Model of interaction between medical organizations based on the principles of Fund management – a way to improve the efficiency of primary health care

The article analyzes the experience of per capita financing of primary health care based on the principles of
stock provision in the system of compulsory health insurance (MHI). The article shows the features of practical implementation of Fund-forming models of per capita financing, their impact on the final results of the activities of medical organizations of Fund-holders. A unified scheme of interaction between the MHI participants (medical organizations, insurance medical organizations, territorial MHI Fund) (medical and economic model of business processes) is proposed for the implementation per capita financing of primary health care, with provision of decoding with partial filling of the Fund for the implementation of a patient-oriented model of medical care.

Authors: Halfin R. A. [1] Avksentieva M. V. [1] Muravyov D. N. [1] Orlov S. A. [5]

Tags: chi system1 efficiency of medical care1 fund maintenance1 insurance2 insurance event1 interaction of inpatient and outpatient care1 medical care9 per capita financing2