Planiranje rada i finansiranje zdravstvenih ustanova u Republici Srbiji u 2008. godini

Abstract

Data from reports about work in health institutions in Serbia without Kosovo and Metohia for 2008. are processed, with the aim to, on the basis of calculated signs about covering of population with health and other personnel and hospital beds for short hospitalization on secondary and tertiary level, in relation with financial means from public incomes, to establish in which extent applied methodology for planning and financing of health care as part of obliged health insurance contributes equalization of conditions for health services utilization, and which factors influence on efficiency of health institutions' work. Methodology of comparative analysis within related activities and institutions was applied, on territorial principle (municipalities, districts), and on levels of health activities. The results of the analysis show that high level of equilibred management of Republic Institute for Health Insurance is reached, as well as financing and management of health institutions. However, the results point out on inequality in trained personnel and number of hospital beds for district population on primary and secondary level of health service, and on differences in amount of means per district inhabitant. Bed capacities in common hospitals were used with average fillness of 66%, and in University hospitals with 77 % days in year. In conclusion the need for improvement and promotion of the quality of planning is emphasized, and it is recommended that Institutes for Public Health pay bigger attention on validity and quality of data and, beside analyzing of particular planes and reports, to evaluate the whole situation in the area for which they are established.