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Resume. Analysis of clients’ profile and performance evaluation
of the private clinic helped to identify specific performance
characteristics of this type of health care facility, including:
- the majority of clients are working-age patients with higher
education, white collar workers mainly (employees of banks, businessmen,
civil servants), and females predominantly;
- frequency of visits varies across different demographic and social
groups from 5.45 to 0.2. This variation suggests problems related to
care access;
- visits fluctuate within a day and across days of the week. This
finding served basis for changing working hours of the clinic. The
introduced changes resulted in improved access to care over weekends and
holidays increasing the number of visits at non-working days by 15.5%
for three years;
- morbidity prevalence among the contractual patients has been
relatively stable for the last three years with respiratory diseases,
ocular diseases, diseases of the genitourinary system and diseases of
the musculoskeletal system prevailing. morbidity incidence of injuries
and poisoning, diseases of blood circulatory system, endocrine system,
central nervous system and diseases of the digestive system serves a
prognostic factor for strengthening the relevant areas of the clinic
performance;
- every third visit to the clinic is a visit to a
obstetrician-gynecologist; every fifth visit is a visit to an orthopedic
traumatologist; the remaining 50% of visits is equally divided between
specialists of the following three specialties: urologists, surgeons and
cardiologists. Functional diagnostics is the most utilized service with
its rates being almost unchanged. Rates of X-ray examinations increased
by 30% for three years with rates of laboratory tests decreasing by
22.4%, which is accounted for by the pathology structure of the
contractual patients.
Keywords. Multi-field health care facility; private health care facility; social profile of clients of private medicine; morbidity.
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