State regulation of health care: principles, mechanism and tools
Year: 2018
Type: article
Abstract: The aim of the study. The purpose of the article is to study the principles, mechanisms and tools of state regulation of health care, which form the basis for the development of practical recommendations for its improvement. Methodology. General scientific methods are used in the research, in particular: theoretical generalization – to determine the theoretical foundations and trends of the content and constituent principles, the mechanism of regulation of health care; system approach – to generalize the classification of instruments of state regulation of health care; methods of positive and normative analysis – to develop recommendations for improving the mechanism of regulation of health care. Results. The improvement of the mechanism of regulation of the health care system as the main component of the competitiveness of the national economy and the formative vector of quality of life of the population is substantiated. It is proposed to consider three components of mechanisms: organizational-administrative, socio-economic, institutional and legal. The organizational and administrative mechanism is proposed to take into account the development of a strategy for decentralization of management and autonomy of health care institutions, as they are associated with the formation of so-called targeted regulated markets, combined with models of mandatory selfregulation and decentralization. and intersectoral cooperation; coherence of central and local public authorities and other legal entities in the implementation of health policy, defining the powers and relationships between the entities. The socio-economic mechanism must include the improvement of social insurance regulation tools, development of strategy and policy of the medical institution, recognition of budget funding and development of voluntary health insurance, improvement of the system of paid medical services, financial resources for training and retraining, introduction of new technologies in the field of health care; evaluation of results with the use of modern information and communication technologies (monitoring); close interaction with patients and involvement in the management of public control. The institutional and legal mechanism determines the improvement of health care legislation governing the content and process of state and legal regulation of health care (improvement in determining the priority of state budget expenditures, state control, tax system, standards, customs tariffs,); development plan development. The principles and tools of state regulation of health care are presented. The classification of instruments of state regulation of health care is divided into methods of direct and indirect influence. Practical meaning. Improving the mechanisms of state regulation of health care to modern economic conditions. Prospects for further research. Studies of the principles of state regulation of health care provide grounds for further improvement of the tools, which will be devoted to further research by the author.
Source: Economies Horizons
Author: Д. М. РЯБЕЦЬ
Language: English
Subfield: Finance
Domain: Social Sciences
Open Access status: diamond
OpenAlex ID: W3201670901