Updating of Standard Performance Indicators of Polyclinics in the Context of Value-Based Healthcare

Abstract

The key to providing high-quality and affordable health care to all citizens of the Russian Federation is to efficiently use the funds allocated within the state guarantee programs for free medical care. It is also one of the main tasks for optimizing the healthcare funding process. It is considered that medical organizations, especially those of primary care (i.e., providing outpatient services), must operate in an efficient way. This principle lays the foundation for value-based healthcare, which puts people first in the healthcare system. The list of performance indicators for medical organizations financed under the per capita funding standard by the number of attached persons was provided as a mandatory annex to the tariff agreement concluded in the Russian regions. The article discusses the relevance of laying down the criteria for evaluating the effectiveness of medical organizations in a regulatory document. The changes made by the Ministry of Health of the Russian Federation in the requirements for the structure and content of such documents are addressed. The adjustments to the list of indicators depicting the effectiveness of outpatient polyclinic care were assessed, and additional criteria were given.