Experts at the World Bank praised the reforms in the health of the Kirov region. This was BakuToday According to the provincial health department. According to him, in the Kirov region with a two-day visit, a delegation of the World Bank. The purpose of the visit was to acquaint the system of financing health clinics in the region. The delegation included leading economists of the Bank in the health sector from around the world.
As noted in the department, in 2009 signed a memorandum on strategic partnership between the Kirov Region and the International Bank for Reconstruction and Development until 2015. As part of the document in the sphere of social development is being successfully implemented a project to support local initiatives, which the Bank is providing advice. In health care, the Bank helped develop strategic plan for restructuring health care delivery system to the population of the Kirov region until 2020.
On the first day of the visit Bank experts visited the clinic Sloboda, where a pilot project implemented by fundholding. On the second day the delegation visited the Kirov city hospital № 8, which operates on a traditional system of financing. Specialists met with financial arrangements of the institution, as well as the work of general practitioners in the village clinic Kostya.
The essence of “fundholding clinic,” which this year is realized in the Sloboda, is that compulsory health insurance funds (CBOs) are concentrated in the polyclinic hospital. In the measurement for its financial support provided for the costs not only for their own activities but also for the services of other medical organizations Sloboda District (hospital, ambulance, etc.).
This financial mechanism can significantly increase the level of primary care, which is what happened in the Central City Hospital Sloboda (BTF). Polyclinic began to do more work on prevention and early diagnosis of disease, since financing is completed for each case, that is the result of a specific patient. The quality of each doctor’s clinic is evaluated on 15 criteria, which monitors the implementation of the administration of the institution.
During the execution of all criteria, including such as the reduction of the neglect of cancer, number of complications, the coverage of x-ray screenings, health care workers get a raise.
In Sloboda BTF in the near future are preparing to free themselves from support services that do not directly affect the healing process. In particular, we plan to outsource security and nutrition of patients carrying cleaning.
According to World Bank experts, in suburban implemented one of the most successful models of fundholding, but in order to project earned in full force, so that you can effectively manage all the processes and control the work, you need an information system. In Sloboda BTF is on track to reach this target.
In 2011, the Program will modernize health BTF 35 million rubles to repair, almost as much – on the implementation of standards, in addition, 50 million rubles allocated to it by the federal program to open the vascular center. The hospital also participates in the cancer program. In addition to current funding in general for a given health facility in 2011 will receive about 100 million rubles. The amount is approximately equal to the annual budget Sloboda.
Kirov city hospital № 8, where specialists also visited the Bank in 2011, like all health care institutions, has moved to single-channel financing. In 2011, the program of modernization of health hospital receives 19 million rubles for repairs.
World Bank staff interested in any hospital-incentive system used in the facility. How to tell the leaders of hospitals, health care providers receive additional payments depending on performance. For the multidisciplinary team has developed various criteria. For example, when assessing the performance of physicians analyzes the legitimate complaints of patients, quality of documentation, comments from the management, conduct health examinations. Here there are doctors who work for the effective monthly receive additional payments of up to 70% base rate.
The outcome of the delegation of the Bank were announced at a meeting with Deputy Prime Minister of the Kirov region, the head of the Department of Health Dmitry Matveev. The guests highly appreciated the changes that have occurred in health care in the region over the past 1.5 years. This applies to the improvement of financial mechanisms, and modernizing the entire industry. Further cooperation with the Bank will continue in developing new mechanisms for financing health clinics. In the near future, the World Bank in collaboration with the Federal fund OMS plans to launch a major project in Russia in the health sector. In the Kirov region has the potential to become one of the parties, noted in the department.
