提高吉尔吉斯共和国医疗保健系统的效率

Damira Japarova
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 The constant increase in health care costs associated with the emergence of new medical technologies and medicines is a general trend for all countries. Kyrgyzstan spends less than 4% of its gross domestic product on healthcare. Unlike other branches of the national economy, the results of various health care activities, its services and programs are analyzed from the standpoint of social, medical, and economic efficiency, among which medical efficiency is a priority. With regard to health care, there are three types of efficiency: social; medical; economic. Without evaluating the results of medical and social efficiency, economic efficiency cannot be determined. The effectiveness of health care depends on the correct distribution and use of limited resources. In the Kyrgyz Republic, a significant part of financial resources is spent at the level of inpatient care, compared to primary healthcare organizations. An analysis of the structure of the use of financial resources shows that the share of funds allocated for drug provision of patients is insignificant and is shifted to patients. Most of the resources allocated to healthcare organizations are spent on salaries of medical workers. As a result of the analysis, a conclusion is made about the need to increase the motivation of primary health care workers. JEL Code I18 G28 I1
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摘要

& # x0D;随着新的医疗技术和药物的出现,保健费用不断增加,这是所有国家的普遍趋势。吉尔吉斯斯坦用于医疗保健的支出不到其国内生产总值的4%。与国民经济的其他部门不同,各种卫生保健活动、服务和计划的结果是从社会、医疗和经济效率的角度来分析的,其中医疗效率是优先考虑的。在卫生保健方面,有三种类型的效率:社会效率;医疗;经济上的。不评估医疗效率和社会效率的结果,就无法确定经济效率。卫生保健的有效性取决于有限资源的正确分配和使用。在吉尔吉斯共和国,与初级保健组织相比,财政资源的很大一部分用于住院护理一级。对财政资源使用结构的分析表明,分配给患者药物供应的资金份额微不足道,并且转移到患者身上。分配给医疗保健组织的大部分资源都用于支付医务工作者的工资。通过分析,得出了一个结论,即需要提高初级卫生保健工作者的积极性。JEL代码I18 G28 I1
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Improving Efficiency of the Healthcare System of the Kyrgyz Republic
The constant increase in health care costs associated with the emergence of new medical technologies and medicines is a general trend for all countries. Kyrgyzstan spends less than 4% of its gross domestic product on healthcare. Unlike other branches of the national economy, the results of various health care activities, its services and programs are analyzed from the standpoint of social, medical, and economic efficiency, among which medical efficiency is a priority. With regard to health care, there are three types of efficiency: social; medical; economic. Without evaluating the results of medical and social efficiency, economic efficiency cannot be determined. The effectiveness of health care depends on the correct distribution and use of limited resources. In the Kyrgyz Republic, a significant part of financial resources is spent at the level of inpatient care, compared to primary healthcare organizations. An analysis of the structure of the use of financial resources shows that the share of funds allocated for drug provision of patients is insignificant and is shifted to patients. Most of the resources allocated to healthcare organizations are spent on salaries of medical workers. As a result of the analysis, a conclusion is made about the need to increase the motivation of primary health care workers. JEL Code I18 G28 I1
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