The practical implementation of the Balanced Scorecard for assessing the performance of the health care organization providing primary health care is proposed. This is especially important when using per capita payment model for health care in the CHI system for the objective formation of indicators for assessing the effectiveness of medical activities (outcome model).
The federal executive power of the Russian Federation determines the average national standards for provision of population with health care. And at the regional level a «binding» to the characteristics of the region, including the level and distribution of the disease incidence, should be implemented. The article presents the results of the analysis of disease incidence and mortality, allowing to form an objective and effective territorial program of CHI.
Health care is a system aimed at creating and promoting health of the nation, every person, maintaining active long-term life of citizens, providing health care to them in case of loss of health. In economic terms health is a social and personal resource for everyday life.
Further development of the method of diagnosis-related groups in the national healthcare system and stepped increase in their number and criteria of grouping reveals new objectification possibilities in the assessment of the efficiency of the general hospital. The article suggests methodological approachs to assessing the complexity and efficiency of the hospital, which provides 24-hour conditions for the delivery of specialized health care.
Discussion among health officials, clinicians and economists about the «right» choice for the development of the domestic organizational and economic health care model becomes especially acute during the period of economic stagnation. Then the majority of state social projects, including the health sphere, are «scrapped» and it is proposed to transfer the burden of social obligations from the state to the the population.
Significant macroeconomic changes taking place in the country are inevitably affect the activities of all sectors of the national economic complex regardless of the degree and level of reforms in each of them. The article presents the experience of the Vladimir oblast (region) in improving the health care payment methods in the CHI system.
When implementing the territorial Program payment methods established by the Program of State Guarantees fоr free Medical care for Russian Citizen are applied. They are aimed at ensuring availability and quality of medical care delivered to the population. Specifics of payment for health care in Primorsky Krai is examined in this article.
In previous publications of the author the possibility of using the indicator of quality-adjusted life years (QALY) in pharmacoeconomics was considered. Other features of pharmacoeconomics will be considered within the framework of this article in continuation of the issue development. Use of the Budget Impact Analysis and pharmacoeconomic approaches to medicines pricing are helpful in the implementation of the pharmacological support strategy for the population.
