No2(4) 2021
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DOI 10.37219/2528-8253-2021-2-04 |
Zabolotny DI, Samokhodsky VM, Ponomarenko NV
Pilot project as a format for determining the effectiveness of
implementation mechanisms of innovative medical and economic standards for
secondary prevention and health promotion |
Zabolotny Dmitry I
State Institution “Institute of otolaryngology named after Prof. O.S.
Kolomiychenko of the National Academy of Medical Sciences of Ukraine”; Kyiv,
Ukraine. Director
Doctor of Medical Sciences, Professor, Academician of the National Academy
of Medical Sciences of Ukraine
E-mail: amtc@kndio.kiev.ua
https://www.scopus.com/authid/detail.uri?authorId=6701512931
https://orcid.org/0000-0001-9429-4414
Samohodskiy Viktor M.
Kirovograd Regional Hospital, Otolaryngology Department
Doctor of Medical Sciences, Professor
E-mail: VSamohodskiy@gmail.com
Ponomarenko NV
Communal non-profit enterprise "Polyclinic Association" of the City Council
of Kropyvnytskyi |
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Abstract
Relevance: Due to the fact that secondary prevention and dispensary
treatment have been almost reduced in Ukraine during the last years a set of
innovative medical and economic standards is suggested for their renewal and
improvement; their implementation should be tested firstly by means of a
field experiment.
Objective: To prove the effectiveness of scientifically based
organizational and economic standards of criteria and regulations in the
process of improving the health of the population in the area of
responsibility of the family physician using diagnostic and treatment
management within the "Pilot Project" in the three levels of health care
areas of the district.
Material and Methods: Since the algorithm of the complex of medical
and economic standards for secondary prevention and dispensary treatment
were developed on the basis of one service – otorhinolaryngology, and the
positive effect of health improvement should be achieved for all medical
specialties during the preparatory phase, using the goal prognosis method, a
team of medical professionals will retrospectively analyze a significant
number of histories of various diseases at the tertiary level in the
healthcare institution to differentiate these diseases into
clinical-statistical groups, diagnosis related groups and their degree of
complexity, as it is already done for ENT diseases, which will enable using
appropriate software and recommended formulae to calculate quantitative and
qualitative indicators of the amount of medical work to determine the level
of work load, its cost, and
personal attainment coefficient of each physician.
Results: Use of our standards, criteria and guidelines in the process
of pilot project makes it possible of the basis of timing to determine the
standard and over normative volumes of medical work, indicators of which by
certain calculations are transformed into a mechanism lor determining the
working load of the doctors, Its cost, which allows differentiate deciding
the level of their material incentives, i.e. those technological divisions,
which are essential to create a system of our national insurance medicine. |
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Keywords
medical and economic standards; screening of occupational diseases;
electronic monitoring of medical examinations; division of diseases into
diagnosis related groups, clinical-statistical groups and levels of
complexity; coefficient of personal achievement of a physician. |
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