LOGIC OF DECISION-MAKING IN ASSESSING THE EFFECTIVENESS OF HEALTH INSURANCE - THE PRINCIPLES OF COMPARATIVE ANALYSIS

Abstract

The problems of i mproving t h e health insurance business through th e use of technology monitoring performance analysis of the insurance company are discusse d. It was used the coefficients of consistency trend; the waiting for the results coefficients, etc. The main indicators for monitoring were integral characteristics, such as compliance with diagnostic and treat ment protocols. Particular attention is paid to the perfor mance of dissatisfaction with patients. There was investigated t h e q uality of medical care in 5000 patients with 135 enterprises. It was discusse d the causes and conse quences of cases of improper medical care as a result of non-compliance with its quantity or quality and the prospects of t he use of information - m at hematical strategies to assess trends in non-compliance by existing standards and protocols. It was marked proportion of diagnostic and therapeutic measures carried out not in full due to reasons beyond the control of the doctor and led to a deterioration of the patient’s condition and lengthening the period of treat ment.