ASSESSMENT OF THE ACTIVITIES OF THE PURCHASER OF MEDICAL SERVICES BY THE HEADS OF PRIMARY HEALTH CARE FACILITIES
DOI:
https://doi.org/10.11603/1681-2786.2021.3.12624Keywords:
primary health care, medical guarantees program, Purchaser of medical services, providers of medical servicesAbstract
Purpose: to assess the relationship between the Purchaser and medical service providers in the conditions of introduction of the medical guarantee program (MGP) in Ukraine and to identify the characteristics of the Purchaser ‘s activities that need improvement in terms of primary care providers.
Materials and Methods: The study was conducted in two stages: the focus of interviewing the heads of primary care facilities with a high level of competence to determine a set of characteristics of the Purchaser of medical services; survey according to our questionnaire, compiled based on the results of the first stage of the study, 100 heads of primary care facilities. Statistical analysis, including methods of descriptive and analytical statistics, was performed using STATISTICA 6.1.
Results. 11 parameters were identified that characterize the activity of the Purchaser of medical services in the PHC system together with the generalized assessment of the Purchaser’s functioning. Of the total number of respondents negatively or rather negatively assessed: the balance of relations with the Purchaser – 70 %, the order of formation of the Purchaser’s requirements for suppliers – 70 %, the Purchaser’s response to changing needs for PHC services – 21 %, the reasonableness of the tariff for financing PHC services – 96 %, financial security of introduction of new requirements to providers – 91 %, purposefulness of policy on formation of MGP – 67 %, efficiency of MGP – 50 %, efficiency of economic incentives of MGP – 84 %, coordination of intentions and actions requiring investments between the Purchaser and the service provider – 60 %, characteristics of the electronic health care system – 52 %. In general, 72 % rated the activity of the Purchaser of medical services positively rather than negatively, 28 % – negatively rather than positively.
Conclusions. The study showed the existence of difficulties in forming a relationship between the Purchaser and providers of PHC services in the implementation of health care financing reform. It is established that among the characteristics of the Purchaser ‘s activity the suppliers are most concerned about the shortcomings of economic validity and gaps in the political settlement of these relationships.
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