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Найдены 4 публикации
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Статья
Sheiman I., Shevski V. Health Policy. 2014. Vol. 115. No. 2-3. P. 128-137.

Fragmentation in organization and discontinuities in the provision of medical care are problems in all health systems. A major challenge is to strengthen integration in order to enhance efficiciency and health outcomes. This artickle assesses issues related to fragmentation and integration in concptual terms and argues that key attributes of integration are teamwork, coordination and continuity of care. It then presents a summary of service integration problems in Russia and the results of a large survey of physicians concerning the attributes of integration. It is argued that characteristics of the national service delivery model don't ensure integration. Teh Senashko model is not an equivalent to the integrated model. Big organizational forms of service provision, like polyclinics and integrated hospitals-polyclinics don't have higher scores of integration indicators than smaller ones. Proposals to improve integration in Russia are presented with the focus on the regular evaluation of integration/fragmentation, regulation of integration activities, enhancing the role of PHC providers, economic incentives. 

Добавлено: 9 марта 2015
Статья
Sheiman I., Shevski V. Health Policy. 2014. No. 1. P. 1-10.

Fragmentation in organization and discontinuities in the provision of medical care are prob-lems in all health systems, whether it is the mixed public-private one in the USA, nationalhealth services in the UK, or insurance based one in Western Europe and Russia. In all ofthese countries a major challenge is to strengthen integration in order to enhance efficiencyand health outcomes. This article assesses issues related to fragmentation and integrationin conceptual terms and argues that key attributes of integration are teamwork, coordi-nation and continuity of care. It then presents a summary of service integration problemsin Russia and the results of a large survey of physicians concerning the attributes of inte-gration. It is argued that characteristics of the national service delivery model don’t ensureintegration. The Semashko model is not an equivalent to the integrated model. Big orga-nizational forms of service provision, like polyclinics and integrated hospital-polyclinics,don’t have higher scores of integration indicators than smaller ones. Proposals to improveintegration in Russia are presented with the focus on the regular evaluation of integration/fragmentation, regulation of integration activities, enhancing the role of PHC providers,economic incentives.

Добавлено: 28 января 2014
Статья
Christopher J. Gerry, Kaneva M., Liudmila Zasimova. Health Policy. 2017. Vol. 121. No. 11. P. 1177-1185.
Добавлено: 2 ноября 2017
Статья
Shishkin S., Kuhlmann E., Richardson E. et al. Health Policy. 2019. P. 1-9.
Добавлено: 20 июня 2019