LGORITHM of IMPLEMENTACII of ORGANIZATIONAL-ECONOMIC STANDARDS AS FRAGMENT of TECHNOLOGY of UPGRADING TREATMENT In the process of PROFESSIONAL ACCOMPANIMENT of PATIENTS to EN-ROUTE 1, P And Sh of LEVELS of MEDICAL DISTRICT

Authors

  • V. M. Samokhodskyi Kirovohrad Regional Hospital
  • B. A. Golyachenko SHEI "Ternopil State Medical University named after I.Ya. Gorbachevskyi Ministry of Health of Ukraine "

DOI:

https://doi.org/10.11603/1681-2786.2015.2.5609

Keywords:

organizational standards, mediko-economic mechanisms, diagnostichevski CPLD grupy, degrees of complication of diseases, ball estimation of medical work, cost of trudozatrat and motivation of work of doctor.

Abstract

Purpose: to prove considerable improvement of quality and efficiency of medical care to the population attached to ambulatory of family medicine (AFM) as consequence of implementation of complex of organizational and economic standards.

Materials and methods. The structural and logical analysis of algorithm implementation of organizational and economic standards using auto timing, comparative analysis and logic generalisation in technology of professional surveys, prophylactic medical examination, outpatient and inpatient treatment of patients from areas of AFM  responsibility is carried out.

Results. The variant of reforming health care by a principle  «from-upwards» on the level of family doctor when the process of professional support of patients on route I, II, III levels of medical district may implement scientific-grounded mechanism for complex organizational and economic standards, each of which taking into account motivational factors in improvement of quality of professional surveys, prophylactic medical examination, outpatient and inpatient treatment has been offered.

Conclusions. The offered complex of organizational and medical-economic standards will improve quality and efficiency of health care and can be recommended for implementation in all AFM regions.

References

Bayadzhan V. A. Meditsinskoye strakhovaniye i ispol'zovaniye diagnosticheski svyazannykh grupp / V. A. Bayadzhan, O. P. Shchepin // Sov. zdravookhr. – 1991. – № 5. – S. 12–18.

Vasilishin R. Y. Yekspertní otsínki yakostí í medichní standarti – golovniy vazhíl' reformuvannya okhoroni zdorov’ya s'ogodní / R. Y. Vasilishin // Vísn. sots. gígíêni ta org. okhoroni zdorov’ya Ukraí̈ni. – 2001. – № 1. – S. 29–32.

Voronenko YU. V. Metodichní pídkhodi do vprovadzhennya standartizatsíí̈ organízatsíynikh tekhnologíy u sistemí upravlínnya yakostí medichnoí̈ dopomogi / YU. V. Voronenko, V. V. Gorachuk // Ukr. med. chasop. – 2012. – № 5 (91). – S. 108–110.

Voronenko YU. V. Fínansoviy menedzhment z osnovami yekonomíki okhoroni zdorov’ya / YU. V. Voronenko, V. M. Pashchenko. – K., 2011. – 499 s.

Govrilov V. A. Otsenka effektivnosti truda medpersonala uchrezhdeniy zdravookhraneniy / V. A. Govrilov, YU. N. Misnik // Materialy respublikanskogo Plenuma nauchnogo soveta. – Izhevsk, 1990. – S. 10–11.

Ivanova M. A. Normirovaniye truda – odin iz putey optimizatsii kachestva okazaniya meditsinskoy pomoshchi [Elektronnyy resurs] / M. A. Ivanova. – 2007.

Kartysh A. P. Organizatsiya ambulatorno-poliklinicheskoy pomoshchi v usloviyakh novykh ekonomicheskikh otnosheniy / A. P. Kartysh // Materially 2-go s"yezda sots. gigiyenistov i organizatorov zdravookhraneniya Ukrainy, Vinnitsa, 3–5 okt. 1990. – K., 1990. – CH. 1. – S. 19–21.

Korchagin V. P. Teoreticheskiye osnovy ekonomicheskoy reformy zdravookhraneniya / V. P. Korchagin // Ekonomicheskiye problemy reformy zdravookhraneniya. – M., 1991. – S. 6–23.

Lekhan V. M. Sistema okhoroni zdorov’ya v Ukraí̈ní í pídsumki, problemi, perspektivi / V. M. Lekha. – K. : Sfera, 2002. – 28 s.

Metodicheskiye rekomendatsii po organizatsii normirovaniya truda v zdravookhranenii / Shipova V. M. [i dr.]. – M. : RAMN, TSNSHOZ, 2004. – 152 s.

Príoritetniy rozvitok pervinnoí̈ mediko-sanítarnoí̈ dopomogi na zasadakh símeynoí̈ meditsini / Slabkiy G. O. [ta ín.] // Símeyna meditsina. – 2014. – № 3 (53). – S. 25–27.

Reforma okhoroni zdorov’ya v Ukraí̈ní / Golyachenko O. M. [ta ín.] – Ternopíl', 2006. – 159 s.

Samokhodskiy V. N. K tekhnologii opredeleniya stepeni napryazheniya raboty vrachey / V. N. Samokhodskiy // Sots. gigiyena, org. zdravookhr. i istoriya meditsiny. – 1994. – Vyp. 25 – S. 88–91.

