Ndikimi i Sistemi të Informacionit shëndetësor në menaxhimin financiar të kujdesit shëndetësor parësor në Shqipëri
The impact of the Health Information System on the financial management of primary health care in Albania
Author(s): Gazment KODUZI, Tomi THOMO, Paulin KODRASubject(s): National Economy, Business Economy / Management, Health and medicine and law, Welfare services, Financial Markets, Socio-Economic Research
Published by: Shtëpia botuese “UET Press”
Keywords: Health Insurance Institute (HII); health care reform; indicators; performance; bonus; Health Centers (HC); Primary health care (PHC); Health Information System (HIS);
Summary/Abstract: By 2007, health centers (HC) in Primary Health Care (PHC) are public entities, financed by HII (CMD Nr. 857, 2006) and managed by Manager. HC are financed performance based according to a new formula: 85% of budget was given monthly for normal function of services, 10% was given monthly as performance based and 5% quarterly as bonus.This study mean to measure impact of financing mechanism of HC articulated in HII policies in function of their health staff performance.This study shows that financial policy implemented by HII in order to maximize rezults of primary health care has been succesfull. Health Information System (HIS) (MOU Nr. Prot.1529, 2009) played important role in measuring results of health staff every day work regarding patients health through indicators, and facilitated financial management of HC. Almost 99% of interviewed personel report that HC where they work is currently using HIS for reporting, meanwhile 98% fill encounter form after each visit. 91% of interviewed staff would prefer to use electronic encounter form vs papaer based. Information system affect in data management, institution and humman resource management. So, 94% of interviewed staff believe that HIS will improve HC management. Regarding effect of data reported through HIS in fianancial remuneratiion of health personel, 96% of interviewed staff agree and totally agree with this argument. Bonus is increased by 7% in y.2009 comparing with y.2008 (p=0.07), meanwhile in y.2010 is dicreased by 15% comparing with y.2008, and is dicreased by 22% comparing with y.2009 (p= 0.07), meanwhile in y.2010 is dicreased by 15% comparing with y.2008, and is dicreased by 22% comparing with y.2009 (p < 0.001), with statistically significant difference. This study shows that HIS help to increase acuracy of data reported by HC.
Journal: ECONOMICUS
- Issue Year: 11/2013
- Issue No: 1
- Page Range: 106-112
- Page Count: 7
- Language: Albanian
