Healthcare system transformation has introduced significant changes in the work of institutions across the country. And this is not just about switching to a new financing model. Medical institutions change the approach to work with patients and care about services. We interviewed the chief doctors of five institutions that have concluded contracts with the National Health Service of Ukraine, and asked about current changes in their work and their plans for the nearest future.
Service quality assessment mechanism developed in Chuguyiv
The Chuguyiv Primary Healthcare Centre of the Kharkiv Oblast has been preparing for changes since last year.
First of all, they focused on the quality of medical services. They plan to evaluate this indicator by the level patients’ satisfaction and by the presence of complaints. The indicators of early detection of cancer, morbidity rate, tracked in the Centre, will be also taken into account.
In terms of finances, the Centre also envisaged renovation of technical equipment.
Chuguyiv was among the first Ukrainian settlements to hold a health fair in 2017, where people discussed changes in primary healthcare system. 33% of people living on the territory, served by the Centre, have already chosen their family doctors.
In the city of Selydove, funds will be directed to salaries, repairs and a reserve fund
The Primary Healthcare Centre in the city of Selydove in the Donetsk Oblast has already estimated that in July they will receive 40% more funds than under a subvention. In total, the institution will receive about UAH 1.6 million to its account in July.
“Additional money will partly go to increase salaries, another part will be used to create a reserve fund, and the rest is planned to be spent on service development. We plan to buy TVs that will serve to inform patients about each doctor. In future, three outpatient clinics will be repaired, projects have already been developed, which include an open registration office, waiting zones for children and adults,” says Olena Marchenko, chief doctor of the Centre.
At present, 55% of people living on the territory, served by the Centre, have signed declarations with doctors.
Kremenchuk plans: 100% computer procurement and salary increase for doctors
In Kremenchuk, preparation for signing of agreements between the primary healthcare institutions and the NHSU started a year ago, with the assistance of the city authorities. At first, medical institutions were computerised. Now the outpatient clinics are equipped with computers by 75%, the rest are planned to be purchased in August. Many employees did not know how to use a computer, but after special training they quickly got into the swing of the work.
25% of the population living on the territory, served by the Centre, have signed declarations so far.
Nova Borova works on increasing salaries for nurses
The healthcare subvention for the first half of 2018 amounted to UAH 1.102 million. These funds were insufficient, therefore UAH 110 thousand were additionally allocated from the local budget. According to the agreement with the NHSU, this figure will increase by 45% to UAH 1,600 million.
The Centre has optimised staffing lists. This allowed to make a salary surplus for paramedics in rural health posts.
Nova Borova was one of the first in the oblast to make their Primary Healthcare Centre a communal non-profit enterprise. In 2018, a new outpatient clinic is expected to be built under the rural healthcare development programme. Currently, the land plot is under construction.
Now, 40% of the population living on the territory, served by the Centre, have signed declarations with doctors.
Kaniv introduces changes along with local authorities
The Kaniv Primary Healthcare Centre of the Cherkasy Oblast was reorganised in record time to sign a contract with the National Health Service in the first wave. To help people in choosing a doctor, a press conference was held with the local media and information on all the doctors of the Centre was published in a local newspaper and on the Centre's Facebook page.
At present, 28% of the population living on the territory, served by the Centre, have signed declarations with family doctors.
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