| Abstract [eng] |
The purpose of the work: to determine what challenges municipal health policy makers face when creating health centers. Tasks: 1. To determine the importance of municipal health policy making; 2. To determine the attitude/vision of municipal health policy makers about health centers; 3. To determine what changes (positive/negative) in health policy making occurred when creating health centers. Methodology: a qualitative research method was chosen, which was carried out using the semi-structured interview data collection method. The study was conducted in two municipalities, involving municipal health policy makers - mayors, vice-mayors, mayoral advisors, heads of personal health care institutions, deputy heads of personal health care institutions for treatment matters, and chief specialists of municipalities (municipal doctors). 8 informants will participate in the study. The study was conducted in February - May 2024. All interviews were recorded, the recordings were transcribed, and the responses were coded into categories and subcategories, according to which they were analyzed in this work. Results and conclusions: 1. The importance of health policy is associated with a systematic, coordinated and prevention-oriented implementation of health policy, which responds to the needs of the population and cooperation between different sectors. 2. Health centers are seen as an opportunity to create an integrated, coordinated and more patient-friendly health care system. Better cooperation between primary and secondary level services, more efficient use of resources, the importance of a unified information system, and greater accessibility of services to the population are emphasized. The creation of health centers is associated with the long-term sustainability of the system and improvement of the quality of services. 3. Positive changes are associated with more efficient administrative work, better cooperation between institutions, optimization of financial resources, and better opportunities for patients to receive services in a single system. Negative changes and challenges were related to insufficient legal regulation, communication deficiencies, public and employee resistance to change, and the passivity of the private sector in overall health system processes. |
