Probl Sotsialnoi Gig Zdravookhranenniiai Istor Med
October 2024
The introduction of value-based healthcare is considered as the most promising area of healthcare system reform in different countries, regardless of the level of their socio-economic development. The definition of value-based in healthcare is defined by M. Porter and E.
View Article and Find Full Text PDFProbl Sotsialnoi Gig Zdravookhranenniiai Istor Med
December 2022
The predominance of the state dominant in the field of healthcare dictates the conditions of management and financing. As international practice shows, the main source of financing for the provision of medical services are state and/or public resources, which inevitably means the need to monitor the effectiveness of their spending by the state. Each country has established and effectively operates a system of state financial control, the functioning of which is based on the principles and concepts laid down in the standards of the International Organization of Supreme Bodies of Financial Control and Audit (INTOSAI).
View Article and Find Full Text PDFProbl Sotsialnoi Gig Zdravookhranenniiai Istor Med
August 2021
An actual characteristic of the processes taking place in the Russian healthcare, especially during the ongoing transformation of the state healthcare system aimed at building a patient-oriented healthcare model, is the analysis of the reasons why citizens prefer medical care provided for a fee. The purpose of the study is to study the main reasons for the treatment of the population of the city of Moscow for medical services provided for a fee and their comparison with the reasons for applying for paid medical services (PMU) in other regions of the Russian Federation.The main materials of the study were the data of a sociological survey of visitors to the capital's medical organizations about the reasons for the population's application for obtaining PMU, as well as the results of sociological surveys on this topic in other regions of the Russian Federation.
View Article and Find Full Text PDFProbl Sotsialnoi Gig Zdravookhranenniiai Istor Med
October 2020
This article presents the results of a study on the relationship between indicators of accessibility of citizens to primary health care (PHC), based on the data of the Unified medical informational analytical system of Moscow (EMIAS) and the results of the survey of physicians of medical institutions of the state healthcare system, providing primary care to adults. The analysis of scientific publications has shown that when assessing the availability and quality of medical care, taking into account public opinion, the main attention is paid to sociological surveys of citizens and less often the opinion of medical personnel who provide medical care to citizens is studied. The analysis of the information from foreign sources has shown that the availability of primary health care is a hot topic in many countries all over the world, including the countries with a high level of GDP per capita.
View Article and Find Full Text PDFProbl Sotsialnoi Gig Zdravookhranenniiai Istor Med
July 2019
The article presents information on methodological approaches to creation of the ratings in the health sector and the study on the use of the various demographic indicators and indicators of population health used by the world health organization to evaluate the effectiveness of health systems in different countries. The opinions of experts on the purpose of ratings and scientific and methodological approaches to their creation are given. The article describes the results of rating formation of medical organizations of the state health system of the city of Moscow on the basis of the results of the implementation of the quality standard of resource management.
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