The paper presents the review of various methods for generalized estimation of the public health parameters, which are based on the principle of regulation of deviations from normative factors and are used in the management activities. The different algorithms for generalized evaluation of the health factors are given. The considered techniques suppose the choice of indicators on the basic directions of activity, tasks of the normative values of the selected indicators. This corresponds to the task of achieving the required values of the indicators in the reporting period, the calculation of current (achieved) health factors, the comparison of the current and normative factors of health on the one given in this paper the methods of calculation of the generalized evaluation and the level of achievement of result. The calculation is realized with provision for value chosen for calculation of the factors, including in the manner of functions. Methods of generalized evaluation of health factors can be used in the management activities of the health institutions and territorial public health, as well as on separate directions of their activity. By means of these techniques it is possible to evaluate the activities for improving health indicators. The advanced multivariate analysis based on generalized evaluation of health factors can be carried out, including on the basis of the algebraic models of constructive logic.
analysis, factor, method, generalized estimation
В настоящее время в здравоохранении для задач организации и управления используется методика обобщенной оценки показателей, разработанная институтом им. Н.А. Семашко и усовершенствованная МИАЦ г.Ижевск (В. К. Гасников, 1997г.), получившая дальнейшее развитие в работах многих авторов [1]. Она основана на кибернетическом принципе регулирования по отклонениям от нормативных показателей.
Основополагающая идея данной методики заключается в следующем [2]:
- выбирают показатели здравоохранения по основным направлениям деятельности;
- задают нормативные значения выбранных показателей, что соответствует поставленной задаче достижения требуемых значений показателей в отчетном периоде (в учебном процессе в качестве нормативных показателей выбирают значения в целом по региону);
- подсчитывают текущие (достигнутые) показатели здравоохранения;
- сравнивают текущие и нормативные показатели здравоохранения по одной из существующих методик;
- подсчитывают результат обобщенной оценки и уровень достижения результата.
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