Acta Medica Leopoliensia (Aug 2017)
An innovative technology "The audit of health status of individuals/community" at the primary level of medical care as a basis in the process of transformation of the medical branch to economic methods of population health management under the conditions
Abstract
Aim. Scientific substantiation of the need of medical branch in the innovative medical technology "the audit of health status of individuals / community" at the primary level of medical care in the process of transformation of the medical branch to economic methods of health management and in conditions of decentralization of authorities in Ukraine. Material and Methods. The results of research were obtained using qualimetric, retrospective, abstract methods, as well as methods of descriptive modeling, deductive awareness, structural-logical analysis, taking into account the systemic principles and the requirements of the change management theory. Results and Discussion. The lack of objective analysis of scientific data on the health status of the population of Ukraine during the last 25 years has led the process of reforming the medical branch with a focus on accessibility and quality of medical care to disappointing organizational and management results. In order to fill this gap, we modeled and proposed for implementation at the primary level of medical care a technology named "the audit of health status of human / community". The essence of this innovation in medical practice is based on medical account of health, which should be considered as the process of detection, measurement, registration, accumulation, generalization, analysis, storage and transmission of information to external and internal users on health status of individuals / community to make appropriate management decisions at certain levels of the health management process. Conclusion. The innovative technology AHP proposed for physicians of the primary level of medical care would finally allow to obtain reliable / objective data on health status in 95% of cases and carry out its comprehensive evaluation at the individual or community level in different administrative and territorial areas, as well as in Ukraine as a whole. In addition, the proposed medical technology will promote effective implementation of the economic methods of health management at all levels of state government and returning at the stage of reforming of the medical care in Ukraine at the primary level in the conditions of decentralization of authorities to implementation of the "preventive paradigm" in medical practice.
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