Innovative technologies in estimation of efficiency and activity efficacy of medical institutions of Stavropol region rendering primary health care

Objective: development of organizational technology for improving intersectoral interaction on public health protection at the regional level in the context of the COVID-19 pandemic. Material and methods. The modeling method was used, which is implemented in the form of flowcharts summarizing obtained materials devoted to the study of the characteristics of the sectors of the state and society interested in protecting public health, the determinants of health, the design of an automated method for multi-vector evaluation of the success of intersectoral interaction in the conditions of COVID-19. Results. The technology of intersectoral interaction on public health protection at the regional level in the conditions of the COVID-19 pandemic has been developed and the algorithm of its implementation has been substantiated. At the same time, two modules have been identified, one of which allows to form preventive programs, the other — to improve health care based on the results of a multi-vector assessment of the success of this process. Conclusion. The developed organizational technology makes it possible to contribute to the improvement of intersectoral cooperation on public health protection at the regional level in the context of the COVID-19 pandemic.

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Efficiency evaluation of the implementation of a New medical organization model providing primary healthcare services in medical organizations of the Sverdlovsk region operating in the compulsory medical insurance system

Zherebtsova¹,

Leontiev²,

Mikhailova³

et al. 2022

National Health Care (Russia)

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Nowadays, creation of a new medical organization model providing primary healthcare services (New Model) is broadly associated with the introduction of lean manufacturing technologies. In the setting of modern healthcare development, the challenge of evaluating the efficiency of the medical organization activities remains primary and unresolved, especially in the context of introduction of new methodological approaches. The article describes the experience of creating and evaluating the efficiency of the New Model implementation in medical organizations of the Sverdlovsk region operating in the compulsory medical insurance system.The purpose of the study. To present the results of evaluating the effectiveness of the implementation of the New Model in medical organizations in the Sverdlovsk region.Research materials. The activities of 79 medical organizations involved in the New Model creation and expansion in the period between 2017 and 2019 were analyzed.Research results. The rate of staff involvement in the medical organizations was examined using an express “Questionnaire Q12” method; herewith 1,489 employees were interviewed in 2018, and 3,640 employees in 2019. The level of patient satisfaction with the medical care quality and availability, the number and amounts of fines/deductions/withdrawals for the outpatient care services collected by insurance medical organizations (IMOs), Territorial Fund of Compulsory Medical Insurance of the Sverdlovsk Region (TFCMI SR) were studied.Conclusion. The New Model implementation increases the level of patient satisfaction with the medical care quality and availability, the number of fines/deductions for the outpatient care services collected by IMOs, TFCMI SR has been decreased. A high staff involvement in the medical organization activities has been observed, however certain activities aimed at satisfying the HR needs and staff motivation need to be developed. It is necessary to continue further evaluation of the efficiency of the New Model implementation in terms of medical, social and economic indicators. Crucial in the New Model implementation is the interaction between TFCMI SR, IMOs, and medical organizations in the provision of primary healthcare services aimed at the assessment of the medical care availability and quality, including patient satisfaction.

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Innovative technologies in estimation of efficiency and activity efficacy of medical institutions of Stavropol region rendering primary health care

Cited by 3 publications

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Development of a Methodology for Integral Assessment of the Effectiveness of Medical Organizations Under Conditions of Changes in the Main Business Processes in the Health Care System

Development of a Methodology for Integral Assessment of the Effectiveness of Medical Organizations Under Conditions of Changes in the Main Business Processes in the Health Care System

Improving intersectoral cooperation on public health at the regional level under the context of the COVID-19 pandemic

Efficiency evaluation of the implementation of a New medical organization model providing primary healthcare services in medical organizations of the Sverdlovsk region operating in the compulsory medical insurance system

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