DOI: 10.21045/2071-5021-2017-54-2-3

Zhaboeva S.L.
Kazan State Medical University of the Ministry of Health of the Russian Federation, Kazan

Contacts: Svetlana L. Zhaboeva, e-mail: This e-mail address is being protected from spam bots, you need JavaScript enabled to view it
Information about author:
Zhaboyeva S.L., http://orcid.org/0000-0001-8739-9437
Acknowledgments.The study had no sponsorship.
Conflct of interests. The authors declare no conflict of interest.

Abstract. The study is substantiated by the necessity to find new solutions for the existing medical and social problems: health deterioration and population aging, rise in socially important pathologies and premature mortality in working ages.

Against the background of ongoing transformations one of the ways to change current situation is active implementation of the “health centered” paradigm and a concept of “universal preventive environment” in health care, shifting accents to preventive programs.

The study purpose was to conduct a comparative performance evaluation of state and private medical facilities while implementing preventive programs in the elderly and old ages.

Methods: sampling study of outpatient adult care seeking in state and private medical facilities in 2009-2014. Comparative analysis of the existing preventive technologies was implemented based on expert appraisal.

The study results. The analysis showed consistently low level of preventive care seeking in state medical facilities versus increased visits to private medical facilities with significantly higher share of preventive visits in private medical facilities over the period under study (2000-2014).

According to expert appraisal state medical facilities struggle through deficient financial, time and human resources as well as organizational and managerial defects.

Conclusions: optimal arrangement of working hours of specialists and service component turned out to be major factors affecting patients’ choice of private medical facilities.

Physicians of private medical facilities spend more time on diagnostics, treatment and preventive counseling.

Private medical facilities are more likely to increase preventive care delivery to adult population. This gives grounds for developing personified prevention at private medical facilities integrating them into population preventive programs.

Keywords: performance evaluation of medical facilities; preventive programs; development strategy; material and technical resources; qualified personnel.

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