The social partnership in sphere of health care modernization

Abstract

The article considers the role of interdepartmental cooperation in modernization of health sector at the regional level exemplified by Mari El Republic. Based on data of study monitoring, the dynamics of medical and demographic indicators are determined. Over the past five years, life expectancy increased, patient satisfaction with medical care increased. Its accessibility increased in rural areas. The primary health care is provided in 49 outpatient clinics and in 207 paramedic and midwifery centers, that meets the established standards. Against this background, the birth continues decreasing of birth rate and increasing of mortality because of diseases of blood circulation system and neoplasms. In order to more thoroughly study the state of health care and and taking into account requirements of the National Health Care Project, the sociological survey of two categories of respondents (patients and medical staff of the district hospital) was carried out. The indicators of demographic development are restrained by negative alterations in demographic structure of population, its aging and regressivity, decreasing of percentage of women of most active reproductive age and high mortality of men of able-bodied age. The social partnership of interested bodies and organizations involved in the reform and improvement of health care system can reduce severity of the above-mentioned problems. Statistical monitoring of implementation of requirements to accessibility and quality of medical care was carried out. The article presents original scheme of interaction between twelve ministries and departments of the Republic. The proposals of to improve quality and accessibility of medical care, the prestige of medical profession and implementation of healthy lifestyles are proposed.