Pirminės ambulatorinės asmens sveikatos priežiūros ir specializuotų ambulatorinių paslaugų laukimo eilių valdymas Aukštaitijos regione
Recenzentas / Rewiewer |
Licencinė sutartis Nr. MRU-EDT-1799.
Magistro baigiamajame darbe ištirta esama pirminės ambulatorinės asmens sveikatos priežiūros ir specializuotų ambulatorinių paslaugų prieinamumo – didelių eilių būklė bei jų valdymas Lietuvoje ir Aukštaitijos regione ir identifikuoti sprendimų būdai šiai problemai mažinti. Teorinėje dalyje išanalizuotos sveikatos priežiūros paslaugų prieinamumo, laukimo eilių, paslaugos sąvokos reikšmės, aptarti sveikatos priežiūros paslaugų prieinamumą lemiantys veiksniai ir sveikatos sistemos dalyviai. Apžvelgta Baltijos regiono šalių bei Lietuvos laukimo eilių situacija. Palygintos laukimo eilių tendencijos Lietuvoje ir Aukštaitijos regione. Trečiojoje dalyje nagrinėjamos pateiktos informantų nuomonės apie laukimo eilių valdymą Aukštaitijos regiono sveikatos priežiūros įstaigose ir pateikti siūlymai problemai spręsti.
Relevance of the work. One of the most important aspects influencing the accessibility of services is the waiting queues in health care institutions, which are faced by an increasing number of people, especially in the Aukštaitija region. Long queues lead to poorer health and associated higher costs not only for the population but also for health care institutions. The work could be of interest to health policy makers and institutions involved in queue management. The problem. Despite the fact that state authorities have initiated various measures to reduce waiting times for healthcare services - reforms, adjustments to legislation, introduction of information systems - the effectiveness of queue management is still a matter of concern for healthcare professionals, patients and members of the public alike. The current situation shows that current measures lack systemic consistency and long-term impact and have limited effectiveness. The aim of this work is to assess the current state of accessibility of primary outpatient personal health care and specialised outpatient services in Lithuania and the Aukštaitija region and to identify solutions to reduce this problem. Objectives. To analyse the scientific literature on the accessibility of health care services - waiting queues in the health sector; to present the experience of Lithuanian and foreign countries related to waiting queues; to analyse, compare and evaluate the waiting times in Lithuanian and Aukštaitija region health care institutions; to carry out a qualitative research on the management of waiting queues in the Aukštaitija region and to make recommendations on the basis of the obtained results and the conclusions of the research. Methods: analysis of scientific literature, comparative analysis, qualitative research using interview method, summary of the study, main conclusions and suggestions. Structure of the paper. The thesis consists of an introduction, three main parts, conclusions, suggestions, list of sources, appendices. The theoretical part of the study analyses the meanings of the concept of accessibility of health care services, waiting queues, services, discusses the factors influencing the accessibility of health care services and the role of the health system. The situation of waiting lists in the Baltic region and Lithuania is reviewed. The trends in waiting lists in Lithuania and the Aukštaitija region are compared. The third part analyses the views of the informants on the management of waiting lists in health care institutions in the Aukštaitija region and offers suggestions to solve the problem. Main conclusions. The qualitative study found that: effective management of waiting lists for health services is limited by a lack of coordination between public authorities, a lack of long-term planning and insufficient investment. Treatment facilities are hampered by a shortage of specialists, organisational challenges and limited funding, which calls for a systemic improvement of service delivery. Artificial queuing is shaped by patients' multi-registration behaviour, unannounced appointments and low involvement in prevention. Consistent patient education and the promotion of healthy lifestyles are key to the long-term sustainability of the health system.