Eksplicitni i implicitni uticaji na ekonomsko rasuđivanje zdravstvenih stručnjaka posle globalne krize 2008/2009 - izazovi ili ključevi u oporavku zdravstvenih sistema pred nadolazećom globalnom krizom?

Mira Vuković

doi:10.5937/hpimj2002934v

Abstract

Introduction: Due to the global crisis of 2008/2009, health professionals have become aware of the lack of resources in the health system when they were forced to allocate resources themselves during their daily work. However, it remains poorly researched how the global crisis accompanied by cost containment is reflected in the economic reasoning of health professionals. Aim : The aim of this study was to identify the dimensions of economic reasoning of health professionals who are subject to implicit influences. Methods: The academic study included a random sample of health professionals in the institutions of the Republic of Serbia, who voluntarily agreed to fill healthcare professionals' economic reasoning questionnaire with nine items (HPER-9) which contains seven dimensions: the negligence of the cost of quality by the administration and financier; the consideration of the market price and healthcare benefit; market orientation considering patient's requests the recognition of inadequate resource allocations by non-medical administrative authority; the attitude about redirecting the profit from state to private healthcare sector; the recognition of the unjustified spending by the healthcare professionals, and the physician / patient relationship. Respondents were divided into two groups according to the time of the survey. The first group of respondents was surveyed before the introduction of restrictive measures in the health system of the Republic of Serbia. The second group of respondents was surveyed after the implementation of restrictive measures due to the economic crisis. Results: Compared to the period before the introduction of economic restrictions, after their introduction, the score of the consideration of the market price and healthcare benefit as well as score of the physician / patient relationship remained unchanged, while scores of other dimensions have deteriorated. Conclusions: The negligence of quality costs of non-medical administrations, unjustified spending by healthcare professionals, the attitude about redirecting the profit from state to private healthcare sector but also the behavior of non-medical administrations, are important dimensions of economic judgment and behavior of health professionals under implicit economic influences.

Highlights

METHODSIn the past decade, due to the global economic crisis of 2008/2009, health professionals and patients have become aware of the lack of resources in the health system [1]
The aim of this study was to identify the dimensions of economic reasoning of health professionals who are subject to implicit influences, as well as to identify the dimensions of economic reasoning who are subject to explicit influences, before and after the introduction of restrictive measures in the health system of Serbia during the global economic crisis
In our study we showed that the main dimension of economic reasoning of health professionals is the negligence of the cost of quality by the administration and financier authority, and that in the period after, compared to the period before economic restrictions, there was an intensification of their neglect

Summary

Introduction

Due to the global economic crisis of 2008/2009, health professionals and patients have become aware of the lack of resources in the health system [1]. As patients had bitter experience with waiting lists for health services, and with restricting access to certain drugs or procedures in the public (state) health sector [2], employees in the health sector were forced to resort to streamlining procedures during daily practice in decision-making [3], i.e. to allocate funds on their own at the microeconomic level by adapting to the circumstances marked by the lack of resources [4,5,6]. The economic judgment of health professionals is subject to influences, both from the microeconomic level (implicit influences) [11] and from the macroeconomic level (explicit influences) [12]

Objectives

Methods

Findings

Discussion

Conclusion