Առողջապահության ոլորտում վճարման մեթոդների տիպաբանությունը՝ որպես բժշկական ծառայությունների գների վրա ազդող գործոն / Provider payment methods typology in the health care sector as a factor influencing the cost of medical services

Abstract

Achieving universal health coverage implies that all countries strive to expand or ensure coverage, coping with technological advances, aging populations, and growing expectations for quality medical care. The increase in healthcare costs is putting pressure on politicians. Governments often turn to the private sector to ensure sustainability, optimal use of resources, and expanding the choice of medical care. At the same time, the persons responsible for policy development are faced with the problem of providing resources and increasing efficiency, solving the problems of market failure and equity related to private financing of health care. In the conditions of growth of health care costs, not only the volume of reimbursed services, but also the approaches and terms of payment to medical service providers are becoming more and more important. For this purpose, many countries are introducing new approaches to financing, organizing and providing medical care. Understanding pricing methods becomes even more important as systems change rapidly with increased resource consumption and patient needs. In order to bring payments in line with costs, countries change the payment methods of service providers, moving from payments provided by the budget to payment methods for services, per day, on the diagnosis based groups, etc.