Intersectoral cooperation in the sphere of public health care: Ways of optimization

Abstract

The aim of the work was to investigate intersectoral cooperation in the sphere of public health care and to substantiate technologies of its optimization. Material and Methods - There were analyzed the normative legal field of public health care, the results of anonymous survey of 838 physicians - health care organizers including 34 experts, and of 6,106 persons not engaged in medical professions. Results - There were established the list and significance of 37 health determinants; the effect produced on them by 23 state and public sectors engaged in health care; characteristics of these sectors' interaction. There were substantiated 38 informative vectors for evaluating the effectiveness of intersectoral cooperation in the sphere of public health care - 22 simple (each representing a single informative criterion) and 16 complex (consisting of several, from 3 to 12) informative criteria. There was developed an automatic multi-vector method for assessing success in intersectoral cooperation in the sphere of public health care in a territorial formation (formations), and there was designed an appropriate technology of optimization, including the primary multi-vector analysis, purposeful correction and dynamic evaluation. Conclusion - Public health care optimization is a process which should be carried out with regard to hierarchic interaction of the engaged sectors and peculiarities of their influence on health determinants, multi-vector evaluation of intersectoral cooperation efficacy aimed to substantiate and choose such administrative decisions which prove to be the best from the viewpoint of resulting effective achievements. The obtained materials may be realized in everyday practice of public health care.