Механізми державного управління у сфері охорони здоров’я в контексті європейської інтеграції України

Доказано, что для совершенствования механизмов государственного управления здраво-охранением в контексте евроинтеграции должна функционировать интегрированная система управления, опирающаяся на адекватную систему мониторинга, обеспечивающую среди прочего и процедуру контроля качества медицинских услуг действующей сети лечебно-профилактических учреждений всех уровней, форм собственности и подчинения.

Ныне целесообразно не развалить радикальными реформами, а эволюционно перестроить существующую систему на основе широкомасштабного планового внедрения современных технологий.

Ключевые слова: механизмы государственного управления, сфера здравоохранения, семейная медицина, персонифицированный учет и анализ, фондодержание врача общей практики-семейной медицины как организатора системы здравоохранения, управление распределением фондов административной территории, европейская интеграция Украины.

Annotation

Furtak I.I. Mechanisms of public administration in the field of health care in the context of European integration of Ukraine.-Manuscript.

Thesis for obtaining scholarly degree of candidate of science in public administration in speciality 25.00.02 - mechanisms of public administration. - Lviv Regional Institute of Public Administration of National Academy of Public Administration affiliated with the President of Ukraine. - Lviv, 2010.

On the basis of analysis of professional scientific literature, practical materials and experiments in relation to forming of mechanisms of public administration of the health care system the theoretical aspects of his improvement are exposed in the context of Ukraine's EUintegration.

There are covered that presently resolutely to change situation possibly through realization of measures on the improvement of mechanisms of public administration in the field of health care, above all things, through complex normative, financial, economical, and administrative of their settlement on principles of “per capita” fondholding, in particular virtual “per capita” financing of fondholders with the system personally “per capita” account and analysis with distributing of volumes after the levels of grant of medicare by introduction to public IKT-systems by the guided medicare to the population of region in the mode ”on line” with the regional networks of automatically-operated work places as the tools of providing of payment of labour according to the volume and quality of work, the economical methods of management, grant of medical services as medikal-ekonomical category on the health care market.

There are researched that theoretical principles and ways of increase of efficiency of mechanisms of public administration into the health care system in the context of Ukraine's EUintegration process in modern terms at regional level consist in scale introduction at regional level and development principles of civil company with the use of IKT-systems as mechanisms of forming of guided the healh care system with the providing of management a grant of medical services as medikal-ekonomical category in the healh care system. In basis of mechanisms of public administration the two key principles must prevail in the modern health care system - the medical and financial viability. There are covered that it allows really to manage resources on mikrolevel (distributing of volumes of medical services and charges according the personally “per capita” account) and on makrolevel (management distributing of funds of administrative territory).

Key words: the mechanisms of public administration, the health care sphera, the family medicine, the personally “per capita” account, the family doctor as the fondholder and the health care manager, the management distributing of the funds of the administrative territory, the European integration of Ukraine.

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