ESTABLISHING ACCOUNTABILITY INSTITUTIONS IN HEALTH CARE[EN]
CREAREA INSTITUȚIILOR DE RESPONSABILIZARE ÎN DOMENIUL SĂNĂTĂȚII[RO]
СОЗДАНИЕ УЧРЕЖДЕНИЙ ПОДОТЧЕТНОСТИ В ОБЛАСТИ ЗДРАВООХРАНЕНИЯ[RU]
Establishing accountability institutions in health care
The scope of
the report has been to analyze the existing accountability mechanisms in the
health sector. Specific objectives include: a review on corruption perception
by households, an analysis of the existing accountability mechanisms and
discussion on their possible improvements and finally an outline on
institutionalized ways of measuring corruption in the health care system.
Several methods have been used for the analysis, such as comprehensive review of the existing household perception surveys, meta-review of the secondary researches and studies, additional analysis, and discussions of the presented information.
The report concludes that the existing accountability mechanisms are weak and underdeveloped. The key finding is that the availability and transparency of the (performance) information is limited. This creates a disruption in the functioning of the accountability mechanisms in the health care system. The society and households as customers are unaware of the quality and use of the public expenditures on health. Assessing the quality of services and the efficiency of expenditures, providers self-evaluation through customer perception of the quality of services, the report recommends the establishment of the budget transparency mechanisms at providers level and across the sector for comparison and involvement of the rayon health authorities.
The report outlines the household perception measurement indicators.
The first section presents the results of surveys among households perception on the current health policy and on the quality of health services. The second section contains information on the perception of corruption by households. It has the purpose to offer a picture on the past and present interest for public health and corruption issues. Next section contains concise information on household health expenditure pattern, followed by the description of the current accountability mechanisms as well as the challenges for the improvement of accountability mechanisms. The last section deals with the identified challenges for the improvement of the accountability links. The final section provides a sketch of the systematic survey to find out the households perception on the functioning of the health care system.
