ПРЕДИЗВИКАТЕЛСТВА ПРЕД КАЧЕСТВОТО НА ИЗВЪНБОЛНИЧНАТА ПОМОЩ
CHALLENGES TO THE OUTPATIENT CARE QUALITY

Author(s): Galinka Pavlova
Subject(s): Economy, National Economy, Business Economy / Management, Micro-Economics, Business Ethics
Published by: Икономически университет - Варна
Keywords: quality of activity; outpatient care
Summary/Abstract: The quality of activities in modern healthcare is a function of the available resources management and a product of various factors. The discrepancy between the needs, expectations and results of the various potential users of health services is a prerequisite for the existence of challenges in the sector and a negative public assessment of the medical activity quality in our country and healthcare in general. The objective of this study is to investigate the structures, processes and results in the provision of outpatient care by implementing one of the A. Donabedian’s approaches for determination of the quality indicators. Materials and methods: Documentary, sociological and statistical methods were used in this study. A survey was conducted in February and March 2023 on the satisfaction with the outpatient healthcare received. The processed results are graphically presented. Results and discussion: The challenges to ensuring a high level of quality in the outpatient care are mainly observed in smaller and/or remote settlements. These are related to the insufficiency or lack of medical specialists, outdated technical infrastructure, absence of modern medical equipment, difficult access to the health system, the result of organizational, regulatory and financial deficits. The deepening deformations of the structure and processes in healthcare are leading to poor results, ranking our country in the last places in the EU according to a number of health indicators. Progress towards more effective and better quality healthcare is slow and unsatisfactory, requiring substantial prioritization of outpatient care, systematic and effective control. Conclusion: Improving the health status of the population is a strategic goal of any health system, requiring regulated and financially secured implementation of specific monitoring, assessment and control measures to improve the quality of health services.

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