Abstract
Researchers in many countries are looking for effective ways to organize payment for primary health care and conclude that the method of per capita financing of clinics with fund-holding has both positive and negative aspects, which necessitates their obligatory consideration when deciding on the use of this payment method. The article, based on an analysis of the experience of foreign countries, shows that equal access to primary health care is ensured through the expansion of coverage of the population by services and regulation of the distribution of funds for health services. To improve the efficiency of the health system certain mechanisms of fine-tuning the existing methods of planning, organization and payment of health care, aimed at the end results of activities, are needed. Exploring the historical and international aspects of primary health care will result in more efficient implementation of the tasks of modernizing the primary health care level of the Russian Federation, approved by the Russian Government’s Resolution as of 09.10.2019 No. 1304, as well as of the activities within of the federal project “Development of the Primary Health Care System” being a part of the national health project “Health” developed in compliance with the Decree of the President of the Russian Federation of May 7, 2018 No. 204 “On the national goals and strategic objectives of the development of the Russian Federation until 2024”. The purpose of the study is to analyze the ways to pay for medical care in foreign countries and compare it with the Russian experience of per capita payment on the principles of fund-holding. Methods of bibliographic and information search of sources in databases.
Highlights
A B S TRACT Researchers in many countries are looking for effective ways to organize payment for primary health care and conclude that the method of per capita financing of clinics with fund-holding has both positive and negative aspects, which necessitates their obligatory consideration when deciding on the use of this payment method
Exploring the historical and international aspects of primary health care will result in more efficient implementation of the tasks of modernizing the primary health care level of the Russian Federation, approved by the Russian Government’s Resolution as of 09.10.2019 No 1304, as well as of the activities within of the federal project “Development of the Primary Health Care System”
The purpose of the study is to analyze the ways to pay for medical care in foreign countries and compare it with the Russian experience of per capita payment on the principles of fund-holding
Summary
Методы оплаты первичной медико-санитарной помощи в зарубежных странах и в России. О. В статье на основе анализа опыта зарубежных стран показано, что равный доступ к первичной медико-санитарной помощи обеспечивается через расширение охвата населения обслуживанием, регулирование процесса распределения финансовых средств, направленных на оплату медицинских услуг. Для повышения эффективности работы системы здравоохранения нужны механизмы тонкой настройки действующих методов планирования, организации и оплаты медицинской помощи, направленные на конечные результаты деятельности. Изучение исторических и международных аспектов оплаты первичной медико-санитарной помощи позволит более эффективно реализовать задачи по модернизации первичного звена здравоохранения РФ, а также мероприятия федерального проекта «Развитие системы оказания первичной медико-санитарной помощи» национального проекта «Здравоохранение». Выбрав целью исследования анализ зарубежного опыта способов оплаты медицинской помощи и российский опыт подушевой оплаты на принципах фондодержания, авторы использовали методы библиографического и информационного поиска источников в базах данных. И. Методы оплаты первичной медико-санитарной помощи в зарубежных странах и в России.
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