State control and supervision in the medical activity sphere (administrative-legal and administrative-procedural aspects)

The article examines the administrative-legal and administrative-procedural aspects of state control and supervision activities in the field of health care. The aim of the work is to analyze legislative innovations that reflect a new approach to state control (supervision). The tasks of the work are to consider the features of the legislation regulating state control (supervision) in the field of medical activities, as well as the specifics of the organizational activities of authorized bodies and organizations in the field of control and supervisory medical activities. The work is characterized by the use, along with standard methods of analysis, heuristics and axiology, a statistical method to illustrate the effectiveness of control and supervisory activities.

The results of the work are the conclusion that control and surveillance activities in the context of the COVID-19 coronavirus pandemic should move away from a formal approach due to the fact that massive restrictions on the activities of business entities in their totality cause damage comparable to the damage from the pandemic itself. Therefore, in each specific case, it is necessary to find out what unfavorable consequences in the field of sanitary and epidemiological welfare the identified violations may lead, and not be guided by a formal approach.

Although the statistics of the volume of inspections in the country as a whole has significantly decreased by almost 80%, in the field of sanitary and epidemiological welfare, the volume of inspections does not correlate with the general figures of the dynamics of control and supervision activities. There is an obvious explanation for this, associated with anti-pandemic measures in the country as a whole.

1. Adamov D.S., Kozyrev E.V., Kosterin I.V., Sorokin V.A., Shchegoleva N.O. Analysis of the main provisions of the Federal Law of July 31, 2020 № 248-FZ «On state control (supervision) and municipal control in the Russian Federation» // Topical issues of fire safety. 2020. № 4 (6). Pp. 26-32.

2. Voronkova S.V. State control and supervision in the field of health protection of the working population: administrative and legal aspects: abstract ... Candidate of Law. N. Novgorod, 2020.

3. Epifanova E.V., Luparev E.B. Criminal and Administrative Liability in Healthcare: Theory and Practice of Application. Krasnodar, 2020.

4. Kasumova M.K., Ostrenko S.Yu., Dunaevskaya N.N., Lazarev S.V., Shpilev D.I. The content of measures to control the quality and safety of medical activities // Institute of Dentistry. 2018. № 3 (80). Pp. 16-21.

5. Commentary on the Constitution of the Russian Federation / Ed. by V.D. Zorkina, L.V. Lazarev. M., 2010.

6. Ladnushkina N.M. New approaches to state regulation of educational activities // Human law and rights in the modern world: trends, risks, development prospects: materials of the All-Russian scientific conference dedicated to the memory of Professor F.M. Rudinsky. Saratov, 2020. Pp. 179-183.

7. Luparev E.B, Epifanova E.V. Public medical law: tutorial. Krasnodar, 2021.

8. Masalab A.F. Problems of the development of state control and supervision in the context of legislative reform // Law enforcement. 2020. Vol. 4. № 4. Pp. 94-101.

9. Fuller P.A How peer review of agency science can help rulemaking: Enhancing judicial deference at the frontiers of knowledge // GEORGE WASHINGTON LAW REVIEW. Т. 75. Изд. 4. С. 931-969 // https://apps.webofknowledge.com/full_record.do?product=WOS&search_mode=GeneralSearch&qid=3&SID=E6vwJogMMd9bp7bqUzr&page=2&doc=14.

10. Luparev E.B., Adygezalova, G.E., Epifanova E.V., Faroi T.V. Principles of the development of medical legal framework in Russia: Economic factors and legal realities // European Research Studies Journal. 2018. Т. 21. С. 21-26 // https://www.scopus.com/record/display.uri?eid=2-s2.085062311348&origin=resultslist&sort=plff&src=s&st1=Luparev&st2=E.B.&nlo=1&nlr=20&nls=countf&sid=5500280fa8b01531fcb2b982a66fdd52&sot=anl&sdt=aut&sl=35&s=AUID%28%22Luparev%2c+E.+B.%22+57200337167%29&relpos=0&citeCnt=0&searchTerm=

11. May I.V., Sedusova E.V Sanitary-epidemiological audit as a tool to improve management effectiveness in the sphere of sanitary and epidemiological welfare of the population // Gigiena i Sanitariya. 2018. № 97(1). С. 90- 93

12. Mitrokhin O.V. Interaction between state and non-state organization while monitoring sanitary and epidemiological safety // Voprocy gosudarstvennogo i municipalnogo upravlenia. 2019. № 4. С. 113-132 // https://apps.webofknowledge.com/full_record.do?product=WOS&search_mode=GeneralSearch&qid=4&SID=E61avJKrfxGsEp2RNxi&page=1&doc=1.

13. May I.V., Sedusova E.V Sanitaryepidemiological audit as a tool to improve management effectiveness in the sphere of sanitary and epidemiological welfare of the population // Gigiena i Sanitariya. 2018. № 97 (1). С. 90-93/

14. Mitrokhin O. V. Interaction between state and non-state organization while monitoring sanitary and epidemiological safety // Voprocy gosudarstvennogo i municipalnogo upravlenia. 2019. № 4. С. 113-132 // https://apps.webofknowledge.com/full_record.do?product=WOS&search_mode=GeneralSearch&qid=4&SID=E61avJKrfxGsEp2RNxi&page=1&doc=1.

15. Potapenko S.V, Luparev E.B. Jurisdictional control in the sphere of public health protection in the Russian Federation // MEDICINE LAW & SOCIETY. 2020. № 13/2. С. 123-152 // https://apps.webofknowledge.com/InboundService.do?product=WOS&Func=Frame&DestFail=http%3A%2F%2Fwww.webofknowledge.com&SrcApp=RRC&locale=ru_RU&SrcAuth=RRC&SID=C3AMtvEdQbfj8qq9Yoy&customersID=RRC&mode=FullRecord&IsProductCode=Yes&Init=Yes&action=retrieve&UT=WOS%3A000583849300002.

16. Pеtrukhin N.N Typical drawbacks in sanitary and hygienic characteristics of labor conditions submitted for the examination of the relation of diseases with an occupation in medical workers // Gigiena i Sanitariya 2020. Т. 99. Изд. 6. С. 597-602.

17. Romanov V.V., Kiselev M.F. Responsibilities of federal medical biological agency on ensuring of radiation safety in the North-West region of the Russian Federation // NATO Science for Peace and Security Series C-Environmental Security. 2006. Т. 9 // https://apps.webofknowledge.com/full_record.do?product=WOS&search_mode=GeneralSearch&qid=4&SID=E61avJKrfxGsEp2RNxi&page=1&doc=2.

18. Zobov A.E., Berskiǐ O.V., Nebredovskiǐ V.N., Zharkov D.A. Application of administrative enforcement while carrying-out of federal sanitary and epidemiological surveillance in the Armed Forces of the Russian Federation // Voenno-meditsinskiǐ zhurnal. 2013. Т. 334. Изд. 5. С. 19-23.