Health technology asessment in primary health care reform in Albania.

      Аннотация: By 2007, health centers in primary health care are public entities, autonomous, contracted by HII, financed according to package of services, self managed. Health centre is managed by Manager and economist that are responsible for financial and human resource management. HC are financed performance based according to a new formula: 85% of budget was given monthly for normal functioning of services, 10% was given monthly as performance based and 5% was called quality bonus, given quarterly to HC. Study mean to measure impact of financial mechanism of health centers in function of health staff performance, by components: Finances, performance and level of health staff knowledge about reform. Target of study are primary health care centers, family doctors and nurse employed in selected health centers. 684 health staffs are interviewed by 52 health centers randomly selected as part of the survey. It is found positive statistical correlation between bonus level and health staff knowledge about reform(r=0.218, p=0.023), and continues medical education (r=0.607. p<0.001).

Ключевые слова: Financing, Management, motivation, primary health care, reform, Family doctor, continuous medical education. indicator, health technology assessment