Necessary Transformation of Administration for Family Physicians Practice

Abstract

This paper considers the internationally leading models in administration work of family physicians, such as traditional care in outpatient clinics, disease control programs, and human-centered primary health care. The authors noted that the Ukrainian model of «human-oriented health care» is being confidently formed under the health care modernization and EU integration process. The authors found the reducing number of hospitalizations of the catchment population; decreasing mortality at home with cardiovascular disease, tuberculosis, diabetes; reducing the congenital malformations of children undetected during their mothers’ pregnancy. In addition, the study detected the growth of the visit number of the catchment population to the healthcare facilities for preventive purposes; an expanding the nursing of the number of one-year-old children; no cases of child deaths at home, etc. The findings showed that the process of administrative control and evaluation of the effectiveness of family physicians should be based on clearly defined criteria. Each head of the health care facility could set their own requirements for the effectiveness of primary care physicians. The specification of certain indicators for assessing the effectiveness of the family physicians covers the number, density, age, and sex of the population, morbidity, geographical and other characteristics. However, the lack of uniform requirements for administrative control and evaluation of the work of family physicians complicates the process of administering the work of primary care physicians, which needs to be further addressed. The article aims to analyze the effectiveness of the administration of family physicians in the Municipal non-profit enterprise of Konotop City Council «Konotop Municipal Hospital». The main problems and directions of improving the efficiency of administration of family physicians were highlighted. It was established that the most significant shortcomings were the absence of a website; insufficient number of practicing family physicians; dissatisfaction with wages; insufficient level of logistics; insufficient level of practical training of young specialists, etc. Family physicians also noted difficulties in the transition from working with paper documents to digital ones and weak Internet and poor performance of relevant servers. In turn, that affects the entire process of family physicians from the moment of registration (via the Internet or by phone) to the issuance of electronic prescriptions for medicines or sick leaves. Based on the study results, several recommendations were made to family physicians and hospital administration to increase their work efficiency.