Assessing the quality indicators of the management of the Territorial Compulsory Health Insurance Fund (the Orenburg Oblast case)

Subject. The article deals with the assessment of quality indicators of the territorial compulsory health insurance fund management, using the Orenburg Oblast case. Objectives. The purpose is to identify problems affecting the quality of fund management and consider possible solutions. Methods. The study draws on methods of systematization, analysis, and comparison. Results. We assessed the management quality of the Territorial Compulsory Medical Insurance Fund of the Orenburg Oblast by analyzing a set of indicators, like the accuracy of budget preparation, proportion and structure of budget funds used for other than intended purposes, proportion of insured persons, proportion of working and non-working population, number of complaints received by the fund and their structures, and others. Conclusions. Improving the quality of management of territorial compulsory health insurance funds in the Russian Federation is an integral part of strategy for healthcare system development, which, in turn, should ensure effective use of financial resources, improve accessibility and quality of medical care for the population, increase trust and satisfaction of citizens with the compulsory health insurance system.

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Journal
Economic Analysis Theory and Practice
Published
2024-08-29
DOI
https://doi.org/10.24891/ea.23.8.1493
Primary Topic
Healthcare Systems and Public Health
Type
article
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article

Assessing the quality indicators of the management of the Territorial Compulsory Health Insurance Fund (the Orenburg Oblast case)

Marija Troyanskaya, Alina E. BIKBAU
Economic Analysis Theory and Practice
Healthcare Systems and Public Health
article

Assessing the quality indicators of the management of the Territorial Compulsory Health Insurance Fund (the Orenburg Oblast case)

Marija Troyanskaya, Alina E. BIKBAU
article en

Abstract

Subject. The article deals with the assessment of quality indicators of the territorial compulsory health insurance fund management, using the Orenburg Oblast case. Objectives. The purpose is to identify problems affecting the quality of fund management and consider possible solutions. Methods. The study draws on methods of systematization, analysis, and comparison. Results. We assessed the management quality of the Territorial Compulsory Medical Insurance Fund of the Orenburg Oblast by analyzing a set of indicators, like the accuracy of budget preparation, proportion and structure of budget funds used for other than intended purposes, proportion of insured persons, proportion of working and non-working population, number of complaints received by the fund and their structures, and others. Conclusions. Improving the quality of management of territorial compulsory health insurance funds in the Russian Federation is an integral part of strategy for healthcare system development, which, in turn, should ensure effective use of financial resources, improve accessibility and quality of medical care for the population, increase trust and satisfaction of citizens with the compulsory health insurance system.

Economic Analysis Theory and PracticeVol. 23(8)
Orenburg State University (RU)
Partnerships for the goals
Openalex Percentile: Top 78%
Healthcare Systems and Public Health
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Assessing the quality indicators of the management of the Territorial Compulsory Health Insurance Fund (the Orenburg Oblast case) — Marija Troyanskaya, Alina E. BIKBAU · Economic Analysis Theory and Practice (2024) | TGRS Research Map | TGRS