|
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.
References
-
Akopyan AS. Organizational and legal forms of healthcare facilities and paid medical service in public healthcare facilities. Ekonomika zdravookhraneniya 2004;84(5-6):10-18 (in Russia).
-
Balokhina S.A. Marketing researches of the needs for paid medical
service in population of large cities. Cand.Sci.Med [dissernation].
Moscow. 2005(in Russia).
-
Report of Golikova TA, the Ministry of Health and Social Development of
the RF at the meeting on the problems of healthcare modernization in
Ivanovo [Internet]. 2010 [cited 2013 Jan 16]. Available from:
http://www.primma.ru/index.php?option=com_content&view=article&id=296:2010-11-10-12-35-36&catid=9:2010-02-21-11-10-43&Itemid=21
(in Russia).
-
Vyalkov AI, Kucherenko VZ. Theoretical and organizational-methodical grounds for risks in medical practice. Problemy upravleniya zdravookhraneniem 2006;27(2):52-57 (in Russia).
-
Gerasimenko NF, Aleksandrova OYu. Healthcare system management: regulation aspects. Ekonomika zdravookhraneniya 2003; 9(2):5-11 (in Russia).
-
Kadyrov FN. Paid medical service. Economical and legal grounds for
organization of paid medical service. Moscow: Grant; 1999. 496 p. (in
Russia).
-
Klyukovkin KS. Scientific rationale for improving organization,
planning, and financing of outpatient care in a large city. Dr.SciMed
[dissertation]. St. Peterburg; 2008. 358 p. (in Russia).
-
Kovalenchik AD. Organizational basis of the model for cooperative
partnership between a private medical facility and a municipal
healthcare facility. Cand.Sci.Med [thesis]. Ivanovo; 2006. 24 p. (in
Russia).
-
Kucherenko VZ, Shlyapnikov VV. Financial risks in activity of commercial healthcare facilities. Problemy sotsial'noy gigieny, zdravookhraneniya i istorii meditsiny 2008;(1):21-23 (in Russia).
-
Mishagin DV. Organizational and methodical grounds for delivering paid
medical service to population in a large multi-field hospital.
Cand.Sci.Med [thesis]. Ryazan'; 2007. 24 p. (in Russia).
-
Ravdugina TG, ed. Organizational and technological solutions for
development, adoption and implementation of a collective agreement in a
healthcare facility: methodical recommendations. Omsk: The Omsk State
Medical University; 2005 (in Russia).
-
Petrova NG. On the segmentation of consumers of paid medical service.
In: Actual problems of healthcare reformation at the present stage:
Collection of scientific works. Vishnyakov NI, Trishin VM, eds.
St-Petersburg; 2006. P. 151-154 (in Russia).
-
Formation and development of self-regulatory mechanisms in healthcare
of the Russian Federation. Starodubov VI, ed. Moscow: Menedzher
zdravookhraneniya; 2010 (in Russia).
-
“On the basis for population health protection in the Russian
Federation”, the Federal Law of the RF of November 21, 2011 ¹ 323-FZ
[Internet]. 2011 [cited 2013 Jan 11]. Available from:
http://www.consultant.ru/popular/zdorovia_grazhdan/ (in Russia).
-
Tsarik GN, Te IA, Shipachev KV. Certification of healthcare facilities and improvement of medical service quality. Problemy sotsial'noy gigieny, zdravookhraneniya i istorii meditsiny 2009;(4):23-30 (in Russia).
-
Shaydulina LI. Management of health care quality in outpatient
healthcare facilities of commercial healthcare sector (by an example of
Kazan). Cand.Sci.Med [dissertation]. Kazan'; 2008 (in Russia).
-
Shlyapnikov VV. Scientific grounds for high quality medical service in
conditions of non-budgetary financing. Dr.Sci.Med [dissertation].
Moscow. 2010 (in Russia).
-
Yushmanova TN. Study of population opinion about the quality of medical care in non-budgetary dental facilities. Problemy sotsial'noy gigieny, zdravookhraneniya i istorii meditsiny 1999;(4):17-19 (in Russia).
Views: 21538
|
