PILOT PROJECT OF HEALTH CARE SYSTEM REFORMING (APPLICATION OF ELEMENTS OF PROGRAM-TARGET METHOD, TRANSITION TO STRATEGIC PURCHASES)

Authors

  • М. V. Shevchenko State Scientific Institution "Scientific-Practical Center of Clinical and Preventive Medicine" the State Administration, Kyiv
  • G. O. Slabkyi Uzhhorod National University

Keywords:

budgetary program, strategic purchases, public noncommercial enterprises.

Abstract

Purpose: estimation of introduction of new financial and economic mechanisms in pilot regions (Vinnytsia, Dnipropetrovsk, Donetsk region and  Kyiv).

Materials and methods. The regulatory framework has been analyzed. Analytical and comparative methods are used. Evaluation of budgetary programs performance "Primary health care" in 2013 is spent by an advanced Technique of comparative analysis of efficiency of budgetary programs, which are carried out by managers of local budgets.

Results. Expenses on PHC in Vinnitsia region were 22.4% of the consolidated budget on public health care, in Dnipropetrovsk - 18.53%, in Donetsk - 17.8%, in Kyiv - 13.6%. The share of expenses on financing of emergency medical care on function "Station of the fast and urgent aid" to 5.1% continues to increase.  Performance of budgetary programs "Primary health care" in 2013 is estimated in Dnipropetrovsk region as high (225 points), Vinnitsia - as low (106 points).

Conclusions. Financing by type of health care at level of local budgets can be evaluated positively. Working off mechanism of strategic purchases at PHC level was possible due to implementation of organizational, functional and financial allocation of this type of health care.

References

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Published

2015-03-13

How to Cite

Shevchenko М. V., & Slabkyi, G. O. (2015). PILOT PROJECT OF HEALTH CARE SYSTEM REFORMING (APPLICATION OF ELEMENTS OF PROGRAM-TARGET METHOD, TRANSITION TO STRATEGIC PURCHASES). Bulletin of Social Hygiene and Health Protection Organization of Ukraine, (4). Retrieved from https://ojs.tdmu.edu.ua/index.php/visnyk-gigieny/article/view/3515

Issue

No. 4 (2014)

Section

Reforming of health care system

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