Samokhodskiy V. N. K tekhnologii opredeleniya trudozatrat i ikh stoimosti v ambulatorno-poliklinicheskoy rabote / V. N. Samokhodskiy // «Pídsumki ta problemi osvoênnya novogo gospodars'kogo mekhanízmu v sistemí okhoroni zdorov’ya Ukraí̈ni» : materíali Vseukr. nauk.-prakt. konf. – Zhitomir, 1992. – S. 108–109.

Samokhodskiy V. N. Otsenka stepeni zanyatosti otolaringologa v sootvetstvii s kliniko-statisticheskimi gruppami / V. N. Samokhodskiy // UP s"yezd otolaringolgov USSR. – 1989. – S. 339–340.

Samokhods'kiy V. M. Varíant printsipovoí̈ skhemi pídgotovchogo yetapu realízatsíí̈ proyektu «Yeksperimental'na líkarnya strakhovoí̈ meditsini / V. M. Samokhods'kiy // Vísn. sots. gígíêni ta org. okhoroni zdorov’ya Ukraí̈ni. – 2010. – № 1. – S. 72–76.

Samokhods'kiy V. M. Varíant tekhnologíí̈ viznachennya ob’êmu ta íntensivností pratsí líkarív víddílennya statsíonaru / V. M. Samokhods'kiy // Vísn. sots. gígíêni ta org. okhoroni zdorov’ya Ukraí̈ni. – 2012. – № 2. – S. 86–90.

Samokhods'kiy V. M. Viznachennya ob’êmu ta vartostí pratsezatrat ambulatornikh líkarív í varíanti stimulyuvannya í̈khn'oí̈ pratsí / V. M. Samokhods'kiy // Vísn. sots. gígíêni ta org. okhoroni zdorov’ya Ukraí̈ni. – 2012. – № 1. – S. 98–103.

Samokhods'kiy V. M. Do metodiki viznachennya vartostí pratsezatrat símeynogo líkarya pri vikonanní prof. oglyadív / V. M. Samokhods'kiy // Vísn. sots. gígíêni ta org. okhoroni zdorov’ya Ukraí̈ni. – 2011. – № 1. – S. 73–78.

Samokhods'kiy V. M. Mediko-yekonomíchní mekhanízmi realízatsíí̈ organízatsíynikh standartív, kriteríí̈v í normativív yak osnovi stvorennya komp’yuternikh program dlya símeynogo líkarya / V. M. Samokhods'kiy, B. A. Golyachenko // Vísn. sots. gígíêni ta org. okhoroni zdorov’ya Ukraí̈ni. – 2013. – № 2 (56). – S. 19–27.

Samokhods'kiy V. M. Naukove obg̀runtuvannya mediko-yekonomíchnikh mekhanízmív reformuvannya upravlínnya otolaringologíchnoí̈ sluzhbi na yetapí perekhodu do BSM : aftoref. dis. … d-ra med. nauk / V. M. Samokhods'kiy. – Kií̈v, 1994. – 32 s.

Samokhods'kiy V. M. Optimal'na model' profílaktichnikh oglyadív yak organízatsíyniy standart dlya símeynogo líkarya / V. M. Samokhods'kiy // Vísn. sots. gígíêni ta org. okhoroni zdorov’ya Ukraí̈ni. – 2011. – № 3. – S. 65–70.

Samokhods'kiy V. M. Rol' í místse organízatsíynikh standartív yak kriteríí̈v u strukturí standartu yakostí díagnostiki ta líkuvannya v ramkakh profíl'nikh sluzhb regíonal'noí̈ líkuval'noí̈ ustanovi / V. M. Samokhods'kiy // Vísn. sots. gígíêni ta org. okhoroni zdorov’ya Ukraí̈ni. – 2007. – № 2. – S. 72–76.

Sírik V. O. Dotsíl'níst' reformuvannya ambulatorno-políklíníchnoí̈ sistemi nadannya medichnoí̈ dopomogi ta perekhodu do praktiki símeynogo obslugovuvannya naselennya / V. O. Sírik // Símeyna meditsina. – 2014. – № 3 (53). – S. 22–23.

Stoimost' statsionarnoy pomoshchi / Obukhov O. A. [i dr.] // Razvitiye ekonomicheskikh otnosheniy v zdravookhranenii. – M., 1991. – S. 52–55.

Khanu V. Obespecheniye kachestva meditsinskogo obsluzhivaniya / V. Khanu. – Kopengagen : VOOZ, 1985. – 177 s.

Shekera O. G. Normativno-pravovyye aspekty formirovaniya semeynoy meditsiny / O. G. Shekera // Símeyna meditsina. – 2013. – № 2 (46). – S. 10–12.

Shipova V. M. Normirovaniye truda v usloviyakh perekhoda k meditsinskomu strakhovaniyu / V. M. Shipova // Byul. NII sots. gigiyeny, ekonomiki i upravleniya zdravookhraneniya im. N.A. Semashko. – M., 1992. – S. 46–53.

Published

2016-01-22

How to Cite

Samokhodskyi, V. M., & Golyachenko, B. A. (2016). LGORITHM of IMPLEMENTACII of ORGANIZATIONAL-ECONOMIC STANDARDS AS FRAGMENT of TECHNOLOGY of UPGRADING TREATMENT In the process of PROFESSIONAL ACCOMPANIMENT of PATIENTS to EN-ROUTE 1, P And Sh of LEVELS of MEDICAL DISTRICT. Bulletin of Social Hygiene and Health Protection Organization of Ukraine, (2). https://doi.org/10.11603/1681-2786.2015.2.5609

Issue

Section

Organization of medical care