Problems of Social Hygiene, Public Health and History of MedicineProblems of Social Hygiene, Public Health and History of Medicine0869-866X2412-2106Joint-Stock Company Chicot88910.32687/0869-866X-2022-30-2-318-321Научная статьяThe classifier of surgical operations and manipulations in system of medical services financing in the Kyrgyz RepublicKalievM. T.-ImankulovaA. S.aselimankul@gmail.comDjumalievaG. A.-AzimzhanovaM. N.-TolbashievaG. U.-NaralievU. T.-The R&D Production Complex “Preventive Medicine”The I. K. Akhunbayev Kyrgyz State Medical Academy1503202230231832125042022Copyright © 2022,2022The health care reforms in the Kyrgyz Republic are directed to develop hospital financing system. In 2003 the system of clinical-cost groups was introduced. The surgical clinical-cost groups are organized on the basis of existing classifier “The Surgical Operations and Manipulations”, which is not revised since its approval in 1997, that resulted in distortion of statistical information. Hence, need in development and implementation of modern reference book is obvious. The purpose of the study is to comparatively analyze international classifiers of surgical operations and manipulations, to evaluate their accordance to clinical practice in the Kyrgyz Republic and to develop new national classifier to be applied in the Kyrgyz Republic. The actually applied national classifier of Surgical Operations and Manipulations includes 2181 types of surgical interventions, 250 (12%) out of which have no accurate formulation (for example “The other types of brain surgeries”). In addition, 453 (21%) surgical operations are not applied. The detailed analysis of such international classifiers as the International Classification of Diseases-10 Procedure Coding System (ICD-10-PCS), the Australian Classification of Health Interventions (ACHI), the NOMESCO Classification of Surgical Procedures (NCSP), Nomenclature of Health Services, the Russian Nomenclature of Health Services (RNHS) was implemented.The systematization of analyzed data permitted to determine the Russian classifier “Nomenclature of medical services” as the most optimal for implementation in the Kyrgyz Republic. The obtained and analyzed data made it possible for the Ministry of Health of the Kyrgyz Republic to proceed activities related to development of new classifier of surgical interventions on the basis of the Nomenclature of Medical Services of the Russian Federation.classifiersurgical operationscodingmanipulationsaccount of interventionsclinical-cost groupsclinical-statistical formsклассификатор хирургических операцийкодирование операций и манипуляцийучет вмешательствклинико-затратные группыклинико-статистическая форма[Bredenkamp C., Bales S., Kahur K. Transition to Diagnosis-Related Group (DRG) Payments for Health. Washington, DC: World Bank; 2020.][Kutzin J., Cashin C., Jakab M., eds. Implementing Health Financing Reform. Lessons from countries in transition. WHO: European Observatory on Health Systems and Policies; 2010.][Ibraimova A., Akkazieva B., Ibraimov A., Manzhieva E., Rechel B. Kyrgyzstan: Health system review. Health Syst. Transit. 2011;13(3):152.][Мейманалиев Т. С., Калиев М. Т. История здравоохранения Кыргызской Республики. Часть 2 Период независимости после распада СССР: Монография. Бишкек; 2016.][Busse R., Geissler A., Quentin W., Wiley M. Diagnosis-Related Groups in Europe. Moving towards transparency, efficiency and quality in hospitals. Berkshire, England: Open University Press, McGraw-Hill Education, Maidenhead; 2011.][Thomson S., Sagan A., Mossialos E., eds. Private Health Insurance: History, Politics and Performance. European Observatory on Health Systems and Policies. Cambridge: University Press; 2020.][Кашин Ш. И. Системы оплаты услуги стационаров по пролеченным случаям: Пошаговое руководство по разработке и внедрению в странах с низкими и средними доходами. Алматы; 2005. 147 с.][NOMESCO Classification of Surgical Procedures (NCSP), version 1.15. Режим доступа: http://norden.diva-portal.org/smash/record.jsf?pid=diva2%3A970547&dswid=220][NHSN ICD-10 Operative Procedure Code Mappings (updated 12-2021). Режим доступа: https://www.cdc.gov/nhsn/xls/fusn-icd-10-pcs-codes][International Classification of Health Interventions (ICHI). Режим доступа: https://www.who.int/classifications/ichi/en/][Тюрина И. В. Принципы построения международной классификации медицинских вмешательств Всемирной организации здравоохранения. Медицинские технологии. Оценка и выбор. 2018;33(3):18-27. doi: 10.31556/2219-0678.2018.33.3.018-027][Тюрина И. В., Авксентьева М. В. Сравнительный анализ номенклатуры медицинских услуг и международной классификации медицинских вмешательств Всемирной организации здравоохранения. Медицинские технологии. Оценка и выбор. 2019;38(4):18-26. doi: 10.31556/2219-0678.2019.38.4.018-026]