PROMENE VREDNOSTI INDIKATORA KVALITETA U KAPITACIONOJ FORMULI ZA PRIMARNU ZDRAVSTVENU ZAŠTITU U SRBIJI TOKOM PANDEMIJE
Sažetak
Uvod/Cilj. Pandemija COVID-19 stvorila je nove izazove i zadatke za primarnu zaštitu, utičući na rutinske zdravstvene usluge. Ova studija je imala za cilj da izmeri promene vrednosti pokazatelja učinka koji su deo kapitacione formule u Srbiji na osnovu podataka dobijenih od Fonda za zdravstveno osiguranje.
Metode. Podaci su analizirani na nacionalnom nivou. Promena indikatora je merena kao apsolutna razlika u vrednostima indikatora između 2020. i 2019. godine.
Rezultati. U službi za zdravstvenu zaštitu odraslog stanovništva, vrednosti tri indikatora koji se odnose na savete o načinu života porasle su u 2020. godini između 3,0% i 3,8%, dok su vrednosti indikatora koji se odnose na šećernu bolest, povišen arterijski pritisak i među pacijentima sa prethodnim infarktom miokarda smanjile u rasponu od 0,5% do 2,4%. Vrednosti indikatora koji se odnose na savetovanje gojazne dece, odgovarajući broj pregleda novorođenčadi i usluga koji se odnose na rano otkrivanje i savetovanje trudnica povećani su za 1,2% na 10,2%. Ostali indikatori su zabeležili pad vrednosti do 9,9%.
Zaključak. Uprkos preprekama sa kojima se suočavala tokom pandemije COVID-19, primarna zdravstvena zaštita je igrala i nastavlja da igra značajnu ulogu u očuvanju i poboljšanju zdravlja stanovništva.
Reference
Zhu H, Wei L, Niu P. The novel coronavirus outbreak in Wuhan, China. Glob Health Res Policy. 2020; 5:6. doi:10.1186/s41256-020-00135-6
Stefanovic N, Damnjanović I, Koraćević M, Jovanović A, Catić-Đorđević A, Pavlović D, et al. Pharmaceutical care in community pharmacies during COVID-19 pandemic: Pharmacists experience in Serbia. Acta Medica Medianae. 2024;63(1). doi:10.5633/amm.2024.0102
Atanasijevic D. Analysis of the operation of dialysis centres during the COVID-19 pandemic. Glasnik javnog zdravlja. 2022;96(1):27-38. doi:10.5937/serbjph2201027A
Ivanjac F, Konstantinović V, Miličić B. Impact of the COVID-19 pandemic on dental practice in Serbia-prospective study. Srpski arhiv za celokupno lekarstvo. 2023;151(11-12):640-5. doi:10.2298/SARH230703090I
The first coronavirus case was confirmed in Serbia [press release]. 2020.
Decision on declaring a state of emergency. Official Gazette of the Republic of Serbia No 29/2020-3; 2020.
Karličić I, Đorđević V, Stasevic M, Subotic T, Filipovic Z, Ignjatovi Ristic D, et al. Perspectives on mental health services during the COVID-19 epidemic in Serbia. Srpski arhiv za celokupno lekarstvo. 2020;148(5-6):379-82. doi:10.2298/SARH200504028S
Office of the United Nations High Commissioner for Human Rights. Impact of the COVID-19 on vulnerable groups and groups at risk causes, outcomes and recommendations. Belgrade (Serbia)2020.
Zakon o zdravstvenoj zastiti [Translated Title: Health Care Law]. Official Gazette of the Republic of Serbia No 25/2019; 2019.
World Health Organization. Regional Office for Europe, European Observatory on Health Systems and Policies, Bjegovic-Mikanovic V, Vasic M, Vukovic D, Jankovic J, et al. Serbia: Health system review: World Health Organization. Regional Office for Europe; 2019.
Pravilnik o ugovaranju zdravstvene zaštite iz obaveznog zdravstvenog osiguranja sa davaocima zdravstvenih usluga za 2019. godinu [Translated Title: Rulebook on contracting health care from compulsory health insurance with health care providers for 2019]. Official Gazette of the Republic of Serbia No 106/2018-34 2018.
Majeed A, Maile EJ, Bindman AB. The primary care response to COVID-19 in England's National Health Service. J R Soc Med. 2020;113(6):208-10. doi:10.1177/0141076820931452
National Health Insurance Fund. Kapitacija [Translated Title: Capitation] 2021 [Available from: https://www.batut.org.rs/download/zdravstveni_pokazatelji_rs_2020.html.
Coma E, Mora N, Mendez L, Benitez M, Hermosilla E, Fabregas M, et al. Primary care in the time of COVID-19: monitoring the effect of the pandemic and the lockdown measures on 34 quality of care indicators calculated for 288 primary care practices covering about 6 million people in Catalonia. BMC Fam Pract. 2020;21(1):208. doi:10.1186/s12875-020-01278-8
Rachamin Y, Senn O, Streit S, Dubois J, Deml MJ, Jungo KT. Impact of the COVID-19 Pandemic on the Intensity of Health Services Use in General Practice: A Retrospective Cohort Study. Int J Public Health. 2021; 66:635508. doi:10.3389/ijph.2021.635508
Institute of Public Health of Serbia „Dr Milan Jovanovic Batut”. Odabrani zdravstveni pokazatelji 2019 (Translated Title: Selected health indicators for 2019). Belgrade, Republic of Serbia2020.
Institute of Public Health of Serbia „Dr Milan Jovanovic Batut”. Zdravstveni pokazatelji u Republici Srbiji – sistem prezentacije podataka [Translated Title: Health indicators in the Republic of Serbia - data presentation system] 2021 [Available from: https://www.batut.org.rs/download/zdravstveni_pokazatelji_rs_2020.html.
Institute of Public Health of Serbia „Dr Milan Jovanovic Batut”. Health Statistical Yearbook of Republic of Serbia 2019. Belgrade, Republic of Serbia2020.
Institute of Public Health of Serbia „Dr Milan Jovanovic Batut”. Health Statistical Yearbook of Republic of Serbia 2020. Belgrade, Republic of Serbia2021.
Mitricevic S, Jankovic J, Stamenkovic Z, Bjegovic-Mikanovic V, Savic M, Stanisavljevic D, et al. Factors Influencing Utilization of Preventive Health Services in Primary Health Care in the Republic of Serbia. Int J Environ Res Public Health. 2021;18(6). doi:10.3390/ijerph18063042
Soares P, Leite A, Esteves S, Gama A, Laires PA, Moniz M, et al. Factors Associated with the Patient's Decision to Avoid Healthcare during the COVID-19 Pandemic. Int J Environ Res Public Health. 2021;18(24). doi:10.3390/ijerph182413239
Uredba o nacionalnom programu zdravstvene zaštite žena, dece i omladine [Translated Title: Decree on the National Health Care Program for Women, Children and Youth]. Official Gazette of the Republic of Serbia No 28/2009; 2009.
Allen T, Mason T, Whittaker W. Impacts of pay for performance on the quality of primary care. Risk Manag Health Policy. 2014; 7:113-20. doi:10.2147/RMHP.S46423
What Is Pay for Performance in Healthcare? Catalyst Carryover. 2018;4(2). doi:10.1056/CAT.18.0245
Lezzoni LI. Assessing quality using administrative data. Ann Intern Med. 1997;127(8 Pt 2):666-74. doi:10.7326/0003-4819-127-8_part_2-199710151-00048