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3 . 2023

Analysis of the scientific validity of incentive payments to primary health care organizations


The article makes an analysis of the changes made to the “Requirements for the structure and content of the tariff agreement” in the compulsory medical insurance system. The procedure for paying medical organizations providing assistance on an outpatient basis has been adjusted – the budget of these institutions will be reduced from 5 to 10% to form a fund of incentive payments. Funds from this fund will be returned to medical organizations only if performance indicators are achieved. TsNIIOIZ approved this innovation without scientific analysis and mistakenly believes that it will lead to increased availability and quality of medical care. The study of VSHOUZ showed that the proposed indicators are unattainable and, in fact, harmful. In a situation of a shortage of medical personnel in primary care, this will cause additional tension and discontent among medical personnel, thereby further increasing the outflow of personnel, which means it will reduce the availability of medical care in primary care.

Keywords:performance indicators of medical organizations; incentive payments to medical professionals; provision of medical professionals; mortality of the working-age population; TsNIIOIZ

Funding. The study had no sponsor support.

Conflict of interest. The author declares no conflict of interest.

For citation: Ulumbekova G.E. Analysis of the scientific validity of incentive payments to primary health care organizations. ORGZDRAV: novosti, mneniya, obuchenie. Vestnik VSHOUZ [HEALTHCARE MANAGEMENT: News, Views, Education. Bulletin of VSHOUZ]. 2023; 9 (3): 4–13. DOI: (in Russian)


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Guzel E. Ulumbekova
MD, MBA from Harvard University (Boston, USA), Head of the Graduate School of Healthcare Organization and Management (VSHOUZ)

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