Innovations and Transfer Strategies of Albania Government on the Management and Recovering Reforms of Health System

摘要

The reform in the Primary Healthcare had started in 2007 and has in its fundamental the improvement of the service quality toward patient. PH is the main service provided to the community and covers the major part of it. The result of this reform, are evident to the community (patient) and to the medical staff. Actually the main achievement is the Autonomy of the Health Centers. The HC benefits not only the fixed payment but also the payment per service quality indicator. The ratio of indicators, in 2007 was 40%, compared to 75% in 2009. This mean an evident improvement of the service quality from the providers and undoubtedly the ones who benefit are the patient. Part of the HC budget is also, the payment per performance, which actually is benefited at the amount of 100% from the HC. All the payment benefited and also the fixed budget accorded by HII, have improved efficiently the HC infrastructure. This led to better working conditions for the HC staff, and accommodation in the HC areas for the patient. Since the introduction, of the reform in the Primary Health system in 2007, one of the major challenging was not only the strengthen of the autonomy in the HC, the increase of the quality and quantity of services, the financial motivation of the medical staff for a better care towards the patients, the increase of salaries of doctors and nurses, but also the definition of the packages services that will be provided by the Primary services.