Организация здравоохранения
ASSESSMENT OF THE FINANCIAL PROVISION OF PRIMARY HEALTH CARE BY HEADS OF MEDICAL ORGANIZATIONS
M.V. Makarochkina1, Ya.P. Sandakov2
1. Regional Children's Hospital, Irkutsk
2. Academy of Postgraduate Education of Federal Research and Clinical Center of Specialized Medical Care and Medical Technologies of FMBA of Russia, Moscow
Full file PDF (637 Kb)
Summary:
Introduction: one of the factors in achieving patient satisfaction with medical care is its quality and availability. However, the results of the assessment of the measures taken to increase the level of satisfaction of the population with the work of medical organizations in the public health sector indicate that significant changes, in particular in ensuring the availability of primary health care for the population and improving its quality, have not been achieved. One of the reasons for the current situation is the insufficient funding of primary health care provided as part of the implementation of the compulsory health insurance program.
Objective: to study the opinion of the heads of medical organizations of the public health sector providing primary health care to the attached population as part of the implementation of the compulsory health insurance program on the issue of financial support for this type of assistance.
Materials and methods: to study the opinions of the heads of medical organizations, a sociological study was conducted by the method of questioning and the method of analyzing the information received. To conduct the survey, a questionnaire was compiled containing 15 questions (direct and indirect) on the topic of the study. The analysis of the information received was carried out by calculating and comparing extensive and intensive indicators.
Results: the survey confirmed that the existing mechanisms for financing medical organizations in the public health sector involved in the provision of primary health care under the compulsory health insurance program do not provide the necessary level of material and technical equipment, for this, funds are raised from the provision of paid services.
Conclusions: financing of primary health care on a per capita basis does not reimburse the real costs of a medical organization for its provision within the framework of the compulsory medical insurance program; funds from the provision of paid services are attracted to improve the material and technical base.
Keywords primary health care, health financing, satisfaction, case study.
Bibliographic reference:
M.V. Makarochkina, Ya.P. Sandakov, ASSESSMENT OF THE FINANCIAL PROVISION OF PRIMARY HEALTH CARE BY HEADS OF MEDICAL ORGANIZATIONS // Scientific journal «Current problems of health care and medical statistics». - 2022. - №5;
URL: http://healthproblem.ru/magazines?textEn=946 (date of access: 21.11.2024).
URL: http://healthproblem.ru/magazines?textEn=946 (date of access: 21.11.2024).
Code to embed on your website or blog:
Article views:
Today 5 | Week 5 | Total: 443