EXPERIMENTAL PARAHOSPITAL SERVICE MODEL APPROBATION RESULTS AND CHALLENGES IN HOSPITAL REPLACING TECHNOLOGIES DEVELOPMENT
Experimental parahospital service model approbation was carried out in 2011 in the framework of a program for Kemerovo region healthcare modernization and further development of multilevel system for healthcare organization. Realization of parahospital service setting up project was carried out by optimization of activities in the departments for a short-stay (management of emergency conditions), creation of routing service, patients transporting service, hospital liaison health visitor service, and outpatient work improvement. While parahospital service model was being worked out, medical and economic standards that render patients necessary minimum of medical, health-improving and rehabilitation care in the framework of the state guarantees program eliminating the possibility of overconsumption and lack of health care services were developed. The analysis of parahospital service model efficiency was carried out according toperformance criteria. The criteria define population satisfactionwithqualityofmedicalservices, load on health personnel, and medical institution resources usage efficiency.