The Primary Healthcare Centre in the Illinetska AH of the Vinnytsia Oblast is working in line with modern principles. The chief doctor has convinced that customer orientation, effective usage of resources, decent salaries, and modern management approaches are grounds of successful functioning of the full-fledged enterprise providing medical services.
The hromada established its healthcare institution in 2017, immediately after the AH creation. The Centre consists of 4 outpatient clinics and 13 rural health posts serving 20 thousand people. By 1 July 2018, the Illintsi City Primary Healthcare Centre had been maintained at the expense of the healthcare subvention. The Illintsi City Council provided the Centre with significant financial support from the local budget: renovated all premises, purchased furniture and computers, medical information system and equipment envisaged in the equipment list, approved by the Ministry of Health.
The doctors from Illintsi were among the first ones in the oblast to join the reform of primary healthcare, they formed a nonprofit enterprise, and in July 2018 signed an agreement with the National Health Service of Ukraine. After the first funding from the National Health Service of Ukraine it became clear that the received funds considerably exceed the healthcare subvention. This made it possible to plan an increase in salaries of healthcare employees. As of 15 February 2019, the Centre concluded 92% of declarations with patients.
Chief doctor Oleksandr Babushok points out that after switching to funding under medical service agreements they have received much more money, but it is necessary to increase salaries. Therefore, the issue to optimise a number of employees of the enterprise became relevant. The enterprise has formed the optimal structure, where the first aid team consists of a family doctor, nurse and medical assistant working in the rural health post. According to the results of optimisation, there remained 76 out of 108 positions. Some nurses retired, some were recruited for other positions, and several people got registered at the employment centre.
Chief doctor Oleksandr Babushok
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