1 / 11

FINANCING HEALTH CARE SYSTEM AND THE ROLE OF CAPITATION IN THE SERBIAN CONTEXT

FINANCING HEALTH CARE SYSTEM AND THE ROLE OF CAPITATION IN THE SERBIAN CONTEXT. Dr Olivera M. ĆIRKOVIĆ Prof. dr Milica Prostran Dr Mladen Jecmenica Dr Gordana Markovic. THE SERBIAN CONTEXT.

leda
Download Presentation

FINANCING HEALTH CARE SYSTEM AND THE ROLE OF CAPITATION IN THE SERBIAN CONTEXT

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. FINANCING HEALTH CARE SYSTEM AND THE ROLE OF CAPITATION IN THE SERBIAN CONTEXT Dr Olivera M. ĆIRKOVIĆ Prof. dr Milica Prostran Dr Mladen Jecmenica Dr Gordana Markovic

  2. THE SERBIAN CONTEXT • The Ministry of Health and the Health Insurance Fund would like to introduce a capitation-based resource allocation and reimbursement system • Such a system would be applied to the primary health care system • The Ministry and Health Insurance Fund are working with external support to identify and introduce the appropriate capitation model for PHC in Serbia

  3. Capitation project aims to assist Serbia to develop its Primary Health Care further to meet the changing needs of the people • One of the tools for better health services is the so called Capitation Payment System

  4. PHC FINANCING SCHEMATA - SERBIA

  5. HEALTH SYSTEM FINANCING OBJECTIVES • Maximise population health status improvement (quantity and quality of life) • Ensure equity of access for equal need • Reduce health inequalities (link to Millennium Development Goals) • Provide safe and high quality patient-centred services • Ensure sustainability in terms of resources available (capital, revenue, manpower) • Efficiency and effectiveness • Promote solidarity amongst citizens • Facilitate decentralisation/engagement of those spending money • Ensure and develop human resources

  6. WHAT IS CAPITATION ? “Capitation – A fixed sum per person paid in advance of a coverage period (usually 1 year) to a health care entity (facility) in consideration of its providing, or arranging to provide, contracted health care services (package of PHC services) to an eligible person for the specified period.” T.Bourden, M.Priven, K.Passwater: An introduction to Capitation and Health Care Provider Excess Insurance

  7. The project has tested the implementation of the new capitation system in 28 Primary Health Care Centers (PHCC) in Serbia • The 28 PHCC are situated in 22 regions out of the 25 regions Serbia • Seven PHCC of the total of 16 PHCC in Belgrade are included • One of them is PHCC “Zemun”

  8. PROBLEMS • We started implementation 6 months later then others • It was serious problem according to 191,000 habitants that PHCC “Zemun” take care of

  9. RESULTS • New management competencies of managers • Changes of management skills (through education) • Competencies in information technology and use of specific software (e.t. one third of the managers reported they have low competence or no competence at all in general IT skills) • Capitation specific skills among managers, middle management and other staff • In January 2009 119. 286 habitants were registered (62%).

  10. CONCLUSION • Capitation has future in Serbia if we keep formulae transparent, simple and flexible

  11. Thank you chirkovich_olja@yahoo.com

More Related