2018 № 10 The experience of interregional Clinic and Diagnostic Centerin health care delivery within the mandatory medical insurance and charged services
An article discusses differences in the legal and regulatory framework in regulating the mandatory medical insurance and charged services. It is found out that conditions that lie at the root of the mandatory medical insurance system could be fully implemented using the causal approach to diagnostics and disease treatment. The causal approach within the mandatory medical insurance allows responding to the cause of the disease quickly and affordably. It is concluded that implementing mandatory medical insurance systems and charged services in a medical facility requires their different positioning, and in this case they will not repeat each other or compete with each other, but complement each other perfectly. The article describes the experience of Interregional Clinic and Diagnostic Center in organizing charged services using a system approach that allows forming an aggregate picture of a disease taking into account a plenty of factors and opinions from various experts. The conceptual differences in organizing the health care delivery in the mandatory medical insurance systems (causal approach) and charged services (system approach) within the activities of Interregional Clinic and Diagnostic Center allowed to define both systems as mutually supportive systems that fully meet the needs of people in medical services.
2018 № 10 Methodologikal aspects of evaluation of effectiveness in health care
Modern health care is characterized by a number of problems and contradictions in the field of performance evaluation. Analysis of the research and legal documents indicates the absence of a common approach to the issue. In this regard, the development and implementation of evaluation systems in the public sector is still relevant and very difficult task.The article provides information on the main stages of the development of the assessment methodology in accordance with the various stages of reforming domestic health care. Conceptual approaches to the terminology of the problem are being conceptualized and the variety of techniques to study this phenomenon is visually demonstrated.The authors draw attention to the need to systematize the accumulated knowledge in this field and to find a clear conceptual basis for constructing an evaluation system.It is concluded that existing theoretical, methodological and practical developments, including those fixed at the legislative level, do not allow an objective and unambiguous assessment of the phenomenon under study.
2017 № 7 Information management public health interface: the history of the system-analytical development
The article presents the stages of formation and development of system approach and system analysis as the methodological basis for the development of automated control systems in healthcare. Given the contribution of the most well-known industry experts in the development of this activity. The results of the analysis of the development of organizational support Informatization of healthcare of the country in recent fiftieth anniversary. Shows examples of effective and ineffective-products of decisions. Described the experience of theoretical and experimental substantiation of creation of regional medical information-analytical center.