front |1 |2 |3 |4 |5 |6 |7 |8 |9 |10 |11 |12 |13 |14 |15 |16 |17 |18 |19 |20 |21 |22 |23 |24 |25 |26 |27 |28 |29 |30 |31 |32 |33 |34 |35 |36 |37 |38 |39 |40 |41 |42 |43 |44 |45 |46 |47 |48 |49 |review |
A simplified model of health care on the graph
while in the reality it is extremely cumbersome and complicated structurally
and functionally. The system is decentralized. At present the health system of the country including all agencies is represented by a network of 886 hospitals and 3463 out-patient and polyclinic health facilities. The health care delivery system varies across different regions by a number of parameters, such as: · Level of consolidation of funding and management functions; · Amount of resources for funding the guaranteed benefits package allocated per capita; · Provider payment methods used; · PHC structure; · Types/structures of health facilities; · Approaches to quality control. This situation considerably obstructs the implementation of the national health protection policy ensuring equity and accessibility of state guarantees for each and all. In 2001 the number of hospital facilities began to increase. So in 2001 there were 845 hospitals, while there were 860 in 2002. The bed availability indicator is 76.8 per 10,000 of population (total number of beds 114,782). The number somewhat exceeds a respective average European indicator which according to the WHO report makes up 73, 3 per 10 thousand of population There is a total of 54,600 doctors and 115,000 mid-level personnel. The ratio of doctors is 36.5 per 10,000 of population, while the ratio of mid-level health personnel 76.9 per 10,000 of population. Despite the high ratios of medical staff and those of bed capacities, the health system doesn’t function efficiently enough, especially at PHC level. |