ASSESSMENT OF THE ADEQUACY OF RESOURCES OF MEDICAL ORGANIZATIONS TO ACHIEVE THE RESULTS

Assessment of sufficiency of resources of medical organizations necessary for achievement of the target indicators declared in the state programs is important for decision-making on volumes of financing of the sphere of health care and the statement of expected results. One of the indicators that affect the satisfaction of the population with the quality of medical care is the “Average waiting time for a doctor's appointment by appointment” (SWAP), provided for by the State program “Development of health care in Moscow (Capital health care)”. The aim of the study is to develop a methodological approach to assessing the possibility of achieving the planned values of the indicator, based on data on the results of medical organizations and resources available to them. Material and methods. The object of the study were medical organizations in Moscow. The material for the study was the data on the organization of reception of patients by physicians. Information from the Unified medical information and analytical system of Moscow (UMIAS), forms of Federal statistical observation and other sources was used. Mathematical-statistical and comparative methods of analysis were used for data processing. Results. Studies have confirmed the presence of a number of factors that affect the achievement of the planned value of the SWAP indicator, including the duration of the patient's reception by the doctor. The dependence of the SWAP value on such indicators as: the share of failed appointments, the load on doctors and some others is confirmed. Discussion. Statistical modeling of the organization of the doctor's appointment confirms the need to monitor the indicators that directly or indirectly affect the achievement of the planned value of the SWAP indicator, which allows timely taking the necessary management decisions in the face of the risk of adverse conditions. Conclusion. The results of the study confirmed the practical and theoretical feasibility of using a methodological approach to forecasting the values of target indicators declared in state programs (national projects), taking into account the resource capabilities of each individual medical organization.

medical organizations, performance indicators, practitioners, the average waiting time of the receiving physician