Challenges of developing a new model of a medical institution providing primary health care in conditions of optimizing the health system

Abstract

Introduction. Measures implemented in the form of a project to change the activities of medical instituions are recognized as successful if, on the basis of intensive diagnostic and treatment methods, the maximum possible amount of medical care is provided in compliance with licensing requirements. The purpose of the study was, taking into account the trends in the attitude of the population towards the activities of private medical institutions, to conduct not only an analysis of the activities carried out by the authorities and management to improve the model of the state medical institution, but also to identify possible problems that, against the background of optimizing the health system, can impede the successful implementation of appropriate management decisions. Materials and methods. The material for the comparative analysis was the normative legal acts of state authorities and management bodies, as well as the results of measures taken in the Kemerovo region to optimize the regional health care system and the information obtained by questionnaire of patients of a private medical institution. The analysis database was created in the IBM SPSS Statistics 22 license statistical package. Statistical comparison of ordinal and qualitative traits in independent groups was carried out using the chi-square test (χ2) and the Z-test. Differences are statistically significant at the difference level p < 0.05. Results. Patients who took part in the survey as respondents gave a higher rating to a private medical institution on the following indicators: management of work, quality of prescribed treatment, staff attitude to patients, waiting time for admission, sanitary condition of the institution, satisfaction with the quality of services. Differences are statistically significant. Limitations. As part of the study of the results of the implementation of a new model of a medical institution providing primary health care in the context of optimizing the healthcare system, an analysis of regulatory documents on the problem under consideration and a survey of two hundred nineteen residents of Novokuznetsk who sought medical help at the clinic of Grand Medica LLC were carried out. Conclusions. The conclusions contain not only an assessment of the declared level of the priority project being implemented, but also possible management decisions, the implementation of which will contribute to a positive change in the health system.