Sveikatos priežiūros kokybės užtikrinimo 2005-2010 m. programos įgyvendinimo efektyvumas

Abstract

SUMMARY. Many problems are faced when implementing reforms in the health system of the Republic of Lithuania. That influences officials who form health politics, and also managers of healthcare institutions and healthcare specialists and patients. Attention to the quality of healthcare services has currently increased. In 2004, in Lithuania, the Healthcare Quality Security Program for 2005-2010 was accepted and it is aimed to implement a conception of healthcare quality security. Particular attention is given to currently most important and relevant aspects of the healthcare quality in Lithuania, i.e. security, accessibility, succession and availability of healthcare. The main aim of the work is to explore how the healthcare quality security program is being implemented. Subjects of research are the following: - the Healthcare Quality Security Program for 2005-2010; - officials forming Lithuanian healthcare politics; - Lithuanian personal healthcare institutions (hospitals and outpatient clinics). A survey of healthcare institutions found that institutions carry out their own surveys of their patients and employees in order to evaluate a quality of healthcare services. Institutions also prepare information brochures for patients about services provided in the healthcare institution and keep a record of untoward events that happen in that institution. The main quality problems that healthcare institutions have to face are the following: 1. Lack of resources (19.4%); 2. Lack of specialists (11.1%); 3. Limitations in quality system implementation (8.3%). A survey found that the main reason why the intended measures are not effectuated is the lack of resources. In 2005, only 16.3% of preliminary intended resources were designated. In 2006, 18.8% of preliminary intended resources were designated. In 2005, only 19.2% of measures intended in the program were effectuated; and in 2006, 4.1% of measures were effectuated. Key conclusion. The Healthcare Quality Security Program for 2005-2010 is implemented inefficiently and not at a right extent because of not keeping up with terms and also because of insufficient sponsorship.