Objective of the work is to identify changes in organizational and economic mechanisms for the implementation of prevention and diseases’ early detection, as well as to evaluate their medical and economic effectiveness.
Analytical review of domestic and foreign literature, on-line survey of more than1100 district physicians and physicians of preventive offices (from 81 regions of the country), statistical analysis, economic evaluation using cost-effectiveness tools.
Empirical research base
Data of official health statistics, reports of the Russian Federation Ministry of Health and regional health authorities, reports of the Federal Fund for Compulsory Health Insurance, data of online survey of physicians.
Analyzed foreign experience in implementing preventive measures, as well as their importance for Russian health care.
Analyzed practices of medical prevention (dispanserization progeam) in Russia using physicians’ surveys. Identified problems of its implementation.
Suggested a method of assessing medical and economic effectiveness of the dispanserization program. Based on the available data, the ratio of expenditure dynamics to the number of diseases identified was assessed.
Recommendation are made to enhance medical and economic effectiveness of the dispanserization program.
Research outcomes use
Recommendations can be used for:
determining directions and measures to improve organization of the dispanserization program;
establishing a coverage and structure of preventive services included in the program;
adjusting payment methods for preventive activities;
monitoring the dispanserization program by health authorities.