К вопросу о необходимости изучения преступности в сфере обязательного медицинского страхования

Abstract

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.