scholarly journals THE LAW ON PUBLIC PROCUREMENT ‒ THE SCOPE AND THE PROCEDURE OF ITS APPLICATION IN THE HEALTH CARE SYSTEM

Author(s):  
Pulatov Kh. Dilshod

This article is devoted to the ongoing reforms in the field of public procurement in the Republic of Uzbekistan, in particular the adoption of the law “On public procurement”, highlights the main concepts of the Law. The system of procurement of goods and services by health care organizations was also studied, emerging problems in the procurement process and methods for their solution were studied. Developed scientific and practical suggestions and recommendations.

Author(s):  
Constantin Etco ◽  
◽  
Dumitru Siscanu ◽  

In the article the history of origine of the International Latin Association of Health Care System Analylis, its functions and different scientific problems which refl ect the health level of population in different countries, is presented. Besides of that, there are information about Association of the Republic of Moldova, which is a collective member from 2007 and it’s 4–8 persons make reports every year. There are given recommendations, how to become Personal or Collective Member of ALASS.


Vojno delo ◽  
2020 ◽  
Vol 72 (1) ◽  
pp. 71-88
Author(s):  
Damir Marković

The aim of this paper is to analyze the relationship between the Fund for Social Security of Military Insurers and the Republic Health Insurance Fund through the aspect of more efficient use of health insurance funds. Analyzing this relationship, the system of health care in the Republic of Serbia and the health insurance system are essentially considered. Taking into account the specifics of the social protection of military insurers, efforts are being made to find out the direction and improvement of relations with the civilian health care system. Only the proactive relationship between the military and the civilian health system and the health insurance system is a condition of better health care for the insured of both funds, as well as more efficient use of health insurance funds. Health protection of the population is one of the most important social priorities and as such it must be given special attention. The right of the individual to health care, but also to other forms of protection, is realized within the framework of social insurance. Health care, and therefore the health insurance system of military insureds, developed in accordance with the specifics related to the military system itself. Fully respecting the autonomy of the said system, the development of insurance in this area evolved along with changes in the prevailing civilian health insurance system. The system of health care and health insurance is one of the most important systems in each country. The efficiency and cost-effectiveness of the functioning of this system is a challenge for every national economy. The goal that needs to be achieved is to achieve the best health care of the nation by means of available health insurance. The system of compulsory health insurance in the Republic of Serbia is implemented through a unique state organization - the Republic Health Insurance Fund. When it comes to health insurance and the protection of civil and military insurers, it is clear that these are two completely separate and independent systems that have a lot of common points and whose mutual cooperation and shared use of resources should lead to positive effects as a whole. The financial aspect, which is especially reflected through the health insurance system, is one of the most important factors because it directly affects the scope and quality of the entire health care system. Considering and analyzing the complexity of the mutual relations between the civilian and military health and social security systems, and consequently the health care system, some of the possible proposals have emerged for improvement of one of the most important aspects of every society - the health of the nation.


Author(s):  
І. О. Федяк ◽  
І. І. Іванюлик

<p><strong>Introduction.</strong> World Health Organization is worried about poor children vaccination inUkraine. After the signing of the coalition agreement between the main political parties, which were held into the Ukrainian Parliament of VII convocation, representatives of WHO and UNICEF welcomed «the inclusion of conditions of vaccines procurement together with international partners and organizations in the coalition agreement, and reaffirmed their willingness to purchase and contribute in response to corresponding request of the Ministry of Health care of Ukraine». However, coordinated decisions were not accepted. And the overall condition of financing the health care system and the Program of immunization as its component does not comply with the WHO’s requirements.</p><p><strong>Methods of research:</strong> bibliographical, analytical, systematic and logical.</p><p><strong>Results and discussion.</strong> According to the immunization Schedule in Ukraine, 10 infectious diseases, such as diphtheria, pertussis, rubeola, rubella, epidemic parotitis, polio, tetanus, tuberculosis, hemophilic infection, hepatitis B are subordinated to prevention by vaccination. Vaccines against these diseases in accordance with the law of Ukraine № 1645-14 «On protection of population against infectious diseases» are centrally purchased on a single state tender held by the Ministry of Health care of Ukraine. Nowadays, it is currently completing the implementation of current National program of immunization and population protection against infectious diseases for 2009-2015, which was adopted by the Law of Ukraine № 1658-VI, dated on 21<sup>st</sup> October, 2009.</p><p>The problem of infectious diseases immunization must be strategic in any socio-political circumstances of country’s life. However, according to analysis of the state funding of the health care system ofUkraineas in general and as its component – system of immunization inUkrainetraditionally faced a shortage of funds, along with the low cost effectiveness. This tendency has occurred not only in the current military conflict, but also has become a disappointing practice. So, the percentage of financing costs on the health care system from the State budget has traditionally been at the level of 3,7% of GDP and covers about 57% of the total population needs. However, the analysis of audits materials of the Accounting chamber of Ukraine shows that projected amount of funding from the State budget of the Program on immunization during 2009-2015 variances with the real allocations in 2011-2013 inaverage of 45,3%. Along with this, the conclusions of the Accounting chamber for 2007-2013, Ministry of health care traditionally does not provide efficient use of available funds of the State budget. This led to the fact that it was failed to reduce the level of infections, against which is held by means of immunization. This is demonstrated by the vaccination coverage of the population in 2014 at a level from 15 to 49% depending on infectious disease by the WHO recommendations – 95 %.</p><p><strong>Conclusions:</strong> reform of the Program of immunization financing must firstly focus on improving the efficiency of spending, particularly through the reform of sector procurement that is offered like in many countries to conduct through the mediation of WHO and UNICEF through the «framework» (directly long-term) agreements with suppliers of vaccines. And it already needs not declarative, but real political freedom.</p>


2021 ◽  
Vol 2 (12(81)) ◽  
pp. 35-39
Author(s):  
K. Arakchaa ◽  
M. Naksyl ◽  
S. Salchak

In the short overview presents the trends and practice of folk medicine development in the Republic of Tyva, scientific directions in this field, and identifies the possibilities of integrating folk treatment methods into the health care system of the republic.


