Організація служби управління госпітальною допомогою

Abstract

Проведено аналіз ходу процесів та перспективи реформування госпітальної допомоги. Досліджено діючу практику організації служби управління госпітальною допомогою. Встановлено, що в основі сучасних підходів до організації фінансування госпітальної допомоги лежить відмова від принципу утримання медичних організацій (тобто фінансування їх діяльності за готовність до надання послуг) і перехід до оплати реальних обсягів і якості медичних послуг відповідно до потреби населення (”гроші йдуть за пацієнтом”). Показано, що для успішного функціонування системи інтегрованих медичних послуг необхідні ретельно опрацьовані стимули, завдяки яким поетапна оптимізація була б економічно вигідною для всіх зацікавлених сторін.

The article analyzes the course of processes and the prospects for there form of hospital care. The purpose of the study is to analyze the current practice of the organization of hospital management services. The basis of modern approachest of the organization of the financing of hospital care is the waiver of the principle of the maintenance of medical organizations (i.e. financing the inactivities for preparing for the provision of services) and the transition to paying for there alvolumeand quality of medical services according to the needs of the population (”money goes for the patient”). Conclusions The successful functioning of the integrated health care system requires carefully elaborated in centives that would allow for phase-out optimization to be economically beneficial for all stakeholders. Sometimes, the successful integration of health care can lead to a reduction in the incomes of some stakeholders. Forexample, when some types of health care are transferred to the primary health care sector, the flow of patients in hospitals is reduced, which leads to a decrease in income. Therefore, funding organizations, along with the integration of medical care, are taking steps to help hospitals reduce their additional cost sand thus increase their profits. It should also be noted that in the system of integrated (guided) medical care the emphasis of efforts of medical institutions in work on preservation of the patient’s health begins to shift from treatment of diseases to their prevention, because their financial condition directly depends on the level of health of the population taken into account . Creating an integrated health care system is the need to develop a new model of payment for medical services, in which doctors would be financially interested in thorough planning of services provided by them. New integrated systems are not only coordinated structures for the provision of medical care to patients, but also make it possible to materially interest doctors in providing the highest quality services at the lowest possible price.