. Information on the stands, racks and website should be the same. The legislation does not regulate where it is necessary to place information stands and racks. Usually this is done near the main entrance, at the cash register or reception. The organization determines the number of stands and their type (paper, electronic, paper-electronic) independently. Options racks: vertical design with booklets and leaflets, infomats.

The order of the MoH of Russia from 10.05.2017 No. 203н "On approval of criteria for evaluating the quality of medical care" updated criteria for assessing the quality of medical care. Thus, new criteria for assessing the quality of medical care have been approved, which are used to assess the timeliness of care, the correct choice of methods of prevention, diagnosis, treatment and rehabilitation, the degree of achievement of the planned result. The criteria are differentiated by groups of diseases (conditions) and by the conditions of care (outpatient, day hospital and inpatient). The order came into force from 01.07.2017. The previous criteria are no longer valid.

In terms of the level of health care development, the United States of America occupies a leading position among the world communities, as well as in terms of public spending on its development. According to the latest data, the country spends about 16% of GDP for the needs of medicine, which is about 7.5 thousand dollars per year per capita. President Barack Obama's health care reform has made health care free and accessible to such categories of citizens as pensioners, the disabled and the poor (by the way, the latter include all those whose annual income does not exceed $ 10,000). All the rest are obliged to pay for "insurance", without which you can expect only to receive emergency care. Without an insurance policy, you can get to the doctor and even get advice, but the prescription for the necessary medicine is not exactly written out, and almost all medicines in the States have prescription leave. According to research by the who and the US have the most stable health system able to respond rapidly to changing conditions. Also, America is a leader in confidentiality and respect for patients, in the timeliness of care and meeting the needs of patients.

Health care in Finland in its organizational structure has a number of similarities with the health of Russia. Primary health care is provided at the municipal level, to obtain specialized care, residents of the country apply to district medical clinics (in Finland there are 5 districts — the capital, Pirkanmaa, Turku, Kuopio and Oulu, each of which unites several municipalities). And only the most complex and high-tech methods of treatment, such as organ transplantation, joint prosthesis, coronary artery bypass grafting, are carried out in the capital of the country — Helsinki. The financing of medical services is primarily provided by the municipalities, and patients pay for part of the treatment. Thus, the average citizen of Finland is cheaper to get medical care in the clinic at the place of residence, within the municipality, as well as in the hospital «native» medical district. Health Finland has repeatedly recognized as one of the best in Europe, and the indicators speak for themselves: the average life expectancy in Finland is 81.5 years, and the annual expenditure on health care per resident is 2.1 thousand euros. However, in 2011 a decision was made about carrying out the health reform, and in March 2019, it became clear that the reform was a fiasco.