2016 ◽  
Vol 63 (1) ◽  
pp. 35-43
Author(s):  
Ivan Stevanović ◽  
Milena Gajić-Stevanović

SUMMARY The European Health Consumer Index (EHCI) is a project that since 2006 has been comparing and ranking health care systems of European countries, from the perspective of patients (consumers) - users of the health care system. Its purpose was to set standards for well functioning and organized health care. The aim of this study was to assess the state of Serbian health care system from the perspective of the European health consumer index and propose recommendations for its improvement and functioning in accordance with European standards. The assessment of the health care system is based on pre-determined forty-eight indicators divided into six groups. According to these indicators, scoring and ranking of countries was done (maximum score for a particular indicator was 3, and the minimum was 1). As per European Health Consumer Index the Republic of Serbia is ranked at 33rd place, with total of 473 points, while Netherlands has been found on the top of the list for years (this year 898 points).


2021 ◽  
pp. 51-56
Author(s):  
А.Е. ЕСБОЛАТОВА ◽  
А.Р. ШОПАБАЕВА

Ассортимент фармацевтической продукции представляет собой большую непрерывно обновляемую структуру, являющейся одной из основных составных фрагментов системы здравоохранения каждого государства. В свою очередь, маркетинговый анализ противоглаукомных препаратов показывает состояние фармацевтического рынка препаратов, применяемых для лечения глаукомы, на исследуемый момент, что позволяет оценить дальнейшие перспективы развития и расширения рынка. The range of pharmaceutical products is a large continuously updated structure, which is one of the main constituent parts of the health care system of each state. In turn, the marketing analysis of antiglaucoma drugs shows the state of the pharmaceutical market for drugs used for the treatment of glaucoma at the moment under study, which makes it possible to assess further prospects for the development and expansion of the market.


2016 ◽  
Vol 10 (1) ◽  
pp. 158-160
Author(s):  
Zachary Corrigan ◽  
Walter Winslow ◽  
Charlie Miramonti ◽  
Tim Stephens

ABSTRACTThis article touches on the complex and decentralized network that is the US health care system and how important it is to include emergency management in this network. By aligning the overarching incentives of opposing health care organizations, emergency management can become resilient to up-and-coming changes in reimbursement, staffing, and network ownership. Coalitions must grasp the opportunity created by changes in value-based purchasing and impending Centers for Medicare and Medicaid Services emergency management rules to engage payers, physicians, and executives. Hope and faith in doing good is no longer enough for preparedness and health care coalitions; understanding how physicians are employed and health care is delivered and paid for is now necessary. Incentivizing preparedness through value-based compensation systems will become the new standard for emergency management. (Disaster Med Public Health Preparedness. 2016;10:158–160)


Aporia ◽  
2021 ◽  
Vol 13 (1) ◽  
pp. 46-68
Author(s):  
Christian Frenopoulo

This article proposes two premises that underlie biomedical health care delivery provided through medical missions to Madiha (Kulina) Indigenous Amazonian people living in forest villages. First, that health care is implemented through a set of detached transferable goods and services. Second, that health is a condition that requires the importation of knowledge and resources. The premises were induced through qualitative research on the Brazilian government’s medical missions that provide biomedical care to Madiha (Kulina) in the southwestern Amazon as part of the national health care system. Despite policy rhetoric, delivery practices disregard embedding health and health care in local infrastructure and cultural conditions. There is little or no collaboration with Indigenous healers, capacity building of the local (Indigenous) health care system, education of resident lay health monitors, or extensive and lasting infrastructural development. The article recommends reorientation of delivery to prioritize local health care infrastructure development.


2014 ◽  
Vol 61 (1) ◽  
pp. 36-44 ◽  
Author(s):  
Milena Gajic-Stevanovic ◽  
Jovana Aleksic ◽  
Neda Stojanovic ◽  
Slavoljub Zivkovic

Introduction. The backbone of Serbian health system forms the public healthcare provider network with 355 institutions and around 112,000 employees, owned and controlled by the Ministry of Health and financed mainly by the Republican Health Insurance Fund. The law recognizes private practice that was not included, till recently, in the public funding scheme. New Health Insurance Law (2005) decreased the number of entitlements in the basic health service package. It abolished the right to dental health care for adults (exceptions are: children, older than 65, pregnant women and emergency cases) as well as the right to compensate travel expenses. The aim of this study was to evaluate the effects of health care system of the Republic of Serbia and indicate parameters that determine the state of health of the population, on the ground of data obtained by the Institute of Public Health of Serbia. Results. In the period 2004-2012, cardiovascular diseases represented the main cause of illness in Serbia (50%). In 2012 digestive system diseases were on the second place. Neoplasm and nervous system diseases were on the third place. From 2007 to 2012 there was slight decline in the birth rate and number of deaths, but the death rate increased from 13.9 to 14.2. Health care system in Serbia is funded through the combination of public finances and private contributions. Primary care is provided in 158 health care centres and health care stations, secondary and tertiary care services are offered in general hospitals, specialized hospitals, clinics, clinico-hospital centers and clinical centres. Conclusion. A significant but not satisfactory progress has been achieved in the field of health status indicators as the most important outcome of the final performance of the health system. The transition of public health care system in Serbia since the communist period to present and slow integration with European Union is unfinished process.


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