THE EVALUATION OF FUNCTIONING OF PRIVATE MEDICAL INSTITUTIONS IN THE REPUBLIC OF TAJIKISTAN

Abstract

Introduction. The analysis of the problem of functioning of private medical institutions is dictated by a number of circumstances related to dramatic increasing of number of private medical services providers in Tajikistan during last years and also by danger of occurrence of medical practice of improper quality. Material and methods. The study included analysis of functioning of 681 private medical services providers according data of the Service of State Monitoring of Medical Activities and Social Defense of the Ministry of Health and Social Defense of Population of the Republic of Tajikistan. The evaluation of their activities was implemented using questionnaires covering all aspects of private medical institutions. Results. Among total sampling of private medical services providers, 325 (47.7%) are corporate bodies, 55 (8.1%) - branches of institutions of corporate bodies and 301 (44.2%) physical persons. In the private medical sector operate 3666 individuals and out of them 1559 physicians, 1234 paramedical personnel and 873 general service and supportive personnel. The analysis of distribution of private medical services providers according licensed activities established that the highest percentage had multi-field institutions (207 or 30.3%), stomatological services (200 or 29.4%) and ultra-sound diagnostic (88 or 12.9%). According the results of analysis established violations personnel of the Service of State Monitoring of Medical Activities and Social Defense, within the framework of authority, in 567 cases applied penalties and out of them vindictive damages in 43.2% of cases, suspending of illegal private practice in 31.2% of cases, disregard of legal requirements in the area of traditional medicine in 13.6% of cases and temporary suspending of functioning of institution in 11.6% of cases. Conclusion. To ameliorate functioning of private medical institutions of the Republic of Tajikistan a support is needed of further development of normative legal base with simultaneous support of private medical institutions with necessary normative materials. Also increasing of expenses of institutions to clinical security and amelioration of organization and quality of infection control are required.